Chapter 65 med surg

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The nurse is caring for a pt who was involved in a motor vehicle accident and sustained a head injury. When accessing DTR, the nurse observes diminished reflexes. How would she document this finding?

1+

The normal adult produces about _____ml of cerebral spinal fluid daily from the ventricles

150

The nurse is assisting with a lumbar puncture and observes that when the physician obtain CSF,it is clear and colorless. What does this finding indicate?

A normal finding; the fluid will be sent for testing to determine other factors

The parasympathetic division of the autonomic nervous system yields impulses that are medicated by the secretions of ______ the dominant neurotransmitter in the parasympathetic nervous system function

ACETOCOLINE

Dopamine

Affects behavior attention, and fine movement

A pt who has suffered a stroke is unable to maintain respirations and so is intubated and placed on a mechanical ventilation support. What portion of the brain is mostly likely responsible for the inability to breathe?

Brain stem

The pre ganglions fibers of the sympathetic neurons are located in the segment of the spina cord identified as ____ to _____

C8 L3

The nurse is performing an assessment of cranial nerve function and ask the the pt to cover one nostril at a time to see if the patient can smell coffee, alcohol, and mint. The pt is unable to smell any of the odors. The nurse is aware the pt has a dsyfunction of what cranial nerve?

CN I

The nurse obtains a senile eye chart when assessing the cranial nerve function. What cranial nerve is the nurse testing when the nurse uses this chart?

CN II

The brain center responsible for balancing and coordination is the _______

Cerebelum

A pt is scheduled for a EEG in the morning. What food on the patient tray should the nurse remove prior to test?

Coffee

The nurse is accessing the pupils of a pt who has had a head injury. What does the nurse recognize as a parasympathetic effect?

Constricted pupils

Parkinson's disease is caused by an imbalance in the neurotransmitter known as

Dopamine

A pt is being tested for a gag reflex. When the nurse places the tongue blade to the back of the throat, there is no response elected. What dysfunction does the nurse determine the pt has?

Dysfunction of the vagus nerve

Norepinephrine

Excitatory response, mostly affecting moods

Enkephalin

Excitatory; inhibits pain transmisssion

III Oculomotor

Eye Movement

IV Trochlear

Eye Movement

VI Abducer

Eye Movement

II Optic

Eye movement

V Trigeminal

Facial sensation

A pt had a lumbar puncture 3 days ago in the out pt clinic and calls the nurse with complaints of a throbbing headache. What can the nurse educate the pt to do to relief of the discomfort? Select all apply

Force fluid (unless contraindicated) Get plenty of rest Take some over the counter anaglesics

A persons personality and judgement are controlled by the area of the brain known as the ______ lobe

Frontal

Voluntary muscle control is governed by a vertical band of motor cortex located in the _______ lobe

Frontal

A pt sustained a head injury during a fall and has changed in personality and affect, What part of the brain does the nurse recognize has been affected in this injury?

Frontal lobe

A pt is having a lumbar puncture and the physician has removed 20 ml of CSF. What using intervention is an priority after the procedure?

Have the pt lie flat for 6 hours

VIII Vestibulato

Hearing & equilibriumu

The sleep wake cycle regulator and sites the hunger center is known as _____

Hypothalamus

A pt arrives to have na MRI done in the outpatient department. What info provided by the pt warrants further assessment to prevent complications related to MRI?

I am trying to quit smoking and have a patch on

A pt has expressive speaking aphasia after having a stroke. which portion of the brain does the nurse know has been affected?

Inferior posterior frontal areas

Serotonin

Inhibits pain pathway and control sleep

gamma-aminobutyric acid

Muscle and nerve inhibitory transmisssion

The master gland is also known as the _____gland

Pituitary

Acetylcholine

Primary excitatory; can produce vagal stimulation of heart

The nurse is performing a neurological assessment and request that the pt stand with eyes open and then closed for 20 seconds to assess balance. What type of test is the nurse performing?

Romberg test

______ is a neurotransmitter that helps control mood and sleep.

Serotonin

X Vagus

Swallowing, gastric motoility

IX Glossopharyngeal

Taste

VII Facial

Taste & Expression

The lobe of the cerebral cortex that is responsible for the understanding of language and music is the ____ lobe.

Temporal

The major receiving and communication center for the afferent sensory nerve is the ____

Thalamus

XII Hypoglosseal

Tongue movement

XI Spinal accessory

Trapieze, sternomastoid muscle

A pt comes to the ED with severe pain in the face that was stimulated by brushing the teeth. What cranial nerve does the nurse understand can cause this type of pain?

V

I Olfactory

Vision


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