ATI RN Maternal Neurology, Integumentary and Cancer NCLEX Review Questions

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ATI RN Maternal Neurology, Integumentary and Cancer NCLEX Review Questions

1 Q Problems in the neuro is system can start where ? Can lead to what A Brain Spine Nerves Muscles -seizures, headaches, developmental delays 2 Q What scale to use that determines level of consciousness? What it measures? Higher numbers means? Used For what ages A Glascow coma scale alert , lethargy, obundation, stupor, coma (eye opening, motor response0-2 years, verbal response-2-5 years) More conscious you are- 15 is the sum 0-5 years old 3 Q Level of alertness AlertLethargyobundation, stupor, coma A Alert- when patient answers questions appropriately Lethargy-opens eyes, appears drowsy, answers questions appropriate but falls asleep and needs reminders to answer obundation, - can open eyes but appears confused - overall alertness is decreased stupor, - only responds to painful stimuli , verbal responses are absent or slow coma - do not respond to internal or external stimuli and remain in unaroused state with eyes closed 4 Q The space in between the brain and skull create intercrainial pressure s/s such as? Infants? A Seizures Decreased eye contact Building fontanels HTN (pushing triad)? Bradycardia Irregular resp LOC, papilledema , pupil changes, impaired eye movement, decerebrate, decorticate, and flaccid posture, change in motor ability , speech, headache Infants - bulging fontanels, cranial suture separation, increases head circumference, high pitched cry 5 Q intercrainial cranial pressure s/s in ER or nicu - what to do? Overall goal? A Closely monitor pt Address changing of vitals Assess neuro status ask what there normal state of being is from there parents Provide care and prevent harm? 6 Q Important observation in infants to asses for intercranial pressure and dehydration A Anterior closes at 18 months of age 7 Q Things that can impacts intercrainal pressure /fluid In head A Growing tumor 8 Q Electrical disturbance activity in the brain resulting in motor dysfunction , alterations and sometimes sensation A Seizure Classified?

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