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NURS 3366 - RRD #10: Disorders of the Neurological System
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NURS 3366 - RRD #10: Disorders of the NeurologicalSystem
A patient is AOx4. He is able to smile on command on the left
side of his face; however, there is drooping on the right side.
Is there focal lesion? If so, which side?
In which hand do you expect to have hemiparesis?
What "special functions" problems do you expect this patient to
display? Correct Answers Is there focal lesion? If so, which
side?
Yes, there is likely a focal lesion on the left hemisphere.
In which side do you expect to have hemiparesis?
In the right hand.
What "special functions" problems do you expect this patient to
display?
Dysphasia or aphasia, issues comprehending, integrating or
expressing language. Issues with critical thinking skills.
A patient with a tumor on the right side of the brain will display
decreased strength and sensation of arms and legs on the
____________ side of the body. Correct Answers Left.
A positive Babinski reflex indicates what? Correct Answers It's
a sign of neurologic dysfunction after the age of 2; can be
unilateral or bilateral depending on if the brain lesion is diffused
or focal.
,A stroke patient refuses to acknowledge their diagnoses or that
anything is wrong with them. He is also displaying signs of
facial drooping.
Where is the focal lesion?
Which side of the patient's face will be drooping?
What side below the shoulders will have hemiparesis?
What other special functions problems do you expect this patient
to display? Correct Answers Where is the focal lesion?
On the right hemisphere.
Which side of the patient's face will be drooping?
The left side.
What side below the shoulders will have hemiparesis?
The left side.
What other special functions problems do you expect this patient
to display?
This patient may have spatiality problems, display left-sided
neglect, and/or issues with facial recognition.
Autonomic status includes what involuntarily controlled
neurological functions? Correct Answers Normal vital signs:
BP, HR, RR, temperature.
Babinski reflex Correct Answers Reflex in which an infant fans
out the toes, especially the big toe, when the sole of the foot is
stroked.
, Bacterial meningitis can cause sepsis, true or false? Correct
Answers True.
Bilateral loss of pupillary light response, meaning both pupils
are either fixed and dilated, or fixed and pinpoint, indicates a
lesion where? Correct Answers The brain stem.
Brain Attack Correct Answers The process of any interruption
of the normal blood supply to a part of the brain or the entire
brain, resulting in damaged brain tissue.
Brain attacks used to be referred to as... Correct Answers
Strokes or CVA's (cerebrovascular accidents).
Cause of ischemic brain attacks Correct Answers Usually the
narrowing or blockage of arteries supplying the brain (carotid or
vertebral) or the intracranial arteries themselves; usually related
to atherosclerosis.
Causes of hemorrhagic brain attacks Correct Answers 1. The
pressure of HTN
2. Weakened arterial walls from atherosclerosis
3. Aneurysms
4. Congenital vascular malformations (e.g. AV malformation)
5. Bleeding into a tumor
6. Coagulations disorders (e.g. hemophilia, excess coumadin,
etc.)
Changes in LOC are often the first sign of a neurologic event or
a worsening of an existing neurologic illness. True or false?
Correct Answers True
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