Kaplan focused review Neuro – Flashcards
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cares for a client receiving mag sulfate, notes DTR are decreased
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discontinue IV infusion
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MS exacerbation expect to observe
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numbness of extremities and difficulty walking
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the nurse enters to hang IV antibiotic, client has diarrhea and pain what action first
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admin prescribed pain med
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Guillian barre, complication most important to continually assess
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respiratory functioning
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following statements describes an important consideration when spinal anesthia is used
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Pt must be protected from injury since sensation is impaired
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MS experiencing motor weakness, which nursing action in careplan
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support when ambulating
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client diagnosed with right sided hemiplegia after stroke, resistance to extension of R knee ROM
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client is developing a flexation contracture
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diagnosis of stroke, daughter rpts Hx of HTN most important risk factor for development of stroke
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HTN
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parent of 8-month old possible delay
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child is almost dubble birth weight
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Alzheimer's, impaired mobility most appropriate nursing action for safety
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keep bed in lowest position
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guillain-barre plan of care most important
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frequently assess IX and X
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why do i have to take B6
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prevent neuritis
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client diagnosed w myasthenia gravis
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schedule activities in the morning
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patient needs beed at 30 degrees but cannot afford hospital bed
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instruct to buy several pillows
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most days i drink a pint of vodka, most likely time for AWS
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48-72 hr
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expected to see in parkinsons disease
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shuffling, propulsive gait
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tonic-clonic, first thing
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loosen constrictive clothing
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pt is scheduled for EEG most important for nurse to state which
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not painful but must lie still
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family reports that client had seizure, vital signs, no injuries side lying, what next
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interview family for what they saw chart using their own worda
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dysarthria from stroke, most apropriate to help comunicate
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speak in short phrases
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myasthenia gravis
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in the morning
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teaching plan for brain scan
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IV of agent that will be traced by a scanner
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fracture of T12 from motorcycle
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client will have wheelchair independance and possible ambulation with long leg brace
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Bell's palsy nighttime care
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apply eye shield over affected eye
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meniere's disease, which report poses major safety concern
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vertigo
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led poisoning
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anemia, hearing impairment, and distractibility
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Priority assessment for stroke
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client's level of C
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meniere's disease, expected to exibit
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vertigo, hearing loss, tinnitus
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resp paralysis may happen if SC injury above
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C4
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clasic signs of parkinson's
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tremor, bradykinesia, rigidity
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bell's palsy first action
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assess clients pain exp
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EEG foods to omit
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hot chocolate
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characteristic of chronic pain
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weight loss or gain, fatigue
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best instruction to NAP reguarding foot-board
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you should not use a foot board, promotes plantar flexion
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traumitic brain injury devlopes a temp of 104 most important intervention
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place the client on automatic cooling blanket
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closed head injury indicate ICP
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widening pulse pressure and lower pulse
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decorticate posturing
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armes are flexed and held at core of body
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soft spot
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will remain for 1 1/2 years
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most suggestive of guillain barre
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acending para;ysis
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most important short term goal for increased intercrainal pressure
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control agitation and restlessness
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which activities contribute to increased ICP
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hand restraints having bowel movement
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SIADH, expect to observe
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decreased sodium levels
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emergency plan of care spinal cord injury Additional teaching
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head should be held in gentle traction to prevent further injury to cervical spine
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clinical manifestation of MS
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urinary retention hyperreflexia of extremities ataxia decreased concentration
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warning sign of CP
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poor head controol after 3 months
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spinal cord injury, best indicates understanding
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i'm going to have to make a lot of adjustments
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events leading to death of neurons after ischemic stroke
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accumulation of sodium and water in the neurons in the affected area
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CP, the nurse should intervine if which is observed
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the older sister places a toy in the childs hand
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unconcious client arrives after fall, which action first
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assess patency of airway
