ATI RN MATERNAL NEUROLOGY, INTEGUMENTARY AND CANCER NCLEX REVIEW QUESTIONS.

ATI RN MATERNAL NEUROLOGY, INTEGUMENTARY AND CANCER NCLEX REVIEW QUESTIONS 1 Q Problems in the neuro is system can start where ? Can lead to what A Brain Spine Nerves Muscles -seizures, headaches, developmental delays 2 Q What s cale to use that determines level of consciousness? What it measures? Higher numbers means? Used For what ages A Glascow coma scale alert , lethargy, obundation, stupor, coma (eye opening, motor response0 -2 years, verbal response -2-5 years) More conscious you are - 15 is the sum 0-5 years old 3 Q Level of alertness Alert - Lethargy - obundation, stupor, coma A Alert - when patient answers questions appropriately Lethargy -opens eyes, appears drowsy, answers questions appropriate but falls asleep and needs reminders to answer obundation, - can open eyes but appears confused - overall alertness is decreased stupor, - only responds to painful stimuli , verbal respon ses are absent or slow coma - do not respond to internal or external stimuli and remain in unaroused state with eyes closed 4 Q The space in between the brain and skull create intercrainial pressure s/s such as? Infants? A Seizures Decreased eye conta ct Building fontanels HTN (pushing triad)? Bradycardia Irregular resp LOC, papilledema , pupil changes, impaired eye movement, decerebrate, decorticate, and flaccid posture, change in motor ability , speech, headache Infants - bulging fontanels, crani al suture separation, increases head circumference, high pitched cry 5 Q intercrainial cranial pressure s/s in ER or nicu - what to do? Overall goal? A Closely monitor pt Address changing of vitals Assess neuro status ask what there normal state of being is from there parents Provide care and prevent harm?