Mgccc Level 2 nursing neuro Exam Real
Questions And Correct Answers Rated
A+
Concussion - Answer - ✔✔ Observe patient & report immediately if:
Any change in LOC
Difficulty in awakening, lethargy, dizziness, confusion, irritability, and anxiety
Difficulty in speaking or moving
Severe headache
Vomiting
* Patient should be aroused and assessed frequently
TBI: what are abrasions? - Answer - ✔✔ Top layer of scalp; Minor injury
Headaches assessment - Answer - ✔✔ -A detailed description of the headache is
obtained.
-Include medication history and use.
-The types of headaches manifest differently in different persons, and symptoms in one
individual may also change over time.
Migraine - Answer - ✔✔ a symptom complex characterized by periodic and recurrent
attacks of a severe headache that lasts from 4 hours to 72 hours. It is often associated
with photophobia, nausea, and vomiting. The cause of a migraine has not been clearly
demonstrated, but it is primarily a vascular disturbance that occurs more often in women
and has strong familial tendency. The typical onset is at puberty, and highest incidence
is in adults 20-35 years of age. Can occur with or without an aura.
Cluster headaches - Answer - ✔✔ a severe form of vascular headaches. They come in
clusters of one to eight daily, with pain localized to the eye and orbit and radiating to the
facial region. Patient usually has watery eye and nasal congestion. Last 15 minutes to 3
hours. They are seen 5xs more often in men. The cause of cluster headaches is not
fully understood. One theory is that it is caused by dilation of orbital and nearby
extracranial arteries.
Tension-type headaches - Answer - ✔✔ chronic and less severe and are probably the
most common type of headache. Emotional or physical stress may cause contraction of
the muscles in the neck and scalp, resulting in the tension headache. It is characterized
by a steady, constant pressure that usually begins in the forehead, temple, or back of
the neck. "weight on top of head"
Nursing Management —Headache Pain - Answer - ✔✔ Individualized care and
treatment.
, Prophylactic medications may be used for recurrent migraines.
Migraines and cluster headaches require symptomatic medications instituted as soon as
possible with onset (Imitrex).
Provide medications as prescribed.
Provide comfort measures:
- Quiet, dark room
- Massage
- Local heat for tension
Imitrex - Answer - ✔✔ the most widely used antimigraine agent. It is used for the
treatment of acute migraines and cluster headaches. It can cause chest pain and is
contraindicated in patients with heart disease.
Nursing Management - Headache Teaching - Answer - ✔✔ - Help patient identify
triggers and develop preventive strategies and lifestyle changes for headache
prevention
- Provide medication instruction and treatment regimen
- Implement stress reduction techniques
- Implement nonpharmacologic therapies
- Provide follow-up care
- Encourage healthy lifestyle and health promotion activities
Seizures - Answer - ✔✔ Abnormal episodes of motor, sensory, autonomic, or psychic
activity (or a combination of these) resulting from a sudden, abnormal, uncontrolled
electrical discharge from cerebral neurons.
Partial seizures - Answer - ✔✔ begin in one part of the brain
- Simple partial: consciousness remains intact
- Complex partial: impairment of consciousness
Generalized seizures - Answer - ✔✔ involves the whole brain
tonic-clonic seizure - Answer - ✔✔ last 2-5 minutes and it begins with a tonic phase that
is characterized by stiffening or rigidity of the muscles, particularly of the arms and legs,
and immediate LOC. Clonic or rhythmic jerking of all extremites follows it. The client
may bite his or her tongue and may become incontinent of urine or feces. Fatigue,
confusion, and lethargy may last up to an hour after the seizure.
Tonic seizures - Answer - ✔✔ characterized by an abrupt increase in muscle tone, LOC,
and loss of autonomic signs lasting 30 seconds to several minutes.
clonic seizure - Answer - ✔✔ lasts several minutes and is characterized by muscle
contraction and relaxion.
Questions And Correct Answers Rated
A+
Concussion - Answer - ✔✔ Observe patient & report immediately if:
Any change in LOC
Difficulty in awakening, lethargy, dizziness, confusion, irritability, and anxiety
Difficulty in speaking or moving
Severe headache
Vomiting
* Patient should be aroused and assessed frequently
TBI: what are abrasions? - Answer - ✔✔ Top layer of scalp; Minor injury
Headaches assessment - Answer - ✔✔ -A detailed description of the headache is
obtained.
-Include medication history and use.
-The types of headaches manifest differently in different persons, and symptoms in one
individual may also change over time.
Migraine - Answer - ✔✔ a symptom complex characterized by periodic and recurrent
attacks of a severe headache that lasts from 4 hours to 72 hours. It is often associated
with photophobia, nausea, and vomiting. The cause of a migraine has not been clearly
demonstrated, but it is primarily a vascular disturbance that occurs more often in women
and has strong familial tendency. The typical onset is at puberty, and highest incidence
is in adults 20-35 years of age. Can occur with or without an aura.
Cluster headaches - Answer - ✔✔ a severe form of vascular headaches. They come in
clusters of one to eight daily, with pain localized to the eye and orbit and radiating to the
facial region. Patient usually has watery eye and nasal congestion. Last 15 minutes to 3
hours. They are seen 5xs more often in men. The cause of cluster headaches is not
fully understood. One theory is that it is caused by dilation of orbital and nearby
extracranial arteries.
Tension-type headaches - Answer - ✔✔ chronic and less severe and are probably the
most common type of headache. Emotional or physical stress may cause contraction of
the muscles in the neck and scalp, resulting in the tension headache. It is characterized
by a steady, constant pressure that usually begins in the forehead, temple, or back of
the neck. "weight on top of head"
Nursing Management —Headache Pain - Answer - ✔✔ Individualized care and
treatment.
, Prophylactic medications may be used for recurrent migraines.
Migraines and cluster headaches require symptomatic medications instituted as soon as
possible with onset (Imitrex).
Provide medications as prescribed.
Provide comfort measures:
- Quiet, dark room
- Massage
- Local heat for tension
Imitrex - Answer - ✔✔ the most widely used antimigraine agent. It is used for the
treatment of acute migraines and cluster headaches. It can cause chest pain and is
contraindicated in patients with heart disease.
Nursing Management - Headache Teaching - Answer - ✔✔ - Help patient identify
triggers and develop preventive strategies and lifestyle changes for headache
prevention
- Provide medication instruction and treatment regimen
- Implement stress reduction techniques
- Implement nonpharmacologic therapies
- Provide follow-up care
- Encourage healthy lifestyle and health promotion activities
Seizures - Answer - ✔✔ Abnormal episodes of motor, sensory, autonomic, or psychic
activity (or a combination of these) resulting from a sudden, abnormal, uncontrolled
electrical discharge from cerebral neurons.
Partial seizures - Answer - ✔✔ begin in one part of the brain
- Simple partial: consciousness remains intact
- Complex partial: impairment of consciousness
Generalized seizures - Answer - ✔✔ involves the whole brain
tonic-clonic seizure - Answer - ✔✔ last 2-5 minutes and it begins with a tonic phase that
is characterized by stiffening or rigidity of the muscles, particularly of the arms and legs,
and immediate LOC. Clonic or rhythmic jerking of all extremites follows it. The client
may bite his or her tongue and may become incontinent of urine or feces. Fatigue,
confusion, and lethargy may last up to an hour after the seizure.
Tonic seizures - Answer - ✔✔ characterized by an abrupt increase in muscle tone, LOC,
and loss of autonomic signs lasting 30 seconds to several minutes.
clonic seizure - Answer - ✔✔ lasts several minutes and is characterized by muscle
contraction and relaxion.
