what is the normal range of ICP? {{Ans- 10-25 mmHg nurses should cluster cares for those with increased ICP (true/false) {{Ans- false Bacterial meningitis is highly contagious (true/false) {{Ans-true what fluid would we assess glucose in relation to CSF? a. blood b. nasal drainage c. urine d. sweat teat {{Ans- b. nasal drainage what nursing care should we provide patients with ICP? a. use multiple pillows to support head b. lower HOB c. maintain head in the midline position d. keep oxygen saturation above 88% {{Ans- c. maintain head in the midline position What is the first sign of increased ICP? a. fever b. increased weakness on one side c. bradycardia d. decline LOC and headache {{Ans- d. decline LOC and headache What is myasthenia gravis? {{Ans- an autoimmune disease that leads to fatigue and weakness of the voluntary muscles. this weakness often occurs during periods of activity and improves with rest How does MG work in the body (pathophysiology) {{Ans- It is caused by a malfunction in the immune system in which the body produces antibodies that attack receptors located on the surface of muscle cells. these are found on what is called the neuromuscular junction What manifestations are associated with MG? {{Ans- poor posture, ocular palsies, ptosis, incomplete eyelid closure, diplopia, respiratory compromise, loss of bowel and bladder control, and fatigue What should you ask your client with MG? {{Ans- ask the patient with MG when symptoms worsen and any limitations or inability to perform ADLs What are the clinical manifestations of a cholinergic crisis? {{Ans- bradycardia, bronchospasm, hypersecretions, n/v/d, miosis, blurred vision What are the clinical manifestations of a myasthenia crisis? {{Ans- increased pulse and respirations, increased blood pressure, bowel & bladder incontinence, absence of cough and swallow reflex Restlessleg syndrome is the irresistible urge to move (true/false) {{Ans-true Restlessleg syndrome is caused by {{Ans- peripheral and central nerve damage Restlessleg syndrome is relieved by relaxation (true/false) {{Ans- false-restless leg is a neurological disorder that causes sensations in the leg that creates an uncomfortable and uncontrollable urge to move, trying to relax makes it worse. relief is felt when moving around and walking Trigeminal neuralgia is caused by impaired inhibitory mechanisms in the brainstem caused by excessive firing of irritated in the trigeminal nerve (true/false) {{Ans-true The myelin sheath is attacked (or affected) by circulating antibodies (true/false) {{Ans-true What is the cause of GBS? {{Ans- over active immunity What is the hallmark sign of GBS? {{Ans- ascending weakness What is the priority care for patients with trigeminal neuralgia {{Ans- pain management The most common presentation of GBS is a viral like illness that starts 3-5 weeks prior to GBS symptoms (true/false) {{Ans- false- 1-3 weeks prior What is the first drug therapy for someone with trigeminal neuralgia {{Ans- carbamazepine What triggers GBS? {{Ans- bacterial or viral infections Bell's palsy is also referred to as? {{Ans- facial paralysis Name the 3 surgical interventions for trigeminal neuralgia {{Ans1. microvascular decompression 2. radiofrequency thermal coagulation 3. percutaneous balloon microcompression Patients with bell's palsy may utilize physical therapy in order to stimulate the facial nerve (true/false) {{Ans-true Ice packs are an effective way to relieve pain for those suffering from bell's palsy (true/false) {{Ans- false Patientmay be unable to chew, sip fluids through a straw or control drooling. what interventions would be best? {{Ans- encourage patients to eat or drink using the unaffected side of the mouth, offer high calorie snacks, and a soft diet Trauma and infection of the teeth, jaw, or ear may be contributing factors to trigeminal neuralgia (true/false) {{Ans-true Who is responsible for ensuring the consent form has been signed PRIOR to sedation? a. physician b. circulating nurse c. anesthesiologist d. client's family {{Ans- b. circulating nurse What is an effective means of communication between the floor nurse and the OR nurse? {{Ans- SBAR What does hyperkalemia increase the risk for, especially with the use of anesthesia? a. bleeding b. infection c. dysrhythemias d. kidney failure {{Ans- c. dysrhythemias