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Med Surg Chapter 65

Terms in this set (37)

A neurotransmitter serotonin
that helps control
mood and sleep

Parkinson's disease dopamine

is cause by an
imbalance in the
neurotransmitter
known as

Med Surg Chapter 65

A persons frontal
personality and
judgment are
controlled by the
are of the brain
know as the
___________ lobe

The lobe of the temporal

cerebral cortex
that is responsible
for the
understanding of
language and
music is the ________
lobe

Med Surg Chapter 65

Voluntary muscle frontal
control is
governed by a
vertical band of
"motor cortex"
located in to _______
lobe

The sleep-wake hypothalamus

cycle regulator and
the site of the
hunger center is
known as the

The master gland is pituitary

also known as the
_______ gland

The major thalamus

receiving and
communication
center for afferent
sensory nerves is
the
Med Surg Chapter 65
The normal adult 150 mL
produce about
_________ of
cerebrospinal fluid
daily from the
ventricles

The preganglionic C8 to L3
fibers of the
sympathetic
neurons are
located in the
segments of the
spinal cord
identified as _______
to _______

Med Surg Chapter 65

The acetylcholine
parasympathetic
division of the
autonomic nervous
system yields
impulses that are
medicated by the
secretion of ________,
the dominant
neurotransmitter in
parasympathetic
nervous system
functions.

The brain center cerebellum

responsible for
balancing and
coordination is the

Med Surg Chapter 65

 This barrier is formed by the
endothelial cells of the brain
What is the capillaries, which form continuous
function of the tight junctions, creating a barrier
blood brain
to macromolecules and many
barrier?
compounds.

Autonomic nervous system

regulates the activities of internal
organs such as the heart, lungs,
Describe the role
blood vessels, digestive organs,
and functions of
and glands. Maintenance and
the autonomic
restoration of internal
nervous system
homeostasis is largely the
responsibility of the autonomic
nervous system

Name the principle flaccid paralysis and atrophy of

signs of lower the affected muscles
motor neuron
disease

Med Surg Chapter 65

What clinical Destruction or dysfunction of the
manifestations basal ganglia leads not to
occur when there is paralysis but to muscle rigidity,
destruction or disturbances of posture, and
dysfunction in the difficulty initiating or changing
basal ganglia? movement.

Muscle and nerve Gamma aminobutyric acid

inhibitory
transmissions

Excitatory, inhibits Enkephalin

pain transmission

Excitatory, Norepinephrine
response mostly
affecting moods

Affects behavior, Dopamine

attentions and fine
movement

Med Surg Chapter 65

Primarily excitatory, Acetylcholine
can produce vagal
stimulation of heart

Inhibits pain Serotonin

pathways and can
control sleep

The patient arrives I am trying to quit smoking and

to have an MRI have a patch on
done in the
outpatient
department. What
information
provided by the
patient warrants
further assessment
to prevent
complications
related to the MRI?

Med Surg Chapter 65

A patient had a Force fluids (unless
lumbar puncture 3 contraindicated)

days ago in the Get plenty of bedrest

outpatient clinic Take some over the counter

and calls the nurse analgesics
with complaints of
throbbing
headache. What
can the nurse
educate the patient
to do for relief of
the discomfort?

A patient is Coffee
scheduled for an
EEG in the
morning. What
food on the
patient's tray
should the nurse
remove prior to the
test?

Med Surg Chapter 65

The nurse is a normal finding. the fluids will be
assisting with a sent for testing to determine other
lumbar puncture factors
and observes that
when the physician
obtains CSF, it is
clear and colorless.
What does this
finding indicate?

A patient is having Have the patient lie flat for 6

a lumbar puncture hours
and the physician
has removed 20mL
of cerebrospinal
fluid. What nursing
intervention is a
priority after the
procedure?

Med Surg Chapter 65

The nurse is CN 1
performing as
assessment of
cranial nerve
function and asks
the patient to
cover one nostril at
a time to see if the
patient can smell
coffee, alcohol and
mint. The patient is
unable to smell any
of the odors. The
nurse is aware that
the patient has a
dysfunction of
which cranial
nerve?

Med Surg Chapter 65

The nurse obtains a CN 2
Snellen eye chart
when assessing
cranial nerve
function. Which
cranial nerve is the
nurse testing when
using the chart?

A patient is being Dysfunction of the vagus nerve

tested for a gag
reflex. When the
nurse places the
tongue blade to
the back of the
throat, there is no
response elicited.
What dysfunction
does the nurse
determine the
patient has?

Med Surg Chapter 65

A patient sustained Frontal lobe
a head injury
during a fall and
has changes in
personality and
affect. What part of
the brain does the
nurse recognize
has been affected
in this injury?

A patent who has Brain stem

suffered a stroke is
unable to maintain
respiration and so
is intubated and
placed on
mechanical
ventilator support.
What portion of
the brain is most
likely responsible
for the inability to
breathe?
Med Surg Chapter 65
A patient has Inferior posterior frontal areas
expressive
speaking aphasia
after having a
stroke. Which
portion of the brain
does the nurse
know has been
affected?

The nurse is constricted pupils

assessing the
pupils of a patient
who has had a
head injury. What
does the nurse
recognize as a
parasympathetic
effect?

Med Surg Chapter 65

The nurse is caring 0
for a patient who
was involved in a
motor vehicle
accident and
sustained a head
injury. When
assessing deep
tendon reflexes
(DTR), the nurse
observes
diminished or
hypoactive
reflexes. How will
the nurse
document this
finding?

Med Surg Chapter 65

The nurse is Romberg Test
performing a
neurologic
assessment and
requests that the
patient stand with
eyes open and
then closed for 20
seconds to assess
balance. What type
of test is the nurse
performing?

Med Surg Chapter 65

A patient comes to CN 5
the emergency
department with
severe pain in the
face that was
stimulated by
brushing the teeth.
What cranial nerve
does the nurse
understand can
cause this type of
pain?