Exam 56: Nursing Assessment: Nervous System

In a patient who has a corticospinal tract lesion, the nurse should assess for

To assess the functioning of the optic nerve (CN II), the nurse should

Propranolol (Inderal), an adrenergic blocking agent that inhibits sympathetic nervous system activity, is prescribed for a patient. The nurse monitors the patient for

When developing a plan of care for a patient with dysfunction of the cerebellum, the nurse will include interventions to

When reviewing the results of a patient's cerebrospinal fluid analysis, the nurse will notify the health care provider about

When interviewing an acutely confused patient with a head injury, which of these questions will provide the most useful information?

When admitting a patient with acute confusion to the hospital, the nurse will interview the patient about health problems and health history primarily to

The nurse notes in the patient's medical history that the patient has a positive Romberg test. Which nursing diagnosis is appropriate?

When obtaining a health history from a patient with a neurologic problem, which question by the nurse will elicit the most useful response from the patient?

A patient with a brainstem infarction is admitted to the nursing unit. The priority nursing assessment for the patient is

Neurologic testing of the patient by the nurse indicates impaired functioning of the left glossopharyngeal nerve (CN IX) and the vagus nerve (CN X). Based on these findings, the nurse plans to

The following orders are received for a patient who is unconscious after a head injury caused by an automobile accident. Which one should the nurse question?

During the neurologic assessment, the patient cooperates with the nurse's directions to grip with the hands and to move the feet but does not respond to the nurse's questions. The nurse will suspect

When a 71-year-old patient who is being admitted to the hospital for minor surgery tells the nurse, "I haven't slept through the night for several years now," the nurse will plan to

A patient has a lesion that affects lower motor neurons. During assessment of the patient's lower extremities, the nurse expects to find

When the nurse administers gabapentin (Neurontin), a drug that increases the level of gamma-aminobutyric acid (GABA) in the synapse, the effect the nurse would expect is

A patient is scheduled for a lumbar puncture. The nurse will plan to

When performing a focused assessment on a patient with a lesion of the left posterior temporal lobe, the nurse will assess for

A patient with a deep, large laceration of the left forearm, which has damaged nerve fibers as well as other tissue, asks the nurse to explain what the effect of the nerve damage will be. The nurse should respond that

A patient is scheduled for a myelogram to confirm the presence of a herniated intervertebral disk. Which information obtained when admitting the patient is most important for the nurse to communicate to the health care provider before the procedure?