ATI Neuro
assess the clients airway patency, remove nearby objects, place client on their side
What actions should the nurse take when caring for a child having a seizure?
Ask the patient to take a sip of water to assess their ability to swallow.
What should the nurse do before giving a patient with myasthenia gravis oral medication?
Provide oral fluids to reduce spinal headache, monitor for nausea, keep pt flat and still; prone or lateral, maintain LOC, monitor extremity sensation.
What should the nurse include in care plan of patient who just had a lumbar puncture?
Muscle Weakness. (Weakness of diaphragm and intercostal muscles can lead to respiratory distress.)
When a patient has myasthenia gravis, the nurse should monitor for what?
Parkinson's Stage 2
bilateral symptoms, loss of balance
Parkinson's Stage 3
bradykinesia, slow walking
Bradykinesia- slow movement, tremors, weakness, shuffling walk, rigidity
A nurse is assessing a client who has Parkinson's disease. What is an expected finding?
Have you had the flu? (because GBS usually follows a viral infection)
A nurse is assessing a client who has a suspected diagnosis of Gullian-Barre syndrome (GBS). What questions should the nurse ask?
Do not take antihistamines
A nurse is teaching a client who has MS about their new Rx Baclofen. What instruction should the nurse include?
During neurological assessment of the older adult, what should the nurse expect to find?
Decreased sensation of touch and temperature
Parkinson's Meds
Dopaminergics, Dopamine agonists, Anticholinergics, COMT and MAO-B inhibitors
Optic nerve-Ask the client to read a Snellen chart.
How does the nurse assess CN II?
Levodopa/Carbidopa
Medication used for Parkinson's
After Cerebral Angiography-
Monitor vital signs and ensure incision is not bleeding Artery site checks: color, temperature, pulses, capillary refill, and sensation Bedrest and limited movement until patient is alert and has stable vital signs Observe for complications: (hematoma) Bruising, firm mass (blood pooling) under skin Apply direct pressure over artery and notify the provider
Your patient asks what the blood-brain barrier does. What is the best description that you can give the patient?
Protects against harmful blood-borne agents
Keep suction at bedside
A nurse is caring for a client who has right sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which actions should the nurse take?
rest 30 min before meals, place food on unaffected side of mouth, encourage small bites, sit upright
A nurse is instructing a clients family members about feeding safety for a client who has dysphagia following a stroke. What instructions should the nurse include?
Establish the ability to communicate effectively
A nurse is planning care for a client who had a left hemispheric CVA 3 weeks ago. What goal should the nurse include in the clients rehab?
Push fluids to replace CSF, instruct patient to lay flat, administer pain medication
A patient has a throbbing headache following a lumbar puncture. What action should the nurse take?
Parkinson's Stage 5
Dementia, completely dependent, unable to stand.
Before Cerebral Angiography the nurse must-
Determine pregnancy, allergies, consent, bleeding times, and BUN & creatinine NPO 4-6 hr before and not wearing metal objects Have patient void immediately before the test Administer an ordered mild sedative
Oculomotor nerve- check pupillary response. Expect pupil constriction in response to light.
How does the nurse assess CN III?
12 Cranial Nerves
Olfactory (CN I) - test smell Optic nerve (CN II) - visual field and acuity Oculomotor (CN III), trochlear (CN IV), and abducens (CN VI) nerves Trigeminal nerve (CN V) - sensory, motor, and corneal reflex Facial nerve (CN VII) - motor and taste discrimination Vestibulocochlear (acoustic ) nerve (CN VIII) - hearing tests Glossopharyngeal (CN IX) and vagus (CN X) - gag reflex Accessory nerve (CN XI) - shoulder movement and turn head side to side Hypoglossal nerve (CN XII) - tongue movement out and in 4 directions
Parkinson's Stage 4
no movement, ADL's become difficult.
Parkinson's Stage I
shaking in one hand
