NUR 254 EXAM 5
- What is Brudzinski's sign?
Answer Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed
r/t meningitis
- What is Kernigs sign
Answer After flexing the hip and knee at 90 degree angles, pain and resistance are noted
r/t meningitis
- What is obtundation?
Answer arousable to stimulation, have to shake them awake then they fall right back asleep
- What is stuporous?
Answer Only responding to painful stimulation
- What are assessment points for neuro status?
Answer change in LOC headaches
orientation
- What is delirium?
Answer temporary episodic dramatic onset of loss of reality due to chemical imbalance 1 / 4
- What is the difference between dementia and delirium?
Answer dementia is chronic, good speech until late stage, always disoriented
delirium is acute and has bad speech, can have periods of good LOC
- What medication is contraindicated in alzheimers?
Answer benadryl
- What are the best ways to see EARLY change in neuro status?
Answer pupils
change in LOC
- What is Cranial nerve I?
Answer olfactory
can pt identify common odors?
- What is Cranial nerve II?
Answer Optic
assessing visual acuity
- What is cranial nerve III?
Answer oculomotor
eye movement 2 / 4
involve "rolling the eyes
- What is cranial nerve IV?
Answer trochlear involve "rolling the eyes
- What is cranial nerve VI?
Answer Abducens
eye movement involve "rolling the eyes
- What is cranial nerve V?
Answer Trigeminal
assessing for jaw muscles, ability to clench the jaw
- What is cranial nerve VII?
Answer Facial
is facial movement symmetrical? assess smile, puff cheeks, raise eyebrows
- What is cranial nerve VIII?
Answer acoustic
assess hearing
- What is cranial nerve IX? 3 / 4
Answer Glossopharyngeal
assess for swallow, is there dysphagia, can pt cough, gaf
- What is cranial nerve X?
Answer Vagus
assess for swallow, is there dysphagia, can pt cough, gaf
- What is cranial nerve XI?
Answer accessory
assess spinal neck strength, turn head against resistance, shrug shoulders against resistance
- What is cranial nerve XII?
Answer Hypoglossal
assess tongue deviation, (pt sticks tongue out and goes from side to side) if there is weakness, tongue will move towards the stronger side
- What is a cold caloric test?
Answer tests VIII
assesses for brainstem death
insert ice cold water into pt ear, their eyes should wander towards the ear you injected into and then have a sharp return to midline
- What is Doll's eye test?
- / 4
Answer