Exam 58: Nursing Assessment Nervous System

Which of the following assessments should the nurse make to test a client's cerebellar function? (Select all that apply.)

The nurse is performing a focused assessment on a client with a lesion of the left posterior temporal lobe. Which of the following assessments should the nurse complete?

Which of the following actions should the nurse implement to assess the functioning of the trigeminal and facial nerves (CN V and VII) in a client?

During the neurological assessment, the client 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. Which of the following diagnoses should the nurse suspect based uponthese findings?

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

Aclient has a lesion that affects lower motor neurons. During assessment of the client's lower extremities, which of the following findings should the nurse expect?

Which of the following equipment should the nurse obtain to assess vibration sense in a client who has peripheral nerve dysfunction?

The nurse is caring for a client who is hospitalized with a possible seizure disorder. To determine the cause of the client's symptoms, the nurse will anticipate the need to teach the client about which of the following tests?

The nurse is developing a plan of care for a client with dysfunction of the cerebellum. Which of the following goals of care should the nurse include?

After reviewing a client's cerebro-spinal fluid analysis, which of the following results is most important for the nurse to communicate to the health care provider?

Propranolol, a ?-adrenergic blocker that inhibits sympathetic nervous system activity, is prescribed for a client. Which of the following assessments should the nurse monitor?

When caring for a client who has had cerebral angiography, which of the following nursing actions should be included in the plan of care?

Neurological testing of the client indicates impaired functioning of the left glossopharyngeal nerve (CN IX) and the vagus nerve (CN X). Which of the following actions should the nurse include in the plan of care?

The nurse is admitting a client with a brain stem infarction. Which of the following assessments is priority?

The nurse is admitting a client with a head injury who is acutely confused. Which of the following actions should the nurse take?

The nurse is preparing a client for a lumbar puncture. Which of the following actions should the nurse implement?

Which of the following information about an older-adult client is most important for the admitting nurse to report to the client's health care provider?

The nurse notes in the client's medical history that the client has a positive Romberg test. Which of the following nursing diagnoses is appropriate?

The charge nurse is observing a new staff nurse who is assessing a client with a possible spinal cord lesion for sensation. Which of the following actions indicates a need for further teaching about neurological assessment?

The nurse is completing a neurological assessment with a client. Which of the following assessments is the most sensitive indicator of a change in neurological status?