Docsity
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Docsity AI
Docsity AI
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search for your university

Find the specific documents for your university's exams

Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

NURS NIH Stroke Scale Exam, Exams of Very large scale integration (VLSI)

Walden UniversityVery large scale integration (VLSI)

The nurs nih stroke scale exam is a comprehensive assessment tool used to evaluate the severity of a stroke in patients. It covers various components of neurological function, including level of consciousness, eye movements, facial movements, motor strength, limb ataxia, sensory function, language, and extinction/inattention. The exam provides a standardized scoring system that helps healthcare professionals determine the extent of the stroke and guide appropriate treatment and management strategies. Detailed information on the different components of the exam, the scoring criteria, and special considerations for specific clinical scenarios. It serves as a valuable resource for nurses, physicians, and other healthcare professionals involved in the care of stroke patients.

Typology: Exams

2023/2024

Available from 09/16/2024

lynette-kinyua
lynette-kinyua 🇺🇸

182 documents

1 / 10

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
NURS NIH STROKE
SCALE EXAM 1
Score for large strokes - ANSWER>>>> 10
(however, if it is a brainstem stroke it can have a low score and still be a large stroke)
Lowest score
Highest score - ANSWER>>>Lowest score is 0
Highest score is 42
Components of *Eyes* - ANSWER>>>Gaze
- voluntary gaze direction (non-comatose)
- vestibule-ocular reflex (comatose)
Visual fields
- confrontation, all 4 quadrants (non-comatose)
- threat (comatose)
Components of *LOC* - ANSWER>>>Arousal
Questions
- name
- month
Commands
pf3
pf4
pf5
pf8
pf9
pfa

Partial preview of the text

Download NURS NIH Stroke Scale Exam and more Exams Very large scale integration (VLSI) in PDF only on Docsity!

NURS NIH STROKE

SCALE EXAM 1

Score for large strokes - ANSWER>>>> 10 (however, if it is a brainstem stroke it can have a low score and still be a large stroke) Lowest score Highest score - ANSWER>>>Lowest score is 0 Highest score is 42 Components of Eyes - ANSWER>>>Gaze

  • voluntary gaze direction (non-comatose)
  • vestibule-ocular reflex (comatose) Visual fields
  • confrontation, all 4 quadrants (non-comatose)
  • threat (comatose) Components of LOC - ANSWER>>>Arousal Questions
  • name
  • month Commands
  • open eyes
  • grip/release Components of Face - ANSWER>>>Facial droop
  • smile & eyebrow raise (normal LOC / drowsy)
  • grimace w/ pain (obtunded) Components of Motor Strength - ANSWER>>>Arm strength
  • raise arms 45° (supine)
  • raise arms 90° (sitting) Leg strength
  • raise legs 30° (always test supine) Components of Limb Ataxia - ANSWER>>>Finger→nose & Heel→shin Components of Sensory - ANSWER>>>Pinprick
  • all 4 limbs; up to elbow Components of Language - ANSWER>>>Aphasia
  • describe picture; name objects (w/ adequate vision)
  • describe large objects in room or ask questions (w/ inadequate vision) Components of Dysarthria - ANSWER>>>Character of speech
  • read sentences / words (w/ adequate vision)
  • repeat "methodist episcopal" (w/ inadequate vision)
  • listen for slurred, garbled, incoherent Components of Extinction/Inattention - ANSWER>>>Vision extinction:
  • look at wiggling hand Sensory test
  • upper & lower extensors Special Cases - ANSWER>>>Unconscious patients will have a high score; does NOT mean they had a stroke
  • aroused w/ repeated stimulation - ANSWER>>> LOC: Arousal
  • unresponsive - ANSWER>>> LOC: Arousal
  • only reflexive response - ANSWER>>> LOC: Name & Month
  • answers both correct - ANSWER>>> LOC: Name & Month
  • answers 1 correct - ANSWER>>> LOC: Answer name & month
  • answers neither correct - ANSWER>>> *LOC: Eye opening; Grip/release *
  • performs both - ANSWER>>> *LOC: Eye opening; Grip/release *
  • performs neither - ANSWER>>> *LOC: Eye opening; Grip/release *
  • performs 1 - ANSWER>>> Eyes: Voluntary gaze
  • normal - ANSWER>>>

Eyes: Voluntary gaze

  • gaze deviation, but can be overcome - ANSWER>>> Eyes: Voluntary gaze
  • gaze deviation, can not be overcome (palsy) - ANSWER>>> Eyes: Visual fields
  • normal - ANSWER>>> Eyes: Visual fields
  • partial hemianopia - ANSWER>>> Eyes: Visual fields
  • complete hemianopia - ANSWER>>> Eyes: Visual fields
  • total blindness bilaterally (cortical blindness) - ANSWER>>> Face: Facial droop
  • can smile & raise eyebrows - ANSWER>>> Face: Facial droop
  • mild facial asymmetry (flattened nasolabial fold) - ANSWER>>> Face: Facial droop
  • lower facial droop, but can raise eyebrows - ANSWER>>> Face: Facial droop
  • no effort against gravity - ANSWER>>> Motor Strength: Leg
  • no movement at all - ANSWER>>> Motor Strength: Leg
  • amputation / joint fusion - ANSWER>>>UN Limb Ataxia
  • unable to follow commands (comatose / paralyzed) - ANSWER>>> Limb Ataxia
  • no ataxia - ANSWER>>> Limb Ataxia
  • ataxia in one limb - ANSWER>>> Limb Ataxia
  • ataxia in 2 limbs - ANSWER>>> Limb Ataxia
  • amputation / joint fusion - ANSWER>>>UN Sensory: Pinprick
  • no sensory loss - ANSWER>>> Sensory: Pinprick
  • mild/moderate sensory loss - ANSWER>>>

Sensory: Pinprick

  • aware of being touched, but subjective hemisensory loss - ANSWER>>> Sensory: Pinprick
  • severe or total sensory loss - ANSWER>>> Sensory: Pinprick
  • not aware of being touched on hemisensory loss side - ANSWER>>> Sensory: Pinprick
  • no reflexive response to pain (comatose Pt) - ANSWER>>> Language: Aphasia
  • no aphasia - ANSWER>>> Language: Aphasia
  • mild-moderate aphasia - ANSWER>>> Language: Aphasia
  • most (but not all) speech is understandable - ANSWER>>> Language: Aphasia
  • severe aphasia - ANSWER>>> Language: Aphasia
  • difficult to understant speech - ANSWER>>> Language: Aphasia
    • profound neglect - ANSWER>>>