Exam 52: Nursing Assessment: Nervous System

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

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

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

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

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

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

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

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

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

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?

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

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?

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

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)?

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

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

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

Propranolol (Inderal),a â-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

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

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