Chapter 70 neuro
A nurse knows a pt is exhibiting seizure like movement localized to one side of the body most likely what type of tumor?
A motor cortex tumor
A pt with parkinson disease ask the nurse what can be done to prevent problems with bowels elimination. What could be an intervention that would assist this pt with a regular stool pattern?
Adopt a diet with moderate fiber intake
A pt is diagnosed with a intracerebral tumor. the nurse knows that the diagnoses may include which of the following. Select all apply
Astrocytoma Ependymona Medulloblastoma
Very slow voluntary movements and speech
Bradykinesia
Cervical disk herniation usually occurs at the ______ or ____ interspaces
C5 to C6 C6 to C7
Rapid, jerky, purposeless movement of the extremities or face muscles
Chorea
The three common or localized symptoms of ICP are
Hemiparesis Seizures Mental status changes
A pt with a brain tumor is complaining of headaches that are worse in the morning. What does the nurse know could be the reason for the morning headaches?
ICp
The majority of metastatic lesions to the brain occur from six areas
Lung Breast Lower gastrointestinal tract Pancreas Kidney Skin
An older adult pt exhibiting clinical manifestations of a brain tumor is admitted to the hospital for testing. What tumor type does know are commonly seen in the older adult?
Medulloblastoma
Minute and illegible handwriting
Microphagia
A sensation of pens and needles
Parasthesia
A pt with hungtintons disease is described medication to reduce chorea. What medication will the nurse administer that is the only drug approved for the treatment of the symptom?
Tetrabenazine (xenazine)
A pt is diagnosed with amyotrophic lateral sclerosis, also known as ALS or Lou Gehrigs disease. The nurse understands that the symptoms of the disease will begin in what way?
Weakness starting in the muscles supplied from the central nervous system
The daughter of a pt with hunting tons disease ask the nurse what the risk is of her getting the disease. What is the best response by the nurse?
If one parent has the disorder, there is a 50% chance that you will inherit the disease
A spinal cord tumor located within the spinal cord is classified as
Intramedullary
two common characteristics of muscular dystrophies are
Progressive muscle wasting and weakness Abnormal elevation in blood muscle enzymes
the four cardinal signs of parkinson disease are
Tremor rigidit Bradykensia Postural inablilty
A pt is exhibiting bradykinesia, rigidity, and tremors related to parkinson disease. The nurse understands that these symptoms are directly related to what decreased neurotransmitter level?
Dopamine
Two major collaborative problems for patients with cervical discectomy would be ____________ and _____________
Hematoma at the surgical site, causing cord compression Neurologic deficitand recurrent or persistant pain after surgery
Disease of the spinal nerve root
Radiculopathy
the nurse is caring for a pt with hunningtons disease in a long term care facility. What does the nurse recognize as the most prominent symptom of the disease that the pt exhibits?
Rapid, Jerky, involuntary movement
A pt with parkinson disease is experiencing an on-off syndrome. What does the nurse recognize that the pt clinical symptoms will be?
The pt will have episodes of near immobility, followed by a sudden return of effectiveness of the medication
Impaired ability to execute voluntary movements
Dyskinesia
Abnormal voice quality caused by incoordination of speech muscles
Dysphonia
Five degenerative disorders of the central and peripheral nervous system are
Parkinson disease Huntington disease Alzheimers Disease ALS Muscular dystrophie Degenrative disk disease Postpolio symdrom
A pt with ALS Ask if then use is heard of a drug that will prolong the pts life. The nurse knows there is a drug that might prolong life for 3 to 6 months. What medication is the pt referring to?
Riluzole (Rilutek)
restlessness and agitation
Akathisia
The nurse is performing and assessment for a pt in the clinic with parkinson disease. the nurse determines that the pt voice has changed since last visit and is now more difficult to understand. How should the nurse document this finding?
Dysphonia
The five chief symptoms are of amyotrofic lateral sclerosis are
Fatigue progressive muscle weakness cramps fasciculation (twiching) Incoordination
The three most common systemic signs of increased intracranial pressure are
Headache nausea/vomitting Papilledema
The nurse is caring for a pt with parkinson disease and is preparing to administer medication. What does the nurse administer to the pt that is considered the most effective drug currently given for the tremors of perkinsons?
Levodopa
A pt is diagnosed with a spinal cord tumor and has had a course of radiation and chemotherapy. Two months after the completion of radiation, the pt complains of severe pain in the back. What is pain an indicator of in a pt with spinal cord tumor?
Spinal metastasis
