NUR 623 (Adult_Gero Acute) MOD #4, epilepsy, encephalitis, meningitis, quiz Questions with
CORRECT Answers (Grade A+)
Question 1:
initial neuro exam in establishing LOC
Answer:
-assess arousal level (use GCS) -assess motor response (strength, see if they are symmetrical)
-assess pupil response -assess cornea and gag reflex
Question 2:
review GCS (<8 is considered comatose) score is 3-15
Answer:
eyes: (1-4) open normally: 4 open to speech: 3 open to pain: 2 eyes don't open: 1 Verbal: (1-5)
oriented: 5 confused: 4 inappropriate/nonsense: 3 incomprehensible: 2 no speech: 1 Motor: (1-6)
obeys commands: 6 localizes to pain: 5 withdraws from pain: 4 decorticate (arms flexed in): 3
decerebrate (arms extended out): 2 no movement: 1
Question 3:
when a patient is intubated, the verbal score will always be
Answer:
one - but add a T to the note ex. GCS 9T (intubated)
Question 4:
after establishing LOC, determine
Answer:
cause (metabolic, structural brain lesion, toxidromes, infectious, malignancy, medications, PMH)
Question 5:
imaging for altered
Answer:
Answer not clearly separated in the source document.
Question 6:
, a big diagnosis for altered LOC with a very easy test is
Answer:
POCT glucose - rule out hypo/hyper glycemia
Question 7:
other labs to get for altered LOC
Answer:
CBC/CMP, ETOH, LFT, ammonia levels, ABG
Question 8:
imaging to start for altered LOC
Answer:
get a non-contrast CT of head -can progress to contrast CT, CTA, MRI **EEG if suspect seizure
Question 9:
if you suspect meningitis/encephalitis, malignancy, SAH get a
Answer:
LP
Question 10:
always with altered LOC, establish
Answer:
ABC's
Question 11:
meds you can try with an altered LOC patient if cause is unclear
Answer:
naloxone - opioid OD thiamine - Wernicke's encephalopathy glucose - hypoglycemia
Question 12:
abnormal neuronal discharges that cause a disturbance in cerebral function
Answer:
seizures
CORRECT Answers (Grade A+)
Question 1:
initial neuro exam in establishing LOC
Answer:
-assess arousal level (use GCS) -assess motor response (strength, see if they are symmetrical)
-assess pupil response -assess cornea and gag reflex
Question 2:
review GCS (<8 is considered comatose) score is 3-15
Answer:
eyes: (1-4) open normally: 4 open to speech: 3 open to pain: 2 eyes don't open: 1 Verbal: (1-5)
oriented: 5 confused: 4 inappropriate/nonsense: 3 incomprehensible: 2 no speech: 1 Motor: (1-6)
obeys commands: 6 localizes to pain: 5 withdraws from pain: 4 decorticate (arms flexed in): 3
decerebrate (arms extended out): 2 no movement: 1
Question 3:
when a patient is intubated, the verbal score will always be
Answer:
one - but add a T to the note ex. GCS 9T (intubated)
Question 4:
after establishing LOC, determine
Answer:
cause (metabolic, structural brain lesion, toxidromes, infectious, malignancy, medications, PMH)
Question 5:
imaging for altered
Answer:
Answer not clearly separated in the source document.
Question 6:
, a big diagnosis for altered LOC with a very easy test is
Answer:
POCT glucose - rule out hypo/hyper glycemia
Question 7:
other labs to get for altered LOC
Answer:
CBC/CMP, ETOH, LFT, ammonia levels, ABG
Question 8:
imaging to start for altered LOC
Answer:
get a non-contrast CT of head -can progress to contrast CT, CTA, MRI **EEG if suspect seizure
Question 9:
if you suspect meningitis/encephalitis, malignancy, SAH get a
Answer:
LP
Question 10:
always with altered LOC, establish
Answer:
ABC's
Question 11:
meds you can try with an altered LOC patient if cause is unclear
Answer:
naloxone - opioid OD thiamine - Wernicke's encephalopathy glucose - hypoglycemia
Question 12:
abnormal neuronal discharges that cause a disturbance in cerebral function
Answer:
seizures
