Maintaining environmental temperature control
Monitoring for signs of hemorrhage
Protecting the eyes from bright lights
Providing care designed to preserve skin integrity
Provides energy for “fight or flight” in stressful situations.
Slows the heart rate after a stressful situation.
Supports deep sleep after large expenditures of energy.
Relaxes blood vessels to counteract hypertension.
Diminished brain cells
Degeneration of myelin sheath
Irritation of nerve roots
Has fewer fine motor movements.
Can experience pain in paralyzed parts.
Is more easily rehabilitated.
Means the same as a quadriplegic.
Cannot keep his eyes closed.
Cannot touch his nose with eyes closed.
Complains of dizziness.
Sways from side to side.
One efferent and one afferent impulse and a synapse.
Two efferent impulse and one synapse.
Two synapses with efferent and afferent impulses.
Two afferent impulses and one synapse.
Hyperreflexive response for the fifth and sixth cervical nerves
Exaggerated response for the seventh and eighth cervical nerves
Normal response for the first and second sacral nerves
Weak response for the second through the fourth lumbar nerves
T, 98° F; P, 78; R, 14; BP, 150/82
T, 97° F; P, 90; R, 20; BP, 148/94
T, 98° F; P, 82; R, 18; BP, 140/74
T, 99° F; P, 92; R, 16; BP, 136/82
To add three numbers together in his head.
To identify the name of the present month.
What he would do in the event of a fire.
What the last major holiday was.
Glasgow Coma Scale score of 3
Align the examiner’s hands with the patient’s hands.
Create greater distance between the examiner and the patient.
Allow a comfortable stance for the examiner.
Equalize sensitivity of the examiner’s hands.
Side-lying on the right side
Upright at a table in a wheelchair
Lumbar puncture for cerebrospinal fluid (CSF) analysis and culture
“There is no special preparation involved with this test since it is noninvasive.”
“You should avoid any tranquilizers or sedatives the night before and the day of the test.”
“You will need to sign a consent form for this test to be performed.”
"You will have an IV inserted for the exam.”
“I’m not really sure. The technician’s performing the test will let you know.”
Recuperate from an illness.
Apply brakes to stop a car.
Form words into sentences.
Learn new material.
Insisting everyone “buckle up” before starting the car.
Encouraging children to wear bike helmets.
Reminding swimmers to test water depth before diving.
Encouraging use of hard hats at industrial sites.
Discouraging recreational drug use that could bring on a stroke.
Injury to the CNS causing an abnormality in the motor control pathways leading from the cerebral cortex
A myocardial infarction that has caused hypoxemia
The influence of chemical substances
Damage to the peripheral nervous system (PNS)
Trauma to the hypothalamus
The brain tissue is bruised.
No loss of consciousness occurs.
There is amnesia related to the incident.
There are no subsequent symptoms.
A smaller brain, which allows for more movement inside the cranium.
Fragile vessels more likely to rupture.
Less cerebrospinal fluid to cushion the brain.
Less flexibility of the meninges to absorb impact.
Document the presence of rhinorrhea.
Inform the physician of the assessment.
Test fluid with a glucose Accu-Chek or Dextrostix.
Tape a drip pad under the nose.