Exam 41: Assessment of the Nervous System

A nurse cares for a client who is experiencing deteriorating neurologic functions.The client states,"I am worried I will not be able to care for my young children." How should the nurse respond?

A nurse assesses a client's recent memory.Which client statement confirms that the client's remote memory is intact?

A nurse assesses the left plantar reflexes of an adult client and notes the response shown in the photograph below: Which action should the nurse take next?

A nurse assesses a client with a brain tumor.Which newly identified assessment findings should alert the nurse to urgently communicate with the health care provider? (Select all that apply.)

A nurse teaches a client who is scheduled for a positron emission tomography scan of the brain.Which statement should the nurse include in this client's teaching?

A nurse assesses a client and notes the client's position as indicated in the illustration below: How should the nurse document this finding?

An emergency department nurse assesses a client who was struck in the temporal lobe with a baseball.For which clinical manifestations that are related to a temporal lobe injury should the nurse assess? (Select all that apply.)

A nurse assesses an older client.Which assessment findings should the nurse identify as normal changes in the nervous system related to aging? (Select all that apply.)

A nurse plans care for an 83-year-old client who is experiencing age-related sensory perception changes.Which intervention should the nurse include in this client's plan of care?

A nurse cares for a client who is recovering from a single-photon emission computed tomography (SPECT)with a radiopharmaceutical agent.Which statement should the nurse include when discussing the plan of care with this client?

After teaching a client who is scheduled for magnetic resonance imaging (MRI),the nurse assesses the client's understanding.Which client statement indicates a correct understanding of the teaching?

A nurse obtains a focused health history for a client who is scheduled for magnetic resonance angiography.Which priority question should the nurse ask before the test?

A nurse is teaching a client with cerebellar function impairment.Which statement should the nurse include in this client's discharge teaching?

A nurse asks a client to take deep breaths during an electroencephalography.The client asks,"Why are you asking me to do this?" How should the nurse respond?

A nurse prepares a client for lumbar puncture (LP).Which assessment finding should alert the nurse to contact the health care provider?

A nurse plans care for a client who has a hypoactive response to a test of deep tendon reflexes.Which intervention should the nurse include in this client's plan of care?

A nurse obtains a focused health history for a client who is scheduled for magnetic resonance imaging (MRI).Which condition should alert the nurse to contact the provider and cancel the procedure?

A nurse assesses a client with a brain tumor.The client opens his eyes when the nurse calls his name,mumbles in response to questions,and follows simple commands.How should the nurse document this client's assessment using the Glasgow Coma Scale shown below?

A nurse is caring for a client who is prescribed a computed tomography (CT)scan with iodine-based contrast.Which actions should the nurse take to prepare the client for this procedure? (Select all that apply.)

A nurse assesses a client who demonstrates a positive Romberg's sign with eyes closed but not with eyes open.Which condition does the nurse associate with this finding?