NR341 Complex Adult Health Final Study Guide Questions and Answers

What are symptoms of a stroke, brain attack, and CVA? -Correct Answer= *Headache *Confusion *Seizures *Incontinence *Vomiting *Disorientation *Diplopia *Ptosis *Hypertension *Apraxia *Decreased Neuromuscular control *Memory Impairment *Aphasia (L Hemisphere for CVA) *Decreased cough/Swallow Reflex *Agnosia (Decr. Sensory interpretation) *Hemiparesis/hemiplegia *Emotional Liability *Loss of corneal reflex *Homonymous *Hemianopsia *Spatial-Perceptual Defects What are symptoms of Transient Ischemic Attacks (TIA)? -Correct Answer= *Confusion *Vertigo *Dysarthria *Transient Hemiparesis *Temporary Vision Changes *Typically lasts less than 1 hours What are Focal Neurological symptoms? -Correct Answer= *Paralysis *Sensory Loss *Language Disorder *Reflex Changes What are the 3 steps to stroke recognition? -Correct Answer= 1. Ask person to smile and stick out tongue 2. Ask person to make a complete sentence 3. Ask person to raise both arms What are symptoms of CVA? -Correct Answer= *Hypo/Hypertonia *Perceptual Defects *Apraxia *Loss of voluntary movement on one side *Decreased Neuromuscular Control *Communication Issues *Emotional Lability *Impaired judgement and memory What are causes of CVA? -Correct Answer= *Atherosclerosis *Thrombosis *Embolism *Cerebral hemorrhage (trauma/tissue damage). What are symptoms of Right Hemisphere CVA? -Correct Answer= *Left sided weakness/Paralyzed left side hemiplegia *Perceptual Defects (Vulnerable to Accidents) *Spatial-Perceptual Deficits *Tends to minimize problems *Short attention span *Visual field deficits *Impaired judgment *Impulsive *Impaired time concept What are symptoms of Left Hemisphere CVA? -Correct Answer= *Right sided weakness/Paralyzed right side Hemiplegia *Aphasia *Slow performance *Visual field deficits *Depression/Anxiety *Impaired comprehension What are diagnostics for CVA? -Correct Answer= *Neuro Exam *Lumbar Puncture *CT of the brain *MRI What are pupillary abnormalities associated with CVA? -Correct Answer= *Pupil on opposite side of lesion usually large