neuro

2. The newly admitted patient to the emergency room 30 minutes ago after a fall off a ladder has gradually decreased in consciousness and has slowly reacting pupils, a widening pulse pressure, and verbal responses that are slow and unintelligible. What is the most appropriate position for the patient? a. Neck placed in a neutral position b. Head raised slightly with hips flexed c. Supine in gravity neutral position d. Turn on right side with head elevated

a (Place the neck in a neutral position (not flexed or extended) to promote venous drainage.)

50 signs and symptoms of cluster headache

occur daily for a period of time and subsided burning, sharp and steady, tearing of the eyes and nasal stuffiness. onset is sudden and occur at same time of day if health care provider is present durring headacheHorners syndrom is noted- small pupil or eyelid dropping on one side

48. headache phase of migraine

throbbing/ pounding. worse on one side of the head

3. Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem? a. "Do you have any sensations of pins and needles in your feet?" b. "Does the pain radiate from your back into your legs?" c. "Can you describe the sensations you are having?" d. "Do you ever have any nausea or dizziness?"

c (For patients with suspected neurologic conditions, the presence of many symptoms or subjective data may be significant. Offering leading questions is not beneficial and may allow the patient to give misinformation. Questions should be specific about symptoms.)

45.cause of cerebral hemorrhage

craniocerebral trauma epidural hematoma- accumulationof blood between dura and skull. iflethary or unconsiusness occur subdural hematoma- blood collects below the dura, formation slow clot causes pressure on the brain surface and displaces brain tissue. if pt has been consicous for several days then suddenly becomes unconsous

1. What is the cranial nerve that supplies most of the organs in the thoracic and abdominal cavities and also carries motor fibers to glands that produce digestive juices and other secretions? a. Somatic motor nerve b. Visceral sensory nerve c. Abducens nerve d. Vagus nerve

d (The vagus nerve extends from the throat, larynx, and organs in the thoracic and abdominal cavities. It is responsible for sensations and will accelerate peristalsis when stimulated.)

46.encephalitis

inflammation of the brain usually caused by a virus -symptoms : Headache, high fever, seizures change of level of conscious cerebral edema is major problem , manitol and corticosteroids used to control it Long term symptoms: memory impairment epilepsy, insomnia personality changes behavior abnormalities and dysphagia hsv most common form of viral encephalitis