NURS412 Med Surg Exam
1 Study Set
what is the function of the olfactory nerve? - Answer smell
what is the function of the optic nerve? - Answer vision
what is the function of the oculomotor nerve? - Answer eyelid and eyeball movement
how do you test the oculomotor nerve? - Answer PERRLA
Note shape and size
what is the function of the trochlear nerve? - Answer eye movement
what is the function of the trigeminal nerve? - Answer chewing, face and mouth touch
and pain
what is the function of the abducens nerve? - Answer turns eye laterally
what is the function of the facial nerve? - Answer facial expression, taste
how do you test the facial nerve? - Answer raise eyebrows and smile (note asymmetry)
what is the function of the vestibulocochlear nerve? - Answer sensory, hearing, and
balance
what is the function of glossopharyngel nerve? - Answer swallowing, saliva, and taste
how do you test glossopharyngeal nerve? - Answer gag reflex
tongue blade to touch pharynx
what is the function of the vagus nerve? - Answer motor impulses to heart & smooth
muscles and glands in viscera.
what is the function of the accessory nerve? - Answer movement of head and shoulders
how do you test the accessory nerve? - Answer shrug shoulders
what does the hypoglossal nerve? - Answer tongue movement
how do you test the hypoglossal nerve? - Answer to stick out the tongue
what are the risks/causes of increased ICP? - Answer injury
increased CSF
, hemorrhage
infection
hematoma
hydrocephalus
tumor
What is decerebrate posturing? - Answer extension
worsening sign, potential herniation
What is decorticate posturing? - Answer flexion
what are the nursing interventions for increased ICP? - Answer maintain airway
(intubation, mech ventilation, ABGs)
elevate HOB to 30 degrees
suction PRN (be cautious)
minimize straining (avoid vomiting, sneezing, coughing, valsalva, keep environment
calm, no restraints)
pain and anxiety mangement
I+Os (DI, SIADH, monitor lytes)
prevent hip or neck flexion, turn slowly
fx neuros
what is mannitol and its therapeutic use? - Answer concentrated sugar diuretic
used for diuresing and removing CSF
who do you not give mannitol to? - Answer anuric patients
monitors fluid and electrolyte status
what is hypertonic saline used for? - Answer pt with low Na levels
monitor BP and Na
FVO can occur
is a high score on the glasgow coma scale good or bad? - Answer good
is a low score on the GSC good or bad? - Answer bad
what are the diagnostics for increased ICP? - Answer GSC
1 Study Set
what is the function of the olfactory nerve? - Answer smell
what is the function of the optic nerve? - Answer vision
what is the function of the oculomotor nerve? - Answer eyelid and eyeball movement
how do you test the oculomotor nerve? - Answer PERRLA
Note shape and size
what is the function of the trochlear nerve? - Answer eye movement
what is the function of the trigeminal nerve? - Answer chewing, face and mouth touch
and pain
what is the function of the abducens nerve? - Answer turns eye laterally
what is the function of the facial nerve? - Answer facial expression, taste
how do you test the facial nerve? - Answer raise eyebrows and smile (note asymmetry)
what is the function of the vestibulocochlear nerve? - Answer sensory, hearing, and
balance
what is the function of glossopharyngel nerve? - Answer swallowing, saliva, and taste
how do you test glossopharyngeal nerve? - Answer gag reflex
tongue blade to touch pharynx
what is the function of the vagus nerve? - Answer motor impulses to heart & smooth
muscles and glands in viscera.
what is the function of the accessory nerve? - Answer movement of head and shoulders
how do you test the accessory nerve? - Answer shrug shoulders
what does the hypoglossal nerve? - Answer tongue movement
how do you test the hypoglossal nerve? - Answer to stick out the tongue
what are the risks/causes of increased ICP? - Answer injury
increased CSF
, hemorrhage
infection
hematoma
hydrocephalus
tumor
What is decerebrate posturing? - Answer extension
worsening sign, potential herniation
What is decorticate posturing? - Answer flexion
what are the nursing interventions for increased ICP? - Answer maintain airway
(intubation, mech ventilation, ABGs)
elevate HOB to 30 degrees
suction PRN (be cautious)
minimize straining (avoid vomiting, sneezing, coughing, valsalva, keep environment
calm, no restraints)
pain and anxiety mangement
I+Os (DI, SIADH, monitor lytes)
prevent hip or neck flexion, turn slowly
fx neuros
what is mannitol and its therapeutic use? - Answer concentrated sugar diuretic
used for diuresing and removing CSF
who do you not give mannitol to? - Answer anuric patients
monitors fluid and electrolyte status
what is hypertonic saline used for? - Answer pt with low Na levels
monitor BP and Na
FVO can occur
is a high score on the glasgow coma scale good or bad? - Answer good
is a low score on the GSC good or bad? - Answer bad
what are the diagnostics for increased ICP? - Answer GSC