Exam 56: Nursing Assessment: Nervous System

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When admitting an acutely confused 20-year-old patient with a head injury,which action should the nurse take?

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A

A patient with suspected meningitis is scheduled for a lumbar puncture.Before the procedure,the nurse will plan to

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D

An unconscious male patient has just arrived in the emergency department after a head injury caused by a motorcycle crash.Which order should the nurse question?

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B

Which finding would the nurse expect when assessing the legs of a patient who has a lower motor neuron lesion?

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During the neurologic assessment,the patient is unable to respond verbally to the nurse but cooperates with the nurse's directions to move his hands and feet.The nurse will suspect

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To assess the functioning of the trigeminal and facial nerves (CNs V and VII),the nurse should

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Several patients have been hospitalized for diagnosis of neurologic problems.Which patient will the nurse assess first?

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A 39-year-old patient with a suspected herniated intervertebral disc is scheduled for a myelogram.Which information is most important for the nurse to communicate to the health care provider before the procedure?

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A 45-year-old patient has a dysfunction of the cerebellum.The nurse will plan interventions to

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The priority nursing assessment for a 72-year-old patient being admitted with a brainstem infarction is

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Which nursing diagnosis is expected to be appropriate for a patient who has a positive Romberg test?

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The nurse performing a focused assessment of left posterior temporal lobe functions will assess the patient for

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Which information about a 76-year-old patient is most important for the admitting nurse to report to the patient's health care provider?

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Which action will the nurse include in the plan of care for a patient with impaired functioning of the left glossopharyngeal nerve (CN IX)and the vagus nerve (CN X)?

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The charge nurse is observing a new staff nurse who is assessing a patient with a traumatic spinal cord injury for sensation.Which action indicates a need for further teaching of the new nurse about neurologic assessment?

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Which cerebrospinal fluid analysis result will be most important for the nurse to communicate to the health care provider?

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Propranolol (Inderal),a b-adrenergic blocker that inhibits sympathetic nervous system activity,is prescribed for a patient who has extreme anxiety about public speaking.The nurse monitors the patient for

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The nurse will anticipate teaching a patient with a possible seizure disorder about which test?

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Which equipment will the nurse obtain to assess vibration sense in a diabetic patient who has peripheral nerve dysfunction?

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Which nursing action will be included in the care for a patient who has had cerebral angiography?

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