NSG 3250: ADULT HEALTH EXAM 3, 183 Questions and Correct Answers, 100% Correct. 2024/5. Updated.
left side brain functions
the left side of your brain controls the right side as in the right hand, number skills, scientific functions, written language, and reasoning.
M ATH
A AWARE
L ANGUAGE
L OGIC
right side brain functions
the right side of your brain handles the left hand, music, special orientation, artisitic, creativity and insight.
F ACIAL RECGONITION
U NAWARE
S PATIAAL TISUES: DEAF
E MOTIONAL LIABILITY: BIPOLAR, EMOTIONAL
Headache
this is called cephalgia, primary headaches are migraines, tension headaches, ad cluster headaches.
primary headache : migraines
has no known organic cause and is just a normal migraine tension headache or cluster headache.
migraines can happen when serotonin levels drop.
secondary headache
brain tumor or aneurysm.
4 lobes of the brain
frontal: motor,
parrietal: sensory tissue
occipital: hearing
temporal: eye vision
Occipatal Lobe vision
frontal lobe function
motor
temporal lobe functions
hearing
left hemisphere of the brain controls the
right side of the body: language, math, science, written, and reaosning crticial thinking.
right hemisphere of the brain controls the
left side of the body: left hand, music, arts, brain, creativity.
assess the patients LOC
age, date, president, where you are.
basic assessments
CT, CT Angiography, vs, MRI, MRA, carotid ultrasound: this is important becayse if theres a blockage this would cause cerebeal perfusion. , echo: function of the heart chambers. Lumbar puncture: looks at the CSF fluid. Normal CSF: clear. if its cloudly its infection. this is a bed side test. this would show f you have an infection in the brain. Side effect of lumbar puncture is headache.
Deep tendon reflexes scale
0-4
2 is normal
4 is hyperactive
0 is no response
Glascow Coma Scale (GCS)
Raid neuro assessent to see how the patient is doing.
verbal 5
motor 6
eyes 4
best= 15
a decrease in 2 points or more in the GCS you must REPORT TO MD.
this means neurolgocially they are declining.
basic assessment. Less then 8= intubate
8= induced coma
3= the lowest and worst.
Cerebellum functions
coordinates muscular movements, maintains posture and balance
Primary headaches
cephalgia: most common. primary is a migraine and a cluster headache. which is a migraine with and without aura, this is a chronic less severe and most common type of headache.
secondary headache
this is due to something else, so an example could be from lumbar puncture, hypertension, brain tumors,
or brain aneurism.
Assessment of headache
PQRST. and look at if they are taking any hypertensive medications.
headache eval
diagnostic testing
what medications can the pt take to relax a headache
iburprofen, tyelenol.
Migraines with aura
Occurs immediately before migraine episode (visual changes, sensation).
meds: triptaine. this drug class vasoconstricts, reduce inflammation, and reduces pain.
this patient is so into his pain that they cant do anything and it affects their ADL'S.
give them care and treatment.
Migraines without aura
"common migraine." It doesn't have the early symptoms, called an aura, that some people have before a
migraine begins, like vision changes, dizziness, confusion, feeling prickling skin, and weakness.
triggering factors for headache
chocolate, caffeine,
medications for headahce
NSAID, beta blockers, triptians (imitrex) take the medications on the onset of the pain. TAKE AS SOON AS SYNMTOM OCCURS, this will cause flushing tingling sensation, and reduce stress.
Nonpharmacologic Therapy for headaches