Chapter 48 Work Book

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Chapter 48 Work Book

  1. 1. CHAPTER 48 WORK BOOK VOCABULARY 1. Contralateral hemiparesis Weak on the opposite side 2. Ipsilateral hemiplegia Paralyzed on the same side 3. Paraplegia Paralyzed lower extremities 4. Photophobia Sensitive to light 5. Bradykensia Slow movement 6. Craniotomy Surgical opening in the skull 7. Encephalitis Inflammation of the brain 8. Nuchal rigidity Weak on the opposite side 9. Quadriplegia All four extremities paralyzed 10. Prodomal Warning sign DRUGS – CENTRAL NERVOUS SYSTEM DISORDERS 1. MANNITOL Osmotic diuretic 2. TACRINE (COGNEX) Cholinesterase inhibitor 3. CARBAMAZEPINE (TEGRETOL) Anticonvulsant 4. DEXAMETHASONE (DECADRON) Corticosteroid 5. LEVODO/CARBIDOPA (SINEMET) Converts dopamine to the brain ALZHEIMER’S DISEASE 1. Stage 1 Forgetful 2. Stage 2 Confused 3. Stage 3 Ambulatory dementia 4. Stage 4 Terminal ASSOCIATED LUMBAR SPINE – NERVE ROOT 1. radiating pain to the ankle 2. footdrop
  2. 2. 3. inability to walk on all four toes DYSFUNCTION CRANIAL NERVE ROOT 1. deltoid weakness 2. diminished triceps reflex HALLMARK SIGNS SPINAL CORD INJURY 1. Loss of vasomotor control results in vasodilation.- causes hypotension 2. Dilated blood vessels allow more exposure of blood to the skin surface- cooling the blood causing hypothermia. 3. Bradycardia results from disruption of the autonomic nervous system CENTRAL NERVOUS SYSTEM DISORDERS 1. EPIDURAL BLEED , Uncouscious at accident scene 2. DIABETES INSIPIDUS Polyuria and polydipsus following head injury 3. SPINAL SHOCK Hypotension, loss of sympathetic function 4. MENINGITIS Nuchal rigidity 5. AUTONOMIC DYSREFLEXIA High blood pressure, bradycardia, diaphoresis 6. ABSENCE SEIZURE Brief period of staring 7. COMPLEX PARTIAL SEIZURE Autonomic dysreflexia 8. CONTINUOUS SEIZURE Status epilepticus 9. GULLIAN-BARRE’ SYNDROME Rising weakness 10. MULTIPLE SCLEROSIS Numbness, weakness, spasticity REVIEW QUESTIONS 1. A 90 year-old nursing home resident with Stage 2 Alzheimer’s disease is found alone and crying in the dining room. She says she lost her mother and doesn’t know what to do. Which response by the nurse will help calm the resident? Are you feeling frightened? I’m here and I will help you. 2. A patient asks the nurse what side effects to expect from a muscle relaxant Medication that has been prescribed. Which of the following side effects should the nurse relate? DROWSINESS 3. A nurse caring for a patient with a herniated lumbar disks develops a plan of care For impaired mobility related to nerve compression. Which patient outcome indicates the plan has been successful? The patient is able to ambulate 25 feet without pain. 4. Which of the following problems during the immediate postoperative course Following lumbar microdiskectomy should be reported to the physician immediately? INABILITY TO MOVE AFFECTED LEG.
  3. 3. 5. A patient with a brain tumor is admitted to the medical unit to begin radiation Treatments. Which nursing action should take priority? Pad the patient’s side Rails as patients with brain tumors are at risk for seizures. 6. Which of the following settings is most therapeutic for an agitated head-injured Patient? A semi-private room with one or two caregivers. 7. Decreasing levels of consciousness is a symptom of which of the following Physiological phenomena? Decrease level of consciousness is a symptom of intracranial pressure (ICP). 8. Which of the following blood pressure changes alerts the nurse to increasing ICP, And should be reported immediately? Widening pulse pressure 9. Which of the following nursing interventions will help prevent a further increase In ICP? Elevate the head of the bed 10. Which nursing interventions can help prevent falls in a patient with Parkinson’s Disease? Choose all answers that are correct. A. Keep the patient’s call light within reach. B. Avoid use of throw rugs C. Maintain the patient’s bed in a low position. D. Provide a cane or walker for ambulation.

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