neuro module

Question 1

CSF analysis lumbar puncture nursing intervention

Answer 1

• pt should have no s/s of increased ICP
• maintains lateral recumbent position
• strict asepsis
• encourage fluids, analgesia PRN
• monitor neuro status & VS

Question 2

skull and spine x-rays nursing intervention

Answer 2

• explain procedure is non invasive

- explain positions to be assumed

Question 3

cerebral angiography nursing intervention

Answer 3

PRIOR
-assess for stroke
-NPO for 1 meal
-contrast may cause hot flush of head & neck
-pt must be still for procedure
POST
-neuro checks
-VS q15-30min for 2 hours, then q1h for 6 hours

Question 4

CT scan nursing intervention

Answer 4

• assess for allergies to shellfish

- remain still during procedure

Question 5

MRI/MRA nursing intervention

Answer 5

• screen for metal parts, pacemaker
• lie still up to 1 hour
• sedation for claustrophobia

Question 6

PET/SPECT nursing intervention

Answer 6

• 2 IV lines
• no sedatives
• empty bladder prior
• pt may be asked to do activities

Question 7

myelogram nursing intervention

Answer 7

PRIOR
-administer sedative
-empty bladder
POST
-lie flat for few hours
-fluids
-neurochecks
-VS

Question 8

EEG nursing intervention

Answer 8

• noninvasive
• no danger of electric shock
• wash electrode paste out of hair

Question 9

MEG nursing intervention

Answer 9

• does not make contact with pt

- can pinpoint exact location of brain injury

Question 10

EMG nursing intervention

Answer 10

pain and discomfort associated with insertion of needles

Question 11

carotid duplex nursing intervention

Answer 11

noninvasive

Question 12

transcranial doppler nursing intervention

Answer 12

non invasive

Question 13

burr hole

Answer 13

opening into the cranium with a drill; used to remove localized fluid and blood beneath the dura

Question 14

craniotomy

Answer 14

opening into cranium with removal of bone flap and opening the dura to remove a lesion, repair a damaged area, drain blood, or relieve increased ICP

Question 15

craniectomy

Answer 15

excision into the cranium cut away bone flap

Question 16

cranioplasty

Answer 16

repair of cranial defect resulting from trauma, malformation, or previous surgery
-artificial material used to replace damaged or lost bone

Question 17

stereotactic procedure

Answer 17

precise localization of a specific area of the brain using a frame or a frameless system based on 3-d coordinates

Question 18

shunt

Answer 18

alternate pathway to redirect CSF from one area to another using a tube or implanted device

Question 19

nursing interventions for cranial surgery

Answer 19

MONITOR

• VS
• neuro status
• ICP
• F/E
• pain
• n/v
• dressing
• positioning
• scalp care

Question 20

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Answer 20

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