Neuro Assessment & Stroke-AH Test 2 Questions With Complete Solutions

Frontal lobe functions correct answer: Higher cognitive function (i.e. impulse control) Memory retention Voluntary eye movements Voluntary motor movement Expressive speech in Broca's area (i.e.Expression aphasia; can't say what they mean) Think: Cognitive, Memory, Motor, Expression Temporal lobe functions correct answer: Wernicke's area (receptive speech; can't understand what they themselves or others say) Integration of somatic, visual, and auditory data Think: Understanding Parietal lobe functions correct answer: Sensory and spatial Occipital lobe functions correct answer: Visual processing Basal ganglia functions correct answer: voluntary movements, learning, emotional response, and automatic movements (swinging of the arms while walking, swallowing saliva, and blinking) Thalamus functions correct answer: major relay center for sensory and other afferent inputs Hypothalamus functions correct answer: ANS and the endocrine system Brain stem functions correct answer: arousal sleep-wake pattern respiratory Cerebellum functions correct answer: Balance Voluntary movement Normal CSF correct answer: clear, colorless, and free of red blood cells and contains little protein. -pH: 7.35 -NO RBC -small amt of WBC -40-70 glucose -60-150 pressure -avg. 135 mL volume present in the body CSF analysis correct answer: lumbar puncture most common way to obtain Before the procedure, have the patient empty the bladder; then side-lying or seated, sterile needle is passed between the first and second lumbar vertebrae may cause temporary pain analysis of CSF used to dx CNS disease CSF pressure is often measured w/ intracranial injury. Nursing care for lumbar puncture (CSF monitoring) correct answer: Monitor for headache intensity, meningeal irritation (nuchal rigidity), or signs and symptoms of local trauma (e.g., hematoma, pain). Relationship of CSF and ICP correct answer: Increased Intracranial Pressure shown by increased CSF pressure, which can cause→ downward (central) herniation of the brain and brainstem. The signs marking this event are part of the herniation syndrome Basic Guidelines for Neuro Assessment correct answer: 1.) NEVER suggest symptoms (use open-ended questions) 2.) Ask about MODE of onset (symptoms), COURSE of illness (progression) 3.) get RELIABLE hx (use family if need be) Components of Subjective Neuro Assessment correct answer: Meds Surgery Development Health practices