Question

true/false
if you believe the statement to be more true than false, write the letter \t\ in the space provided. if you believe the statement to be more false than true, write the letter \f\.

1. longer and more severe seizures will usually result in a longer postictal period.
2. a low oxygen level can affect the entire brain, often causing anxiety, restlessness, and confusion.
3. febrile seizures result from sudden high fevers and are generally well tolerated by children.
4. hemiparesis is the inability to speak or understand speech.
5. patients with migraine headaches are sometimes sensitive to light and sound.
6. right - sided facial droop is most likely an indication of a problem in the right cerebral hemisphere.
7. serious conditions that include headache as a symptom are hemorrhagic stroke, brain tumors, and meningitis.
8. a cerebral embolism is an obstruction of a cerebral artery caused by a clot that was formed somewhere else and traveled to the brain.
9. hemorrhagic stroke is the most common type of stroke.
10. patients with a stroke affecting the right hemisphere of the brain can usually understand language, but their speech may be slurred.
11. a patient who has bleeding in the brain may have very low blood pressure.
12. all seizures involve muscle twitching and general convulsions.
13. a patient having a seizure may become cyanotic from a lack of oxygen.
14. patients with a decreased level of consciousness should not be given anything by mouth.
15. hypoglycemia should be considered in a patient following a motor vehicle collision (mvc) with an altered mental status.
16. psychological problems and complications of medications can cause altered mental status.
17. patients who have had a stroke can lose their airway or stop breathing without warning.
18. you should wait until you get an accurate pulse oximeter reading on a seizure patient before administering oxygen.
19. letting the hospital know the specifics regarding the patients neurologic symptoms is generally not important.
20. a key piece of information to document is the time of onset of the patients signs and symptoms.

Explanation:

1. Longer and more severe seizures typically do lead to a longer postictal period, so it's True.
2. Low oxygen can affect the brain and cause anxiety - related symptoms, True.
3. Febrile seizures from high fevers are usually well - tolerated by children, True.
4. Hemiparesis is weakness or paralysis on one side of the body, not speech problems, False.
5. Migraine patients often are sensitive to light and sound, True.
6. Right - sided facial droop is more likely related to left cerebral hemisphere problems (due to cross - lateralization), False.
7. Hemorrhagic stroke, brain tumors, and meningitis can present with headache, True.
8. A cerebral embolism is as described, True.
9. Ischemic stroke is more common than hemorrhagic stroke, False.
10. A stroke in the right hemisphere usually doesn't directly affect language understanding or slurred speech (left hemisphere is dominant for language in most), False.
11. Brain bleeding can cause high blood pressure rather than low, False.
12. Not all seizures involve muscle twitching and convulsions (absence seizures), False.
13. Seizure patients can become cyanotic from lack of oxygen, True.
14. Patients with decreased consciousness should not be given anything by mouth to prevent aspiration, True.
15. Hypoglycemia can cause altered mental status, True.
16. Psychological problems and medication complications can cause altered mental status, True.
17. Stroke patients can lose airway or stop breathing suddenly, True.
18. Oxygen should be administered promptly to seizure patients, not wait for pulse oximeter reading, False.
19. Hospital needs to know patient's neurologic symptoms details, False.
20. Time of onset of signs and symptoms is important to document, True.

Answer:

1. T
2. T
3. T
4. F
5. T
6. F
7. T
8. T
9. F
10. F
11. F
12. F
13. T
14. T
15. T
16. T
17. T
18. F
19. F
20. T