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Neurologic system
Assessment test 4
65
Nursing
Undergraduate 3
11/09/2009

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Term
cerebrospinal fluid
Definition
a colorless, odorless fluid containing glucose, electrolytes, oxygen, water, carbon dioxide, protein, and leukocytes. It circulates around the brain and spinal cord to provide cushion, maintain normal intracranial pressure, provide nutrition, and remove metabolic wastes
Term
cerebrum
Definition
where does higher thinking occur?
Term
regulates body temp, hunger, thirst, forms autonomic nervous system responses, and stores and secretes hormones from pituitary gland
Definition
functions of the diencephalon "midbrain"
Term
creates smooth, coordinated voluntary movement by balancing the production of acetylcholine and dopamine
Definition
functions of the basal ganglia
Term
contains reflex centers for controlling involuntary functions such as breathing, sneezing, swallowing, coughing, vomiting, and vasoconstriction
Definition
functions of the medulla oblongata
Term
descending "motor" tract
Definition
carries impulses from the frontal lobe to muscles for voluntary movement
Term
ascending "sensory" tract
Definition
carries sensory information from the body through the thalamus to the parietal lobe
Term
sympathetic nervous system
Definition
fight or flight response carried out by which system
Term
parasympathetic system
Definition
"breed and feed" or "rest and digest" carried about by which system
Term
On old olympic's towering top a fin and german viewed some hops
Definition
pnuemonic for cranial nerves
Term
some say marry money but my brother says bad business marries money
Definition
pneumonic for types of cranial nerves
Term
Olfactory nerve
Definition
Nerve for smell reception and interpretation
Term
optic nerve
Definition
nerve that does visual acuity and visual fields
Term
oculomotor nerve
Definition
nerve that raises eyelids, pupillary constriction, changes lens shape, and does most extraocular movements
Term
trochlear nerve
Definition
nerve that does downward, inward eye movement
Term
trigeminal nerve
Definition
nerve that does jaw opening and clenching, chewing, and mastication
Term
abducens nerve
Definition
nerve that does lateral eye movement
Term
facial nerve
Definition
nerve that does movement of facial expression muscles except jaw, secretes saliva and tears
Term
acoustic nerve
Definition
nerve that does hearing and equilibrium
Term
glossopharyngeal nerve
Definition
nerve that does voluntary muscles for swallowing and phonation, secretion of salivary glands
Term
aphasia
Definition
the term for defective or absent language function
Term
dysphasia
Definition
an impairment of speech
Term
optic nerve (CN 2)
Definition
if the client is able to move around the environment and see the chair to sit down this indicates function of which nerve?
Term
CN 3(oculomotor nerve), CN 4 (trochlear nerve), CN 6 (abducens nerve)
Definition
If the client's eyes move equally from side to side, up and down, and obliquely, this indicates function of which 3 nerves?
Term
CN 3(oculomotor nerve), CN 4(trochlear nerve), CN 6(abducens nerve)
Definition
if the eyes move equally from side to side, up and down, and obliquely, this indicates function of which 3 nerves?
Term
CN 5(trigeminal nerve)
Definition
if the eyes blink, this indicates function of the ophthalmic branch of which nerve?
Term
CN 7(facial nerve)
Definition
if the client's face is symmetric when he or she talks, this indicates function of which nerve?
Term
CN 8(acoustic nerve)
Definition
if the client can hear you this indicates function of which nerve?
Term
CN 9(glossopharyngeal nerve) and CN 10(vagus nerve)
Definition
if you observe clients swallowing their saliva, this indicates function of which 2 nerves?
Term
CN 11(spinal accessory nerve)
Definition
if the clients shrug their shoulders or turn their head during the interview this indicates function of which nerve?
Term
CN 8(acoustic nerve)
Definition
observing equilibrium is a test of which nerve?
Term
fasciculation
Definition
A localized uncontrollable twitching of a single muscle group innervated by a single motor nerve fiber that may be observed or palpated
Term
paralysis
Definition
A lack of voluntary movement that is spastic or flaccid
Term
spastic paralysis
Definition
the involuntary contraction of muscles which occurs with upper motor neuron damage
Term
flaccid paralysis
Definition
the lack of muscle tone and deep tendon reflexes that occurs after a lower motor neuron damage
Term
anosmia
Definition
loss of or impaired sense of smell
Term
ptosis
Definition
eyelid droop
Term
romberg test
Definition
Test for balance by having client stand with feet together, arms resting at sides, eyes open, and then eyes closed
Term
monofilament
Definition
used to test peripheral sensation of clients with peripheral neuropathy as may occur with diabetes mellitus
Term
by grasping the client's finger or toe and moving its position 1cm up or down and the client should be able to tell you how the position has changed
Definition
How do you test kinesthetic sensation?
Term
Ask client to close his or her eyes. Place a small familiar object in the client's hand and ask them to identify it
Definition
How do you test stereognosis?
Term
0 deep tendon reflex
Definition
grade for no response to deep tendon reflex
Term
1+
Definition
grade for sluggish or diminished deep tendon reflex
Term
2+
Definition
grade for active or expected response in deep tendon reflex
Term
3+
Definition
grade for slightly hyperactive, more brisk than normal; not necessarily pathologic deep tendon reflex
Term
4+
Definition
grade for brisk, hyperactive with intermittent clonus associated with disease
Term
positive babinski's sign
Definition
dorsiflexion of the great toe with fanning of the other toes
Term
kernig's sign
Definition
tested by flexing one of the client's legs at the hip and knee, then extending the knee
Term
brudzinski's sign
Definition
tested with the client supine, the nurse flexes the client's neck
Term
multiple sclerosis
Definition
a progressive demyelination of nerve fibers of the brain and spinal cord, an autoimmunine disorder initiated by a virus that attacks the myelin at various sites of the CNS
Term
meningitis
Definition
inflammation of the meninges that surround the brain and spinal cord. It may result from invasion of bacteria, viruses, fungi, parasites, or other toxins
Term
encephalitis
Definition
inflammation of the brain tissue and meninges. Caused by bacteria, viruses, fungi, and parasites
Term
parkinson's disease
Definition
develops slowly as the brain's dopamine-producing neurons in the substantia nigra of the basal ganglia degenerate. Characterized by resting termor, bradykinesia, and rigidity.
Term
cerebrovascular accident
Definition
when cerebral blood vessels become occluded by a thrombus or embolus or when intracranial hemorrhage occurs, the brain tissues become ischemic, resulting in what?
Term
hypertension or a cerebral aneurysm
Definition
Hemorrhage can be caused by what?
Term
client's memory begins to fail, such as forgetting names and misplacing items
Definition
characterics of the 1st stage of alzheimers
Term
client experiences progressive memory loss and has difficult with ADLs
Definition
characteristics of the 2nd stage of Alzheimers
Term
client requires total care and is unable to communicate
Definition
characteristics of final stage of alzheimers
Term
bell's palsy
Definition
an acute unilateral paralysis of the facial nerve. Clients report a history of pain behind the ear or on teh face a few hours or days before the onset of paralysis.
Term
myasthenia gravis
Definition
this neuromuscular disease is characterized by weakness of voluntary muscles that improves with rest and administration of anticholinesterase drugs.
Term
guillain-barre syndrome
Definition
acute syndrome that is characterized by widespread demylenization of nerves of the peripheral nervous system. Affects the motor component of peripheral nerves and is believed to be caused by a cell-mediated autoimmune response to a viral infection
Term
parietal lobe
Definition
not being able to identify an object placed in your hand indicates a tumor in which lobe?
Term
absent gag reflex
Definition
a tumor within the medulla oblongata would produce which abnormal finding?
Term
hold the client's relaxed arm, with elbow flexed at a 90 degree angle, in one hand. Strike the appropriate tendon just above the elbow with either end of the reflex hammer
Definition
how do you test the triceps reflex?
Term
have the client walk on the heels and then on the toes to assess for balance
Definition
what technique do you use to test the cerebellum?
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