Nrsg 105 finals-Questions with complete solutions
Cognition (orientation), what part of brain is being tested with orientation questions
Frontal- personality, emotions, and intellectual function
Parietal-primary center for sensation
Occipital-primary visual center
Temporal-Primary auditory reception center,taste,and smell
Wernicke- language
LOC ... levels lethargic, stuporus, obtunded, coma
Lethargic-not fully alert drift off to sleep when not mentally stimulated can be aroused to name
when called but looks drowsy. Slow fuzzy loses train of thought
Stuporous-Spontaneous unconscious response to only vigorous shake or pain, has appropriate
motor response, can groan and mumble
Obtunded- a transitional state between lethargic and stupor, sleep most of the time needs loud
shouts and vigorous state, acts confused when aroused, converse in monosyllables speech is
mumbled and incoherent
Coma-completely unconscious no response to pain or any external or internal stimuli
... increasing intracranial pressure
Pushes the brainstem down, it puts pressure on CN III causing pupil dilation. Cushing reflex
shows signs increasing intracranial pressure, sudden BP elevation with widening pulse pressure,
pulse decrease (slow and bounding).
... changes in neuro status
, LOC
Motor function
Pupils
Vitals
Affect
Observable expression of persons emotions (what you observe). Flat- none, Blunted-reduced
expression, Constricted -limited range, labile- rapid change
Delirium (signs and symptoms)
Disoriented, poor memory, easily distracted, hallucinations, agitation, restlessness, confusion,
fear, euphoria
Vertigo, dizziness, tinnitus
Vertigo- you or objects are spinning
Dizziness- lightheaded or faint
Tinnitus- ringing in the ears
Breast dimpling, retractions, inspection, palpation
Inspection- arms at sides, overhead, hands on hips and leaning
Dimpling- pucked area on skin may resemble an orange peel- tumor on ligament
Retraction- nipple or skin appears pulled inward- tumor in duct
Palpatation- circular motion
Test of confrontation
Cognition (orientation), what part of brain is being tested with orientation questions
Frontal- personality, emotions, and intellectual function
Parietal-primary center for sensation
Occipital-primary visual center
Temporal-Primary auditory reception center,taste,and smell
Wernicke- language
LOC ... levels lethargic, stuporus, obtunded, coma
Lethargic-not fully alert drift off to sleep when not mentally stimulated can be aroused to name
when called but looks drowsy. Slow fuzzy loses train of thought
Stuporous-Spontaneous unconscious response to only vigorous shake or pain, has appropriate
motor response, can groan and mumble
Obtunded- a transitional state between lethargic and stupor, sleep most of the time needs loud
shouts and vigorous state, acts confused when aroused, converse in monosyllables speech is
mumbled and incoherent
Coma-completely unconscious no response to pain or any external or internal stimuli
... increasing intracranial pressure
Pushes the brainstem down, it puts pressure on CN III causing pupil dilation. Cushing reflex
shows signs increasing intracranial pressure, sudden BP elevation with widening pulse pressure,
pulse decrease (slow and bounding).
... changes in neuro status
, LOC
Motor function
Pupils
Vitals
Affect
Observable expression of persons emotions (what you observe). Flat- none, Blunted-reduced
expression, Constricted -limited range, labile- rapid change
Delirium (signs and symptoms)
Disoriented, poor memory, easily distracted, hallucinations, agitation, restlessness, confusion,
fear, euphoria
Vertigo, dizziness, tinnitus
Vertigo- you or objects are spinning
Dizziness- lightheaded or faint
Tinnitus- ringing in the ears
Breast dimpling, retractions, inspection, palpation
Inspection- arms at sides, overhead, hands on hips and leaning
Dimpling- pucked area on skin may resemble an orange peel- tumor on ligament
Retraction- nipple or skin appears pulled inward- tumor in duct
Palpatation- circular motion
Test of confrontation
