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Study sets matching "medsurg neurology nursing"

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Study sets matching "medsurg neurology nursing"

64 terms
Medsurge Neurological
What types of assessments are done?
What is included in the health history…
What are some of the common symptoms o…
What happens with the SxS of a TIA?
Health history and physical assessments
Onset, severity, location, duration, frequency, factors, fami…
Pain, seizures, vertigo, visual distubances, muscle weakness,…
Symptoms appear than disappear
What types of assessments are done?
Health history and physical assessments
What is included in the health history…
Onset, severity, location, duration, frequency, factors, fami…
16 terms
Neurology Nursing
How does vasogenic cerebral edema incr…
What is the normal range for ICP?
What is the best way to position a pat…
What are signs of an acute subdural he…
It alters the endothelial lining of cerebral capillaries.
5-15 mmHg.
Elevate the head of the bed to 30 degrees.
Development of decreased level of consciousness and a headach…
How does vasogenic cerebral edema incr…
It alters the endothelial lining of cerebral capillaries.
What is the normal range for ICP?
5-15 mmHg.
8 terms
CH 27 Medsurg Neurologic Disorders
Aura
Contralateral
Decerebrate posturing
decorticate posturing
Peculiar sensation that precedes a set of symptoms
Opposite side
Abnormal extension of the upper extremities with extension of…
Abnormal flexion of the upper extremities with the extension…
Aura
Peculiar sensation that precedes a set of symptoms
Contralateral
Opposite side
87 terms
Neurological Nursing
Frontal Lobe
temporal lobe
cerebellum
occipital
skilled movements... emotion... awareness/memory... smelling
hearing
balance and muscle control
visual recognition
Frontal Lobe
skilled movements... emotion... awareness/memory... smelling
temporal lobe
hearing
31 terms
Neurological Nursing
Nervous System
Frontal lobe
Temportal lobe
Brainstem
acts as main circuit board for every body system
judgement, memory, reasoning, attention, motor function, pers…
hearing, smell, taste, emotion, understanding speech, memory
cardiac and respiratory centers, wakefullness
Nervous System
acts as main circuit board for every body system
Frontal lobe
judgement, memory, reasoning, attention, motor function, pers…
79 terms
Medsurg : Endocrine (NurseBeauty20)
Endocrine System
Endocrine Glands
Endocrine Disorders
Pituitary Gland
~Regulates and integrates body's metabolic activities... ~Works…
Pituitary ... Thyroid... Adrenal... Pancreas... Parathyroid
~Hyposecretion or hypersecretion of hormones ... ~Hyporesponsive…
Master gland that regulates many body functions; Located in s…
Endocrine System
~Regulates and integrates body's metabolic activities... ~Works…
Endocrine Glands
Pituitary ... Thyroid... Adrenal... Pancreas... Parathyroid
16 terms
Nursing Neurological
Aphasia
Ataxia
Confusion
Exteroceptive
Loss of ability to understand or express speech
Loss of full control of body movements
Disorientation of time, place, situation, or person.
Stimuli outside of organism
Aphasia
Loss of ability to understand or express speech
Ataxia
Loss of full control of body movements
16 terms
Neurology Nursing
How does vasogenic cerebral edema incr…
What is the normal range for ICP?
What is the best way to position a pat…
What are signs of an acute subdural he…
It alters the endothelial lining of cerebral capillaries.
5-15 mmHg.
Elevate the head of the bed to 30 degrees.
Development of decreased level of consciousness and a headach…
How does vasogenic cerebral edema incr…
It alters the endothelial lining of cerebral capillaries.
What is the normal range for ICP?
5-15 mmHg.
19 terms
medsurg: chapter 3 the nursing process
nursing process
steps of the nursing process
assessment
client database
to provide a systematic method for nurses to plan and impleme…
1.assessment... 2. diagnosis (nursing) or analysis... 3.planning... 4.…
careful observation and evaluation of a client's health status
includes all the information obtained from the medical and nu…
nursing process
to provide a systematic method for nurses to plan and impleme…
steps of the nursing process
1.assessment... 2. diagnosis (nursing) or analysis... 3.planning... 4.…
49 terms
OCC nursing 1530 medsurg unit 1
Systole
Diastole
What causes Coronary artery disease?
What causes a endothelial lining injury?
heart muscle contracting and chambers releasing blood
heart muscle relaxing and chambers filling with blood
-atherosclerosis... -inflammation... -endothelial lining injury... -mo…
-tobacco... -diabetes... -homocystine... -hyperlipidemia... -HTN... -toxins…
Systole
heart muscle contracting and chambers releasing blood
Diastole
heart muscle relaxing and chambers filling with blood
16 terms
Neurology Degenerative disorders - Nursing
Multiple Sclerosis
MS Diagnostic Tests
MS Treatment/Nsg Cares
Q: What problems should a nurse expect…
• A chronic autoimmune progressive inflammatory disease of th…
* Neuro exam... * Lumbar puncture for CSF... •Increase in protein…
• Treatment ... *Antispasmodics... *Muscle relaxants ... *Corticost…
• Visual disturbances ... • Balance problems ... • Mood disorders
Multiple Sclerosis
• A chronic autoimmune progressive inflammatory disease of th…
MS Diagnostic Tests
* Neuro exam... * Lumbar puncture for CSF... •Increase in protein…
14 terms
Neurological nursing
What are some examples of intracranial…
What is involved in a neuro assessment
Glascow coma scale
What does a pupil test involve?
- traumatic brain injury... - hematomas... - meningitis ... - encephal…
- GCS... - vitals... - pupils... - limbs
Eyes - out of 4, verbal out of 5, motor out of 6. ... less than…
Shining light in someones eyes to test for reaction to light.…
What are some examples of intracranial…
- traumatic brain injury... - hematomas... - meningitis ... - encephal…
What is involved in a neuro assessment
- GCS... - vitals... - pupils... - limbs
16 terms
Neurology Degenerative disorders - Nursing
Multiple Sclerosis
MS Diagnostic Tests
MS Treatment/Nsg Cares
Q: What problems should a nurse expect…
• A chronic autoimmune progressive inflammatory disease of th…
* Neuro exam... * Lumbar puncture for CSF... •Increase in protein…
• Treatment ... *Antispasmodics... *Muscle relaxants ... *Corticost…
• Visual disturbances ... • Balance problems ... • Mood disorders
Multiple Sclerosis
• A chronic autoimmune progressive inflammatory disease of th…
MS Diagnostic Tests
* Neuro exam... * Lumbar puncture for CSF... •Increase in protein…
28 terms
Medsurg Exam 2 Physical Neurologic Assessment
Neurologic Assessment checks include
Cerebral function checks
Motor function checks
Sensory Function checks
1) LOC - response to auditory, tactile stimulus... 2) Vitals - B…
attention, knowledge, memory, reasoning, mood or affect, calc…
atrophy of muscles, weakness in arm, legs, hands, muscle spam…
pain, temperature, transient numbness (face, hand, arm), posi…
Neurologic Assessment checks include
1) LOC - response to auditory, tactile stimulus... 2) Vitals - B…
Cerebral function checks
attention, knowledge, memory, reasoning, mood or affect, calc…
Medsurg Ch.17 Preoperative Nursing Management
perioperative nursing
preoperative phase
intraoperative phase
postoperative phase
period of time that constitutes the surgical experience; incl…
begins when the DECISION to process with surgical interventio…
begins when the patient is transferred onto the OR bed and en…
begins with the admission of the patient to the PACU and ends…
perioperative nursing
period of time that constitutes the surgical experience; incl…
preoperative phase
begins when the DECISION to process with surgical interventio…
328 terms
Fluid and Electrolyte Nursing Care and Considerations 1533 MEDSURG
Goal of treatment for fluid volume def…
Goal of tx for fluid volume excess?
Causes of ECF volume deficit?
clinical manifestations of ECF volume…
Correct the underlying cause and to replace both water and an…
Removing fluid without producing abnormal changes in the elec…
- increased insensible water loss or perspiration (high fever…
- Restlessness, drowsiness, lethargy, confusion... - Thirst, dry…
Goal of treatment for fluid volume def…
Correct the underlying cause and to replace both water and an…
Goal of tx for fluid volume excess?
Removing fluid without producing abnormal changes in the elec…
35 terms
Pediatric Neurological Disorders - Nursing
Spina Bifida
Meningomyelocele (spina bifida)
Meningocele (spina bifida)
Occulta (spina Bifida)
* Congenital... * Failure closure of the neural tube... * Lack of F…
*Most common type of Spina Bifida. ... * Protrusion of the membr…
a protrusion of the meninges through a gap in the spine due t…
A congenital defect in the walls of the spinal canal caused b…
Spina Bifida
* Congenital... * Failure closure of the neural tube... * Lack of F…
Meningomyelocele (spina bifida)
*Most common type of Spina Bifida. ... * Protrusion of the membr…
55 terms
Nursing Block 2 Neurology
Circle of Willis
Normal ICP
Thrombotic Stroke
Embolic Stroke
Stroke back-up circulatory system
0-15 mm Hg... relatively constant volume
Ischemic (loss of O2), narrowing of the artery by fatty depos…
Ischemic (loss of O2), caused by an embolus (blood clot or ot…
Circle of Willis
Stroke back-up circulatory system
Normal ICP
0-15 mm Hg... relatively constant volume
5 terms
Medsurg - Chapter 65: Assessment of Neurologic Function
Which cranial nerve is tested by liste…
Which of the following terms refers to…
Which of the following areas of the br…
Lower motor neuron lesions cause... a)…
Acoustic
Ataxia
Hypothalamus
flaccid muscle paralysis.
Which cranial nerve is tested by liste…
Acoustic
Which of the following terms refers to…
Ataxia
96 terms
Medsurg II Chapter 17 - Preoperative Nursing Management
The nurse expects informed consent to…
The surgical unit nurse is developing…
A physically fit 86-year-old is schedu…
When assessing a postoperative client,…
A gastrostomy tube
A client with gastrointestinal surgery and general anesthesia
Age
Wound healing
The nurse expects informed consent to…
A gastrostomy tube
The surgical unit nurse is developing…
A client with gastrointestinal surgery and general anesthesia
152 terms
Sensory Perception/ Neurological/Digestion; COMPLEX medsurge
Describe Laennec's Cirrhosis as an eti…
What signs and symptoms does portal hy…
Describe post necrotic cirrhosis as an…
Describe Biliary cirrhosis as an etiol…
It is a disease of the liver in which the normal lobular arch…
You may suffer from bleeding into the intestines and fluid ac…
Hepatitis, a viral infection of the liver, usually causes thi…
When small tubes that help you digest food become blocked, yo…
Describe Laennec's Cirrhosis as an eti…
It is a disease of the liver in which the normal lobular arch…
What signs and symptoms does portal hy…
You may suffer from bleeding into the intestines and fluid ac…
54 terms
Neurology - Pediatric Nursing
Neurology Assessment
Pediatric Glasgow Coma Scale - EYE OPE…
Pediatric Glasgow Coma Scale - VERBAL…
Pediatric Glasgow Coma Scale - MOTOR R…
Cognitive -... √ Appropriateness, speech... Gross and fine motor-…
Spontaneous - 4... To Verbal Stimuli - 3... To Pain Only - 2... No res…
Coos & babbles/Oriented - 5... Irritable cries/Confused - 4... Crie…
Moves Purposely/Obeys commands - 6... Withdraws to touch/localiz…
Neurology Assessment
Cognitive -... √ Appropriateness, speech... Gross and fine motor-…
Pediatric Glasgow Coma Scale - EYE OPE…
Spontaneous - 4... To Verbal Stimuli - 3... To Pain Only - 2... No res…
15 terms
Nursing Ch. 10 - Neurology
Meninges
Cauda equina
Epidural space
Olfactory nerve (I)
Three separate membranes that envelop and protect the entire…
Group of nerve roots that begin where the spinal cord ends ab…
Area between the dura mater and the vertebral body that is fi…
Cranial nerve I ... Sensory nerve; sense of smell. Receives sens…
Meninges
Three separate membranes that envelop and protect the entire…
Cauda equina
Group of nerve roots that begin where the spinal cord ends ab…
99 terms
Nursing 232 Neurology
What is the A&P of clients with degene…
What is the basic structural unit?
What are the 3 divisions of the nervou…
What neuro changes happen with aging?
nervous system works as an electrical system, coordinates and…
Neuron
Central nervous system ( brain and spinal cord), Peripheral n…
Brain decreases in weight, neurons decrease, reduced cerebral…
What is the A&P of clients with degene…
nervous system works as an electrical system, coordinates and…
What is the basic structural unit?
Neuron
55 terms
Nursing Block 2 Neurology
Circle of Willis
Normal ICP
Thrombotic Stroke
Embolic Stroke
Stroke back-up circulatory system
0-15 mm Hg... relatively constant volume
Ischemic (loss of O2), narrowing of the artery by fatty depos…
Ischemic (loss of O2), caused by an embolus (blood clot or ot…
Circle of Willis
Stroke back-up circulatory system
Normal ICP
0-15 mm Hg... relatively constant volume
96 terms
Medsurg II Chapter 17 - Preoperative Nursing Management
The nurse expects informed consent to…
The surgical unit nurse is developing…
A physically fit 86-year-old is schedu…
When assessing a postoperative client,…
A gastrostomy tube
A client with gastrointestinal surgery and general anesthesia
Age
Wound healing
The nurse expects informed consent to…
A gastrostomy tube
The surgical unit nurse is developing…
A client with gastrointestinal surgery and general anesthesia
57 terms
Pediatric Nursing: Neurological
Trisomy 21
How do we feed down syndrome children?
Neuromuscular problem of spasticity or…
Involuntary body movements.
Down Syndrome
Place food in the back and side of the mouth.
Cerebral Palsy (CP)
Dyskinesia
Trisomy 21
Down Syndrome
How do we feed down syndrome children?
Place food in the back and side of the mouth.
70 terms
SA Nursing--Neurology
Define Epilepsy
Define seizures
What is it called with seizures worsen…
What helps keep the neurons in check n…
Recurrent seizures occuring at least once a month
Neurons get hyperexcited and start firing at once.... Sign of fo…
Kindling Effect
excitatory and inhibitory neurotransmitters
Define Epilepsy
Recurrent seizures occuring at least once a month
Define seizures
Neurons get hyperexcited and start firing at once.... Sign of fo…
11 terms
Medsurg Concepts; Nursing Process; Managing the Older Adult
What are evidence-based practice and a…
What is used to determine the practice…
What are nursing quality indicators? W…
Define each component of the nursing p…
Evidence Based Practice: ... • a problem-solving approach to cli…
standards of care... documentation... patient rights and responsi…
NDNQI: National Database of Nursing Quality Indicators... • coll…
Assessing: collective, validating, and communicating patient…
What are evidence-based practice and a…
Evidence Based Practice: ... • a problem-solving approach to cli…
What is used to determine the practice…
standards of care... documentation... patient rights and responsi…
81 terms
Nursing- Orthopedics and Neurology
ethmoid bone
fontanel
ossicles
palatine bones
bone that forms the posterior nasal septum and the medial wal…
"soft spot" on a baby's head
three tiny bones in the middle of the ear that function in th…
facial bones that are small and flat and form the posterior h…
ethmoid bone
bone that forms the posterior nasal septum and the medial wal…
fontanel
"soft spot" on a baby's head
69 terms
Chronic neurologic disorders Nursing
Opisthotonos
Brudzinski's sign
Kernig's sign
S&S of meningitis
Sign of menigitis. Spasm of muscles causing backward arching…
Sign of menigitis. When bend the neck the legs bend as well
Sign of meningitis. When put the leg at 90 degrees the them d…
Headache, neck and back stiffness, malaise, fever with chills…
Opisthotonos
Sign of menigitis. Spasm of muscles causing backward arching…
Brudzinski's sign
Sign of menigitis. When bend the neck the legs bend as well
28 terms
Nursing care for neurologic patients
hygiene, nutrition, physical activity,…
skin, immunity, urinary, muscle, diges…
dermatitis, decubital ulcers
hygiene, padding, turning, massage, th…
what are 5 things that can be done for a paralyzed patient
what are 9 types of complications that can occur with a paral…
what are 2 different skin complications
what are 6 things that can prevent skin complications
hygiene, nutrition, physical activity,…
what are 5 things that can be done for a paralyzed patient
skin, immunity, urinary, muscle, diges…
what are 9 types of complications that can occur with a paral…
34 terms
Neurological Disorders and Nursing Care
Signs and Symptoms of Parkinson's
Nursing Considerations for Parkinson's
Signs and Symptoms of MS.
Nursing Considerations for MS.
- tremors ( FYI: they increase with stress/ anxiety, and at r…
- SAFETY is priority!... - remove anything in environment that c…
- paresthesia, proprioception ... - fatigue, paresis, paralysis…
-ROM, encourage activity... - avoid stress... - remove anything in…
Signs and Symptoms of Parkinson's
- tremors ( FYI: they increase with stress/ anxiety, and at r…
Nursing Considerations for Parkinson's
- SAFETY is priority!... - remove anything in environment that c…
41 terms
Nursing 438: Neurological
Acute Intracranial Pressure
Three Essential Brain Volume Components
Factors Influencing ICP Changes
ICP
diseases and disorders that increase intracranial pressure
brain tissue, blood CSF
arterial/venous pressure,, posture, temperature, CO2 levels
the hydrostatic force measured in the brain CSF compartment
Acute Intracranial Pressure
diseases and disorders that increase intracranial pressure
Three Essential Brain Volume Components
brain tissue, blood CSF
85 terms
Nursing 204: Neurological system
Central nervous system
Peripheral nervous system
Somatic nervous system
Afferent nerves
-Brain... -Spinal cord... -Pathway: Cross representation... *left cere…
-12 pairs of cranial nerves... -31 pairs of spinal nerves and th…
-Voluntary skeletal muscle movements ... -Controls body movement…
-Conducts impulses toward from brain/spinal cord
Central nervous system
-Brain... -Spinal cord... -Pathway: Cross representation... *left cere…
Peripheral nervous system
-12 pairs of cranial nerves... -31 pairs of spinal nerves and th…
80 terms
Nursing 449: Neurological
Full Consciousness
Confusion
Obtundation
Stupor
alert and oriented, awake, age appropriate behavior
alert, but responds inappropriately to questions; impaired de…
arouses with stimulation
responds only to vigorous and repeated stimulation, state of…
Full Consciousness
alert and oriented, awake, age appropriate behavior
Confusion
alert, but responds inappropriately to questions; impaired de…
Neurological System Nursing Assessment
CNS
Peripheral NS
Function of the Neurological System
Neurological Health History
Brain and Spinal Cord
Sympathetic and parasympathetic
Widespread and varied, CNS and PNS, controls other body funct…
Reason for the visit? Weakness, syncope, dizziness, HA, seizu…
CNS
Brain and Spinal Cord
Peripheral NS
Sympathetic and parasympathetic
174 terms
Nursing 1300 Neurological Assessment
purpose of neuro assessement?
procedure for neuro assessment
characteristics of normal findings r/t…
6 parts of the neurological exam
...
...
...
mental status... cranial nerves... motor... sensory... coordination ... refl…
purpose of neuro assessement?
...
procedure for neuro assessment
...
61 terms
Nursing Assessment: Neurologic Function
Central Nervous System (CNS)
Peripheral Nervous System (PNS)
3 Areas of the Brain:
Cerebrum
Brain... Spinal Cord
Cranial Nerves... Spinal Nerves... Somatic Nervous System... Autonomic…
Cerebrum... Brainstem... Cerebellum
2 Hemispheres... 4 Lobes... *Frontal... *Parietal... *Temporal... *Occipital…
Central Nervous System (CNS)
Brain... Spinal Cord
Peripheral Nervous System (PNS)
Cranial Nerves... Spinal Nerves... Somatic Nervous System... Autonomic…
23 terms
NURSING 267 Neurological Assessment
8
12
5
5
how many cervical nerves
how many thoracic nerves
how many lumbar nerves
how many sacral nerves
8
how many cervical nerves
12
how many thoracic nerves
111 terms
Neurological Nursing Unit #1
Identify common neurologic changes in…
Identify functional age-related neurol…
Identify the implication of functional…
What are the 4 major components of a r…
Number of neurons (nerve cells) decreases... Weight of the brain…
Reaction time increases (patient's reaction time is slower)... T…
Smaller pupils that respond more slowly to light may manifest…
1.) Level of Consciousness (most important)... 2.) Pupillary Eva…
Identify common neurologic changes in…
Number of neurons (nerve cells) decreases... Weight of the brain…
Identify functional age-related neurol…
Reaction time increases (patient's reaction time is slower)... T…
28 terms
Neurological System - Medical Nursing
Anatomy
Purpose
1. Dysmetria... 2. Hypermetria... 3. Paresis…
Pathological Conditions
1. Brain... 2. Spinal cord... 3. Peripheral nerves
1. Information gathering and processing... 2. Actions... 3. Coordin…
1. abnormal muscular gait... 2. over stepping ( goose stepping )…
1. Dysmetria... 2. Paresis or paralysis... 3. Weakness... 4. Circling,…
Anatomy
1. Brain... 2. Spinal cord... 3. Peripheral nerves
Purpose
1. Information gathering and processing... 2. Actions... 3. Coordin…
14 terms
Nursing care for Neurological Dysfunction
Agnosia
Behavior modification
Cervical collar
Countertraction
Absence of the ability to recognize or interpret objects thro…
An orientation-focused therapy method that creates consequenc…
collar made of leather that encloses the entire length and wi…
Force acting in the opposite direction of traction; the patie…
Agnosia
Absence of the ability to recognize or interpret objects thro…
Behavior modification
An orientation-focused therapy method that creates consequenc…
34 terms
Nursing 142 ; Neurological Assessment
Nerves that carry messages back and fo…
Nerves that carry messages back and fo…
Central nervous system controls what t…
The ascending nerve pathways carry wha…
Cranial nerves
Peripheral nerves
Brain and spinal cord
-Ascending nerve pathways: Sensations... -Descending nerve pathw…
Nerves that carry messages back and fo…
Cranial nerves
Nerves that carry messages back and fo…
Peripheral nerves
37 terms
Neurologic System Nursing
febrile seizures
what causes recurrent seizures?
PAresthesia
define hemiparesis
occur in young kids and have high temperatures but no increas…
idiopathic (we don't know)... - congenital abnormalities... - perin…
sensation of numbness, prickly, stinging or burning. Caused b…
indication of neurological compromise.
febrile seizures
occur in young kids and have high temperatures but no increas…
what causes recurrent seizures?
idiopathic (we don't know)... - congenital abnormalities... - perin…
44 terms
medsurg: chapter 7 nurse-client relationships
nurse-client relationship
caregiver
empathy
educator
exists during the period when the nurse interacts
one who performs health-related activities that a sick person…
an intuitive awareness of what the client is experiencing, to…
is one who provides information
nurse-client relationship
exists during the period when the nurse interacts
caregiver
one who performs health-related activities that a sick person…
35 terms
Nursing 203 Neurological system
Analgesia
Anesthesia
Anosmia
Aphasia
the inability to feel pain
insensitive to pain, esp as artificially induced by the admin…
the loss of the sense of smell, either total or partial. May…
loss of ability to understand or express speech, caused by br…
Analgesia
the inability to feel pain
Anesthesia
insensitive to pain, esp as artificially induced by the admin…
32 terms
Neurological adult health nursing
Neurotransmitter
Acetylcholine
Norepinephrine
Dopamine
Modify or result in the transmission of impulses between syna…
Nerve impulse transmission is sped up. Then cholinesterase is…
Effect on maintaining arousal, dreaming, regulation of mood.
Primarily affects motor function, gross subconscious movement…
Neurotransmitter
Modify or result in the transmission of impulses between syna…
Acetylcholine
Nerve impulse transmission is sped up. Then cholinesterase is…
168 terms
nursing 302 neurological
Pain
specificity theory
gate control theory
Nociception
individual response to stimuli on sensory nerve endings... impor…
amount of pain is related to amount of tissue injury
pain is transmitted to spinal cord along pathways... offers expl…
process of how pain is recognized consciously... processing of p…
Pain
individual response to stimuli on sensory nerve endings... impor…
specificity theory
amount of pain is related to amount of tissue injury
16 terms
nursing assessment: neurologic function
neuron
dendrite
axon
ganglia or nuclei
basic functional unit of the brain
branch-type structure with synapses for receiving electrochem…
carries impulses away from the cell body
nerve cell bodies occurring in clusters
neuron
basic functional unit of the brain
dendrite
branch-type structure with synapses for receiving electrochem…
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