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NURS 3525- Neurological Disorders Exam With Complete
Solutions 2025- 2026
Types of stroke ischemic and hemorrhagic non modifiable risk factors for strokes age, gender, ethnicity, race (African American), family hx modifiable risk factors for strokes HTN, heart dz (a-fib), smoking, DM, sleep apnea, lack of exercise, poor diet, drug/alcohol use Transient Ischemic Attack (TIA) minit strokes, blood supply to part of the brain is blocked for a period and then a full recovery T/F TIAs don't increase risk for stokes false, they do increase the risk for stokes types of ischemic stroke thrombotic (clot formation) and embolic (clot that has traveled) clinical manifestations for strokes decreased motor function, communication, affect, intellectual function, spatial
perceptual problems, elimination issues receptive aphasia can't understand what is being said expresive aphasia slurred speech or inability to speak global aphasia When both production and understanding of language is damaged T/F stoke patient are emotional true elimination issues with a stroke constipation, and bladder control Diagnostic tests fro strokes non-contrast head CT or MRI CTA or MRA cardiac imaging what is the use of CTA and MRA in stroke diagnostics? looks at vessels and shows exactly where the stroke is taking place TX for ischemic stroke tPA (<3-4.5 hours from onset of symptoms)
secondary HA HA w/a cause tension HA Feels like a band is abound head migraine Usually unilateral and associated w/ N/V cluster HA Pain is in and around one eye use of HA diary Triggers, aura, onset, S/S, frequency triggers for HA Light, caffeine, smoking, hormones, fluctuations medications for HA Aspirin, Tylenol, NSAIDs, sumatriptan (Imitrex) prophylactic Tx for HA Anti seizure meds and botox when to call the MD for a HA? if the HA is different than normal, not responsive to medication, or accompanied by a fever complication is meningitis generalized seizures
tonic-clonic grand mal absence petit mal four phases of a seizure prodromal, aural, ictal, postictal origin of generalized seizure generalized what is the most common seizure? tonic-clonic tonic clonic seizure tonic- the muscles stiffen clonic-jerking of the muscles absence seizure muscle jerking is not present, gazing off, or non-purposeful movement focal seizures focal seizures with awareness simple partial focal seizure with impaired awareness complex partial origin of foal seizures localized complications of seizures status epileptics, depression, physical injury impaired awareness seizures awake, but not aware of self. Repetitive non-purposeful movement, may strike at physical contact
S/S of MS vision changes, weakness, care meat sign lumbar pain-a MS hug medications for MS immunosuppressants, immune modulators, monoclonal antibodies, IV steroids Use of immune modulators prevent T-cell activation and crossing the blood brain barrier characteristics of Parkinson disease progressive, neurodestructive, unknown cause, Dopamine < acetylcholine T.R.A.P for parkinsons S/S T- temors (Shakes R- rigidity (stiffness of the limbs, neck or trunk) A- akinesia (loss or impairment in power of voluntary movement) P- posture and balance issues non-motor S/S of Parkinson disease depression, fatigue, hypophonia, sleep issues, memory changes complications of parkinson disease dysphagia, problems with mobility, orthostatic HoTN, weakness, depression hallucinations, dementia
medications for Parkinson disease dopamine (carbidopa/levadopa). nticholinergics. surgical options for parkinson disease deep brain stimulation, ablations goal of Parkinson's care maintain health, encourage independence, avoid complications Myathenia gravis (MG) autoimmune, thymus involvement, fluctuating weakness of skeletal muscles S/S of MG muscle weakness, eyelid dropping, double vision, impaired speech, difficulty swallowing, changes in facial expressions, trouble breathing diagnostics for MG H&P, endrophonium tets, CT scans management of MG medications, thymectomy, plasmapheresis, IV IGB, education medications for MG anticholinergics, corticosteroids, immunosuppressants education for MG medication adherence, balanced diet, complication, adverse reactions complications of MG aspiration, pneumonia, falls, respiratory destress
does Huntington disease have excess ACE or dopamine? dopamine type of treatment for Huntington disease palliative care trigeminal neurologia unilateral severe brief stabbing recurrent pain within distribution of the CN V cause of triennial neuralgia artery compressing nerve tx for trigeminal neuralgia anti seizure and tricyclic antidepressants what to assess with trigeminal neuralgia nutritional and oral hygiene status trigeminal neuralgia triggers touch, movement, cold air, eating/chewing, brushing teeth bells palsy sudden, usually temporary paresis due to impairment of facial nerve CN VII diagnostics for Bell's palsy HX and ruling out those disorders, MRI/CT
nursing care for Bell's palsy alleviation of symptoms, prevention of complications, protection of eye on effected side
