A few Neuro Q's.... - page 2
Can you guys tell I have a Neuro test coming up that is either going to make or break me??? 1) If you are assesing a comatose Pt, who is a 1 on the Glasgow chart for Eye response, do you open the lid and check the pupil... Read More
- 0Mar 24, '05 by raindropTook it, passed it (84%). Am I happy with that score? Yes, considering that test was BS. Class average was 80%.
It was HORRIBLE. I estimate that half of the Q's weren't from lecture. One of the students asked her, after the test, where some of these Q's came from. She stated "if it's in the book, it's fair game." I see her side, but come one. Our reading assignments were HUGE, and in SEVERAL different books - pharm, MS, Peds. Nobody has time to read through all that info, and retain it.
Oh well, it's over with and I passed. I was hoping for an A, but I will take what I can get.
You know what they say....C's get degrees ;-)
- 0Mar 27, '05 by NurseyBaby'05Sorry your test was so bad! At least you know how she gets her questionsfor the next test. Passing is good! The other important thing is learning. A lot of people can spit things back to an instructor after cramming for days straight, but it's really hard to retain info when you study that way. It sounds like you are least at a solid C, which is good. There are a lot of people going into our final tomorrow hanging on by the skin of their teeth with the lowest C possible. talk about your heart being in your throat. I'm okay this semester, I have a B and that's just fine with me. Only a few more weeks to go! You too!!!!!
- 0Apr 7, '05 by nurse luckyQuote from raindropPeople who are on anticoags can't have spinal taps as they may develop a hematoma which could cause paralysis!Can you guys tell I have a Neuro test coming up that is either going to make or break me???
1) If you are assesing a comatose Pt, who is a 1 on the Glasgow chart for Eye response, do you open the lid and check the pupil response or not? If yes, is this how u would chart it....Glasgow Eye 1, pupils Pearl...or...if they don't react...Glasgow eye 1, pupils not PERLA? Or maybe u don't even open the eye?
2) How do u chart that u did a Glasgow? Do u write out each test, i.e., Eye 2, Speech 2, Motor 2. Hmmm.
3) What Pt's absolutely can't have a spinal tap?
4) If someone comes into the ER with a suspected neck and/or spinal cord injury, and they have a brace on, the HOB is to be up 30 degrees, right? The only time they are to be flat is if they aren't stabilized, but if they are, the HOB should be up, for both types of injuries?
No one does well on a neuro test in school, because they texts are outdated as the theorys and care change rapidly. I would probably fail the test as we do things differently than that taught in the book. Thank god it's over! Don't feel bad. You're all done with it and on to the rest!!!
- 0Jul 3, '06 by pedseducatorFor those who have experience with ICP monitoring: Does anyone have a special procedure for securing an ICP bolt/monitor to the patient? We recently had one become dislodged during a linen change and the nurse to whom this happened asked if we could secure the apparatus in a better fasion so that this incident would not happen again. Thanks!!!!
- 0Jul 4, '06 by RoxanRN, ADN, RN, EMT-PWe coil the tubing around the site and then cover it all with a large tegaderm. If needed, we tape another loop to the side (away from the tegaderm). It's not a cure-all, but it helps. Just pay extra special attention to the ventric when moving the patient or changing linens.
For bolts, the physician needs to make sure the bolt is secure in the head and the catheter is secure in the device. Again, if needed, we will coil the tubing and tape securely.