Exam 2 Neuro NRS 3025 Questions With
Complete Answers
Glasgow coma scale - ANSWER eye opening, verbal response, motor response
score can range from 3-15
ex: E4, V5, M5= 14
Pupillary assessment - ANSWER includes- size, shape, and reaction to light
provides vital information regarding function of the CNS and cranial nerves
pinpoint pupils are a side effect of... - ANSWER opioid infusion
General neuro nursing care purpose: - ANSWER monitor patient to detect
changes in status and prevent or minimize complications
General neuro nursing care examples - ANSWER frequent neuro assessments
positioning
ventilation and airway management
nutrition
Mentation - ANSWER awareness of self and surroundings
Dementia definition - ANSWER chronic changes
Delirium definition - ANSWER Acute changes secondary to something else
(infection, hospitalization, disease process)
#1 goal of delirium is - ANSWER prevention
Delirium nursing care - ANSWER early recognition (confusion, agitation)
manage or treat the underlying cause
frequent orientation
maintain safety
Parkinson's disease - ANSWER A disorder of the central nervous system that
affects movement, often including tremors.
- destruction of dopamine producing/storing neurons in the basal ganglion
cardinal signs of Parkinson's disease - ANSWER resting tremor
rigidity (muscle flexion)
bradykinesia (slow movement)
, postural instability
Less common signs and symptoms of Parkinson's - ANSWER urinary retention,
orthostatic hypotension, constipation, anxiety/depression, hallucinations
mask-like face (they are talking but face is not moving)
Dysphagia can lead to drooling
Parkinson's management - ANSWER there is no cure for this disease
goals:
controlling symptoms
prolonging functional independence
Helping them have a good quality of like for the next 10-20 years
Parkinson's medication: levodopa - ANSWER most effective controlling
symptoms
- fixes the dopamine problem to the basal ganglion
Parkinson's med: carbidopa-levodopa - ANSWER when combined these
medications help with staying in the system longer
most beneficial in the first 2 years
how many times to take carbidopa/levodopa a day and why
what kind of dieat to avoid
and do not ___ suddenly - ANSWER taken 3-4 times a day because it wears off
fast
avoid a high protein diet (decreases absorption)
do not stop suddenly NMS (neuroleptic malignant syndrome)
deadly side effect of carbidopa/levodopa - ANSWER tachyarrhythmias
Huntington's disease - ANSWER produces a large protein called huntingtin,
huntingtin accumulate within neurons, causing cell death throughout nervous
system
50% risk of passing it on to children
Huntington's disease manifestations - ANSWER Chorea- impaired voluntary
movements
personality changes and depression
dementia- forgetful, impaired judgement
impaired speech and swallowing
(symptoms are the same as having ALS, parkinson's, and alzheimers)
spastic movements
Huntington management - ANSWER No cure
goals:
controlling chorea (impaired movements)
Complete Answers
Glasgow coma scale - ANSWER eye opening, verbal response, motor response
score can range from 3-15
ex: E4, V5, M5= 14
Pupillary assessment - ANSWER includes- size, shape, and reaction to light
provides vital information regarding function of the CNS and cranial nerves
pinpoint pupils are a side effect of... - ANSWER opioid infusion
General neuro nursing care purpose: - ANSWER monitor patient to detect
changes in status and prevent or minimize complications
General neuro nursing care examples - ANSWER frequent neuro assessments
positioning
ventilation and airway management
nutrition
Mentation - ANSWER awareness of self and surroundings
Dementia definition - ANSWER chronic changes
Delirium definition - ANSWER Acute changes secondary to something else
(infection, hospitalization, disease process)
#1 goal of delirium is - ANSWER prevention
Delirium nursing care - ANSWER early recognition (confusion, agitation)
manage or treat the underlying cause
frequent orientation
maintain safety
Parkinson's disease - ANSWER A disorder of the central nervous system that
affects movement, often including tremors.
- destruction of dopamine producing/storing neurons in the basal ganglion
cardinal signs of Parkinson's disease - ANSWER resting tremor
rigidity (muscle flexion)
bradykinesia (slow movement)
, postural instability
Less common signs and symptoms of Parkinson's - ANSWER urinary retention,
orthostatic hypotension, constipation, anxiety/depression, hallucinations
mask-like face (they are talking but face is not moving)
Dysphagia can lead to drooling
Parkinson's management - ANSWER there is no cure for this disease
goals:
controlling symptoms
prolonging functional independence
Helping them have a good quality of like for the next 10-20 years
Parkinson's medication: levodopa - ANSWER most effective controlling
symptoms
- fixes the dopamine problem to the basal ganglion
Parkinson's med: carbidopa-levodopa - ANSWER when combined these
medications help with staying in the system longer
most beneficial in the first 2 years
how many times to take carbidopa/levodopa a day and why
what kind of dieat to avoid
and do not ___ suddenly - ANSWER taken 3-4 times a day because it wears off
fast
avoid a high protein diet (decreases absorption)
do not stop suddenly NMS (neuroleptic malignant syndrome)
deadly side effect of carbidopa/levodopa - ANSWER tachyarrhythmias
Huntington's disease - ANSWER produces a large protein called huntingtin,
huntingtin accumulate within neurons, causing cell death throughout nervous
system
50% risk of passing it on to children
Huntington's disease manifestations - ANSWER Chorea- impaired voluntary
movements
personality changes and depression
dementia- forgetful, impaired judgement
impaired speech and swallowing
(symptoms are the same as having ALS, parkinson's, and alzheimers)
spastic movements
Huntington management - ANSWER No cure
goals:
controlling chorea (impaired movements)
