NSG 121 - Health Assessment
Exam 4
Question:
T/F when there is damage to spinal column and nerves, the brain is unable to send messages to initiate muscle contraction at or below level of injury
Answer:
True
Question:
T/F a modifiable risk factor is type 2 diabetes
Answer:
True
Question:
What are the risks for stroke?
Answer:
African American, age 65
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Question:
Why is dysphasia concerning after a patient has had a stroke?
Answer:
Choking, aspiration pneumonia
Question:
Where is the brocas area and what is it responsible for?
Answer:
Frontal lobe and regulates verbal expression and writing ability
Question:
broca area (motor speech area)
Answer:
Regulates verbal expression and writing ability
How would you communicate to a patient who has an injury to Broca's area?
Answer:
Pictures, whiteboard, allowing them to express their thoughts
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Question:
Damage to the wernicke area
Answer:
Lead to difficulty understanding verbal communication, called receptive aphasia.
Question:
T/F a client with stupor can respond to a stimulus but will be slow to respond
Answer:
False- that is drowsiness. Stupor: patient is unresponsive and can be aroused
only briefly by vigorous, repeated stimulation
Routine neurological assessment
Answer:
Assess level of consciousness, pupil response, observe gait, check 12 cranial nerves, evaluate muscle tone
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Question:
Routine vs. Focused Neurological Assessment
Answer:
Routine: assess level of consciousness, pupil response, observe gait, check
checking 12 cranial nerves, evaluate muscle tone
Focused: further evaluate specific abnormal finding, deep tendon reflexes, 2-
point discrimination, moving fingers and toes up or down with eyes closed.
Question:
T/F when there's damage to the spinal column, the brain is not able to send message to initiate voluntary muscle contraction at or below the level of damage
Answer:
True
Question:
T/F: Common complications in hospitalized patients include placement of
chest tube
Answer:
False: chest tube is a common procedure, not a common complication (DVT,
trauma, fall, infection)
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