Exam 3:NSG 3250:NSG 3250 Adult Health I (Exam 3): Updated Solution: Guaranteed A+ Score

Alterations in Neurological Function Ch. 65: Assessment of Neurologic Function, pp. Health History: stable or progressive symptom-free periods as well as fluctuations in symptoms • Common Symptoms: o Pain (acute or chronic) o seizures (may be first obvious sign of brain lesion) o dizziness and vertigo (about 50% of patients with dizziness have vertigo) o visual disturbances (lesions of eye itself = cataract, lesions along pathway = tumor, lesions in visual cortex = stroke) o muscle weakness o abnormal sensation (risk for falls and injury) Past Health, Family, and Social History Physical Assessment: • Assessing Consciousness and Cognition: mental status, intellectual function, thought content, emotional status, language ability, impact on lifestyle, LOC, • Examining the Cranial Nerves • Examining the Motor System: motor ability, muscle strength • Balance and Coordination (Romberg Test) (Ataxia – incoordination of voluntary muscle action) (Tremors) • Examining the Sensory System (tactile, superficial pain, temp, vibration, position sense (proprioception) Examining the Reflexes: deep tendon reflexes, superficial reflexes, pathologic reflexes (Babinski reflex) Gerontologic Considerations • Structural and Physiologic Changes • Motor Alterations • Sensory Alterations • Temp Regulation and Pain Perception