neurovascular
how to test cranial nerve VIII
whisper test
what is the function of cerebrospinal fluid
it cushions the brain and the spinal cord (prevents damage)
which nervous system regulates the expenditure of energy
sympathetic
The client is pacing, taking deep breaths, and hand ringing. Considering the effects in the body systems, what is the nurse anticipate the liver will do?
Convert glycogen to glucose for immediate use
gag reflex cranial nerve
X
which term refers to the inability to coordinate muscle movements, resulting difficulty walking? a - ataxia b - agnosia c - spasticity
a
what assessment findings indicate neurologic concern? SATA a - unequal pupils b - pupil reaction quick c - pinpoint pupils d - absence of pupillary response e - pupil reacts to light
a, c, d
What questions can you ask to evaluate mental status
orient to time, place, and person. Does the client know what day it is? What year it is? The name of the president of the united states? Where he or she is?
primary sensory area of brain
parietal lobe
Test for equilibrium and which nerve
Romberg test VIII
cranial nerve I
Olfactory (smell)
visual receiving lobe of brain
occipital
which lobe reflects visual deficits
occipital
how many coccygeal nerves
1 pair
When assessing the DTR the nurse observes diminished or hypoactive reflexes? How will the nurse document this?
1+
How many pairs of thoracic nerves
12
how many pairs of spinal nerves in the spinal cord
31
How many pairs of lumbar and sacral nerves
5 pairs
How many pairs of cervical nerves
8
cranial nerve VI
Abducens if injured pt may have double vision
cranial nerve VIII
Acoustic (Hearing and balance)
The patient preparing to undergo a lumbar puncture states he doesn't think he will be able to get comfortable with his knees drawn up to his abdomen with his face touching his chest. He asks if he can lay on his left side. What statement is the best response response
Although the required position may not be comfortable it will make the procedure safer and easier to perform
What diagnostic test is the nurse anticipate to monitor the status of the aneurysm?
Cerebral angiography
Which cranial nerves does the snellen eye chart assess
II
Position for a lumbar puncture
Lateral recumbent, with thighs flexed
The patient has impairment of the right cervical nerves (CN IX and CN X). What should the nurse instruct the client to do
Refrain from eating or drinking for now
what cranial nerve can cause pain in the face stimulated by brushing teeth
V
A patient had a lumbar puncture 3 days ago in the outpatient clinic and calls the nurse with complaints of a throbbing headache. What can the nurse educate the patient to do for relief of the discomfort? Select all that apply. a - Force fluids (unless contraindicated). b - limit fluids to decrease cerebral edema c - Take some over-the-counter analgesics. d - walk around e - Get plenty of bed rest.
a, c, e
what should a client avoid 24 to 48 hours before an EEG
avoid stimulants and alcohol for 24 to 48 hours before the test
how does an epidural blood patch help with a headache from a lumbar puncture
blood seals the hole in the dura and prevents further loss of cerebral spinal fluid
what part of brain controls and coordinates muscle movement
cerebellum
what causes headaches post lumbar puncture
cerebral spinal fluid leakage at puncture site
Which structure on motor changes related to aging
decreased DTR
deficiency of serotonin can lead to
depression serotonin can control mood and sleep
question to assess cerebellar function
do you have any problems with balance
Which cranial nerve is responsible for salivation, tearing, taste, and sensation in the ear
facial
lower motor neuron lesions cause
flaccid muscles
larges lobe and controls abstract thought
frontal
person sustains head injury during fall and changes in personality and affect - what lobe affected
frontal
written and motor speech area of brain
frontal lobe
position after myelography using metrizamide
head of bed elevated 45 degrees
which of the following areas of the brain are responsible for temperature regulation?
hypothalamus
Chief complaint of an ability to form words and numbness and weakness of the right arm and leg. Where would you locate the side of injury
left frontal parietal region
agnosia
loss of ability to recognize familiar objects through a particular sensory system
what test may be ordered to see the pressure in a clients head post seizure
lumbar puncture
Deficiency of Acetylcholine
myasthenia gravis
DTR scores 0 1+ 2+ 3+
no response diminished or hypoactive normal increased response
CSF color
normally clear and colorless if cloudy - concerning
cranial nerve I test
sense of smell; use aromatic odors; irritating first. pt eyes closed
all reflexes in the body are centered where
spinal cord
Spasticity
sustained increase in tension of a muscle when it is passively lengthened or stretched
which cerebral lobe contains the auditory receptive areas?
temporal
What should a nurse intervene before performing an EEG to evaluate a possible seizure disorder
withhold anticonvulsant medication's for 24 to 48 hours before the exam
