NEURO LPN QUESTIONS WITH ANSWERS VERIFIED CORRECT

Prevention of neurological disease - 1.Avoid drugs and alcohol use. 2. Obesity, stress, smoking 3. Safe motor vehicle 4. Safe handling of fire arms 5. Helmets 6. Safe sex avoid stds Effects of normal aging on the nervous system. - 1. Loss of brain weight 2. Loss of neurons 1% a year 3. Reduction in arterial blood flow 4. Decrease in ability to control body temperature 5. Decrease in velocity 6. Decrease blood supply 1.Assessment of the neurological system History - Very comprehensive history to diagnose diseases 2. Symptoms they may have 3. Pt. Understanding persecution of what's happening to them 4. Info. From family and other people 5. Subjective data. Head aches (dull) Wakes u up from sleeping 2.Assessment of the neurological system Mental status - Orientation Person Place Purpose Time Mood and behavior General knowledge Short long term memory 3. Assessment of the neurological system Level of consciousness - Earliest indicator that something is wrong Increase interracial pressure Arousal- wakefulness most important part opens eyes spontaneously to voice or pain this is a sign that the brain is still working Awareness 4 components 1. Orientation 2. Memory never ask close ended questions 3. Calculate 4. Foundation of knowledge Glasgow coma scale - Quick and practical way to find out a persons consciousnes Glosgow coma scale - -eye opening response -verbal response -motor response aphasia - an abnormal neuro condition due to an area in the cerebral cortex that has been injured. frontal and tempral lobe S/S of aphasia - speaking problems problems having the correct words inappropriate words used in a sentence motor aphasia - Inability to use signs or symboles of speech or remember words -knows what they want to say but cant articulate the words Global Aphasia - Inability to understand the spoken word or to speak Anomia - Inability to name obejects or even persons Dysarthrea - poorly articulated speech that usually results from inerference or the control over the muscles of speech. -General cause is damage to central or peripheral nerve - people with ETOH sever trauma, sleared speach Motor nuerons - any changes to this will cause changes to your muscle, reflex, tone, and activities Flaccid - weak, soft and deep spastic - involuntary, sudden movements fasciculation - Rapid continuous twitching of resting muscle without movement of limb clonus - A form of movement marked by contractions and relaxations of the muscle in rapid succession. Unilateral Neglect - person is aunaware and unattentive to one side of the body person in the ICU - checked Q15 min -orientation -LOC -Bilateral muscle strength -speech ability -anyunvoulintary movements -any abnormal posture CSF lab test - 10 lymphocytes per milliter of spinal fluid. An increase means an infection MRA Magnetic resonance angiography - combines MRI with the use of a contrast medium to locate problems within blood vessels throughout the body Lumbar Puncture - A procedure used to remove cerebrospinal fluid from the spinal canal. Le and L5 or L5 and S1. Interspace. lumbar Puncture is not recomended for who? Why? - people with intracranial pressure because the withdrawal of fluids may cause the medulla oblongata to herniated into the foreman magnum. What does the pt. Feel with a lumbar puncture during, after, - Pain and pressure as the dura is entered, headache after use ice pack or analgesics.