Question

o Identity the parts of the brain and their function. . Describe the methods of doing a full neurological assessment. Identify the parts of the Glascow Coma Scale and how it is scored. What are effects of aging on the nervous system? What are nursing interventions related to a lumbar puncture or myelogram? Describe the signs and symptoms of a migraine headache. What is the first sign of IICP? . List the subjective and objective assessment findings of a patient who has IICP. What is Cushing's response? What are reversible causes of dementia? Describe nursing interventions for a patient with a seizure. List the subjective and objective assessment findings of a patient who experienced a stroke. Explain medical management of a patient who is experiencing a stroke. Describe nursing interventions of a patient who is disabled as a result of a stroke What does a patient need to know about taking medications related to the treatment of Parkinson's? Describe nursing interventions of a patient with Parkinson's. What are the initial signs and symptoms of a person with Alzheimer's disease? Describe the 4 stages of Alzheimer's. . . has e . . . . Describe nursing interventions of a patient with Guillan Bare. What cranial nerves are involved in the disorders of Bell's Palsy and Trigeminal Neuralgia? . Describe the medical management of a patient with a spinal cord injury. . Describe nursing interventions of a patient with a spinal cord injury What are the signs of symptoms of a patient experiencing autonomic dysreflexia? Describe what the nurse would do to intervene.

Answer 1

1 The parts of the brain are Cerebrum,Midbrain,pons,medulla oblongata and cerebellum.

Cerbrum

it is associated with conscious thought process,intellectual function.it is concerned with memory storage and processing.

Pons-it is conerned with subconscious somatic and visceral motor centres.

Medulla oblongata-it relays sensory info to the thalamus and to other portions of the brai stem.

Cerebellum-it cordinates complex somatic motor patterns.

2 Neurological assessment Subjective data,Family history and physical assessment.

Subjective data include -When the patient first notices the symptoms such as dizziness,vertigo,seizures,tremors,weakness,numbness,difficulty swallowing and difficulty speaking.

Objective assessment -mental status examination,Cranial nerve function,Motor nerve function,Sensory nerve function and Reflex response.

3 It measures level of consciousness.

Eye opening response

Spontaneously=4

To speech=3

To pain=2

No response=1

GCS Best verbal response

Oriented =5

Confused ,but can answer=4

Speech/inappropriate=3

Incomprehensible sound=2

No response=1

Best Motor response

Obeys verbal command=6

Localizes pain=5

Flexion withdrawl=4

Abnormal flexion=3

Abnormal extension=2

No response=1

5 A myelogram is an X-ray of the spinal subarachnoid spce taken after the injection of a contrast agent into the spinal subarachnoid space through a lumbar puncture.

Nursing interventions

• The patient is informed bout what to expect during the procedure and should be aware that changes in position may be made during the procedure.
• After myelography ,the patient is advised to remain in bed in the recommended position for 3 hours.
• The patient is encouraged to drink liberal amounts of fluid for rehydration and replacement of CSF and to decrease the incidence of post-lumbar puncture headache.
• Vital signs are monitored frequently