Neuro practice

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The nurse is taking health history from a client admitted to rule out Guillain-Barre syndrome. An important question to ask related to the diagnosis is which of the following?

"Have you experienced any viral infections in the last month?"

Creutzfeldt-Jakob disease causes severe dementia and myoclonus.

...

Huntington disease is a chronic, progressive, hereditary disease of the nervous system that results in progressive involuntary dancelike movements and dementia.

...

Multiple sclerosis is a chronic, degenerative, progressive disease of the CNS characterized by the occurrence of small patches of demyelination in the brain and spinal cord.

...

Parkinson's disease is associated with decreased levels of dopamine due to destruction of pigmented neuronal cells in the substantia nigra in the basal ganglia of the brain.

...

medulla oblongata (reflex centers for vital signs—beathing, Bp, coughing, vomiting, sneezing and swallowing)

...

Myasthenia gravis occurs when antibodies attack which receptor sites?

Acetylcholine

Which of the following is the priority nursing intervention for a patient in myasthenic crisis?

Assessing respiratory effort

The nurse is caring for a client admitted with a diagnosis of septic meningitis. The nurse is aware that this infection is caused by which of the following?

Bacteria

describe basal ganglia

Basal ganglia- nuclei deep in cerebrum that controls fine motor movement

__ - Reticular Activating System begins here and communicates with the hypothalamus

Brain Stem

A nurse is assisting with a neurological examination of a client who reports a headache in the occipital area and shows signs of ataxia and nystagmus. Which of the following conditions is the most likely reason for the client's problems?

Cerebellar abscess

__ - coordination and balance, position sense

Cerebellum

A nurse is teaching a community class that those experiencing symptoms of ischemic stroke need to enter the medical system early. The primary reason for this is which of the following?

Currently approved thrombolytic therapy for ischemic strokes has a treatment window of only 3 hours after the onset of symptoms. Urgency is needed on the part of the public for rapid entry into the medical system. The other three choices are related to hemorrhagic strokes.

where is thalamus

deep under cerebrum

Outside surface of cerebrum, wavy surface

gyri

where is hypothalamus

inferior to thalamus

You can have zero brain function but if the __ work, they will live

midbrain and medulla

wht does hypothalamus do?

regulates pituitary secretion of hormones, hunger center, regulate sleep-wake cycle, blood pressure, emotional responses, controls ANS, temperature regulation

what does the thalamus do

relay station for memory, pain and sensation

Which of the following terms will the nurse use when referring to blindness in the right or left halves of the visual fields of both eyes?

Homonymous hemianopsia occurs with occipital lobe tumors. Scotoma refers to a defect in vision in a specific area in one or both eyes. Diplopia refers to double vision or the awareness of two images of the same object occurring in one or both eyes. Nystagmus refers to rhythmic, involuntary movements or oscillations of the eyes

The initial symptoms of new variant Creutzfeldt-Jakob disease (vCJD) include which of the following?

anxiety, depression, and behavioral changes

__ -- regulates respiration

Midbrain, pons


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