Exam 56: Nursing Assessment: Nervous System

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

Which assessments will the nurse make to test a patient's cerebellar function (select all that apply)?

The following orders are received for an unconscious patient who has just arrived in the emergency department after a head injury caused by an automobile accident. Which one should the nurse question?

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

Which information about a 71-year-old patient is most important for the admitting nurse to report to the patient's health care provider?

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?

Neurologic testing of the patient indicates impaired functioning of the left glossopharyngeal nerve (CN IX) and the vagus nerve (CN X). Which action will the nurse include in the plan of care?

Propranolol (Inderal), a ?-adrenergic blocker that inhibits sympathetic nervous system activity, is prescribed for a patient. The nurse monitors the patient for

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

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

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

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

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

When caring for a patient who has had cerebral angiography, which nursing action will be included in the plan of care?

A patient is hospitalized with a possible seizure disorder. To determine the cause of the patient's symptoms, the nurse will anticipate the need to teach the patient about which of these tests?

After reviewing a patient's cerebrospinal fluid analysis, which result will be most important for the nurse to communicate to the health care provider?

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

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

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

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