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Parts of the diencephalon
thalamus
hypothalamus
epithalamus
Types of nervous systems
CNS: central nervous system
PNS: peripheral nervous system
rhythmic shaking
tremors associated with Parkinson’s disease
shortening of the vertebral column
causes a decrease in height with aging
osteoarthritis
pain is aggravated by activties
rheumatoid arthritis
pain is improved by doing activities
Fever
is the symptom the nurse should detect for risk of developing osteomyelitis with a patient with an open metacarpal fracture
abduction
moving away form the body
adduction
moving toward the center of the body
risk factors for osteoporosis
sedentary lifestyle
no exercise
Phalens test for positive carpal tunnel syndrome
client is asked to hold the wrist 90degree flexion for 60sec
carpal tunnel: tingling sensation and numbness over media nerve, palmar surface of the thumb, index finger, middle finger, part of the ring finger, pain in the lower arm, upper arm, shoulders, neck, and chest
Tinel test
direct percussion on the media nerve
normal findings: no pain or tingling sensation of the arm and surrounding the media nerve
inability to abduct the arm at the shoulder level
indicates rotator cuff injury
brachioradialis reflex
tapping directly with the flat end of the DTR hammer 2-3in above the wrist with palms in semi prone position
Bicep reflex
elicited when tapping indirectly by tapping on your thumb with the pointed end of the DTR hammer at the antecubital area of teh arm with the palm in semiprone position
ataxia
poor coordination of movement
seen when client has difficulty ambulating due to unsteady gait with wide base slapping and swaying
common in:
multiple sclerosis and drug and ETOH intoxication
graphesthesia
when the nurse draws a letter on the clients hand and asks patient to identify the letter with their eyes closed
2 point discrimination
inablitlity to indentify or indicate cortical disease
stereognosis
when client is asked to identify a familiar object placed in their hands with their eyes closed
inability to identify objects may indicated cortical diseases
Babinski sign
fanning of the toes and flexion of the foot
normal for children up to 2 yrs old
after age 2, perform plantar reflex
abnormal response: may indicate CNS pathology of upper neuron diseases
plantar reflex
curling of the toes
crepitiation
assessing for crunching and grading sound of the joints as well as stiffness and pain in the joints
When caring for a client with t4 spinal injury what is the indication that the clien is at risk for experiencing autonomic dysreflexia?
the clients bladder becomes distended
objective findings for meningitis
fever
irritablitlity
vomiting
seizure
coma
Myocardial infarction (MI)
persistent/ continuous pain for 15 min
will not be relieved by nitro
may radiate to the periphery
complete blockage of blood to the heart
can lead to death
accompanied by
hypotension
weak/rapid pulse
low-grade fever
fatal
Angina
transient pain
lasts no more than 15 mins, 3-5 mins at a time
relieved by nitro
starts centrally but can radiate to the periphery
not fatal
does not damage the heart