Question 1

A nurse who works on the neurology unit just received change-of-shift report.Which patient will the nurse assess first?

Accepted Answer

A)  Patient with botulism who is experiencing difficulty swallowing 
B)  Patient with Bell's palsy who has herpes vesicles in front of the ear 
C)  Patient with neurosyphilis who has tabes dorsalis and decreased deep tendon reflexes 
D)  Patient with an abscess caused by injectable drug use who needs tetanus immune globulin 
A)  Patient with botulism who is experiencing difficulty swallowing 
B)  Patient with Bell's palsy who has herpes vesicles in front of the ear 
C)  Patient with neurosyphilis who has tabes dorsalis and decreased deep tendon reflexes 
D)  Patient with an abscess caused by injectable drug use who needs tetanus immune globulin

Question 2

The nurse is admitting a patient with a neck fracture at the C6 level to the intensive care unit.Which assessment finding(s)indicate(s)neurogenic shock?

Accepted Answer

A)  Hyperactive reflex activity below the level of injury 
B)  Involuntary, spastic movements of the arms and legs 
C)  Hypotension, bradycardia, and warm, pink extremities 
D)  Lack of sensation or movement below the level of injury 
A)  Hyperactive reflex activity below the level of injury 
B)  Involuntary, spastic movements of the arms and legs 
C)  Hypotension, bradycardia, and warm, pink extremities 
D)  Lack of sensation or movement below the level of injury

Question 3

The nurse identifies a patient with type 1 diabetes and a history of herpes simplex infection as being at risk for Bell's palsy.Which information should the nurse include in teaching the patient?

Accepted Answer

A)  "You may be able to prevent Bell's palsy by doing facial exercises regularly." 
B)  "Prophylactic treatment of herpes with antiviral agents prevents Bell's palsy." 
C)  "Medications to treat Bell's palsy work only if started before paralysis onset." 
D)  "Call the doctor if you experience pain or develop herpes lesions near the ear." 
A)  "You may be able to prevent Bell's palsy by doing facial exercises regularly." 
B)  "Prophylactic treatment of herpes with antiviral agents prevents Bell's palsy." 
C)  "Medications to treat Bell's palsy work only if started before paralysis onset." 
D)  "Call the doctor if you experience pain or develop herpes lesions near the ear."

Question 4

Following a cauda equina spinal cord injury,which action will the nurse include in the plan of care?

Accepted Answer

A)  Catheterize patient every 3 to 4 hours. 
B)  Assist patient to ambulate several times daily. 
C)  Administer medications to reduce bladder spasm. 
D)  Stabilize the neck when repositioning the patient. 
A)  Catheterize patient every 3 to 4 hours. 
B)  Assist patient to ambulate several times daily. 
C)  Administer medications to reduce bladder spasm. 
D)  Stabilize the neck when repositioning the patient.

Question 5

A 38-year-old patient has returned home following rehabilitation for a spinal cord injury.The home care nurse notes that the spouse is performing many of the activities that the patient had been managing unassisted during rehabilitation.The most appropriate action by the nurse at this time is to

Accepted Answer

A)  remind the patient about the importance of independence in daily activities. 
B)  tell the spouse to stop because the patient is able to perform activities independently. 
C)  develop a plan to increase the patient's independence in consultation with the patient and the spouse. 
D)  recognize that it is important for the spouse to be involved in the patient's care and encourage that participation. 
A)  remind the patient about the importance of independence in daily activities. 
B)  tell the spouse to stop because the patient is able to perform activities independently. 
C)  develop a plan to increase the patient's independence in consultation with the patient and the spouse. 
D)  recognize that it is important for the spouse to be involved in the patient's care and encourage that participation.

Question 6

A patient has an incomplete left spinal cord lesion at the level of T7,resulting in Brown-Séquard syndrome.Which nursing action should be included in the plan of care?

Accepted Answer

A)  Assessment of the patient for right arm weakness 
B)  Assessment of the patient for increased right leg pain 
C)  Positioning the patient's left leg when turning the patient 
D)  Teaching the patient to look at the right leg to verify its position 
A)  Assessment of the patient for right arm weakness 
B)  Assessment of the patient for increased right leg pain 
C)  Positioning the patient's left leg when turning the patient 
D)  Teaching the patient to look at the right leg to verify its position

Question 7

In which order will the nurse perform the following actions when caring for a patient with possible C5 spinal cord trauma who is admitted to the emergency department? (Put a comma and a space between each answer choice [A,B,C,D,E].)

Accepted Answer

A)  Infuse normal saline at 150 mL/hr. 
B)  Monitor cardiac rhythm and blood pressure. 
C)  Administer O2 using a non-rebreather mask. 
D)  Immobilize the patient's head, neck, and spine. 
E)  Transfer the patient to radiology for spinal computed tomography (CT). 
A)  Infuse normal saline at 150 mL/hr. 
B)  Monitor cardiac rhythm and blood pressure. 
C)  Administer O2 using a non-rebreather mask. 
D)  Immobilize the patient's head, neck, and spine. 
E)  Transfer the patient to radiology for spinal computed tomography (CT).

Question 8

Which finding in a patient with a spinal cord tumor is most important for the nurse to report to the health care provider?

Accepted Answer

A)  Back pain that increases with coughing 
B)  Depression about the diagnosis of a tumor 
C)  Decreasing sensation and ability to move the legs 
D)  Anxiety about scheduled surgery to remove the tumor 
A)  Back pain that increases with coughing 
B)  Depression about the diagnosis of a tumor 
C)  Decreasing sensation and ability to move the legs 
D)  Anxiety about scheduled surgery to remove the tumor

Question 9

A patient admitted with dermal ulcers who has a history of a T3 spinal cord injury tells the nurse,"I have a pounding headache and I feel sick to my stomach." Which action should the nurse take first?

Accepted Answer

A)  Check for a fecal impaction. 
B)  Give the prescribed analgesic. 
C)  Assess the blood pressure (BP). 
D)  Notify the health care provider. 
A)  Check for a fecal impaction. 
B)  Give the prescribed analgesic. 
C)  Assess the blood pressure (BP). 
D)  Notify the health care provider.

Question 10

A patient with neurogenic shock following a spinal cord injury is to receive lactated Ringer's solution 500 mL over 30 minutes.When setting the IV pump to deliver the IV fluid,the nurse will set the rate at how many mL/hour?

Accepted Answer

1000
To administer 5

Question 11

Which action will the nurse take when caring for a 46-year-old patient who develops tetanus from an injectable substance use?

Accepted Answer

A)  Avoid use of sedatives. 
B)  Provide a quiet environment. 
C)  Check pupil reaction to light every 4 hours. 
D)  Provide range-of-motion exercises several times daily. 
A)  Avoid use of sedatives. 
B)  Provide a quiet environment. 
C)  Check pupil reaction to light every 4 hours. 
D)  Provide range-of-motion exercises several times daily.

Question 12

A 27-year-old patient is hospitalized with new onset of Guillain-Barré syndrome.The most essential assessment for the nurse to carry out is

Accepted Answer

A)  determining level of consciousness. 
B)  checking strength of the extremities. 
C)  observing respiratory rate and effort. 
D)  monitoring the cardiac rate and rhythm. 
A)  determining level of consciousness. 
B)  checking strength of the extremities. 
C)  observing respiratory rate and effort. 
D)  monitoring the cardiac rate and rhythm.

Question 13

The nurse assessing a 54-year-old female patient with newly diagnosed trigeminal neuralgia will ask the patient about

Accepted Answer

A)  visual problems caused by ptosis. 
B)  triggers leading to facial discomfort. 
C)  poor appetite caused by loss of taste. 
D)  weakness on the affected side of the face. 
A)  visual problems caused by ptosis. 
B)  triggers leading to facial discomfort. 
C)  poor appetite caused by loss of taste. 
D)  weakness on the affected side of the face.

Exam 57: Nursing Management: Peripheral Nerve and Spinal Cord Problems

A nurse who works on the neurology unit just received change-of-shift report.Which patient will the nurse assess first?

The nurse is admitting a patient with a neck fracture at the C6 level to the intensive care unit.Which assessment finding(s)indicate(s)neurogenic shock?

The nurse identifies a patient with type 1 diabetes and a history of herpes simplex infection as being at risk for Bell's palsy.Which information should the nurse include in teaching the patient?

Following a cauda equina spinal cord injury,which action will the nurse include in the plan of care?

A 38-year-old patient has returned home following rehabilitation for a spinal cord injury.The home care nurse notes that the spouse is performing many of the activities that the patient had been managing unassisted during rehabilitation.The most appropriate action by the nurse at this time is to

A patient has an incomplete left spinal cord lesion at the level of T7,resulting in Brown-Séquard syndrome.Which nursing action should be included in the plan of care?

In which order will the nurse perform the following actions when caring for a patient with possible C5 spinal cord trauma who is admitted to the emergency department? (Put a comma and a space between each answer choice [A,B,C,D,E].)

Which finding in a patient with a spinal cord tumor is most important for the nurse to report to the health care provider?

A patient admitted with dermal ulcers who has a history of a T3 spinal cord injury tells the nurse,"I have a pounding headache and I feel sick to my stomach." Which action should the nurse take first?

A patient with neurogenic shock following a spinal cord injury is to receive lactated Ringer's solution 500 mL over 30 minutes.When setting the IV pump to deliver the IV fluid,the nurse will set the rate at how many mL/hour?

Which action will the nurse take when caring for a 46-year-old patient who develops tetanus from an injectable substance use?

A 27-year-old patient is hospitalized with new onset of Guillain-Barré syndrome.The most essential assessment for the nurse to carry out is

The nurse assessing a 54-year-old female patient with newly diagnosed trigeminal neuralgia will ask the patient about

The Importance of Nursing

Health Disparities and Cultural Care

Pain Management

Palliative Care

Substance Use and Dependency

Nursing Management: Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses and Transplantation

Nursing Management: Infection and Human Immunodeficiency Virus Infection

Cancer

Nursing Management: Fluid,electrolyte and Acidbase Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Assessment: Integumentary System

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Assessment: Respiratory System

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Assessment: Haematological System

Nursing Management: Haematological Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Ecg Monitoring and Arrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Management: Liver,pancreas and Biliary Tract Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urological Problems

Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Breast Disorders

Nursing Management: Sexually Transmitted Infections

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: the Patient With a Stroke

Nursing Management: Chronic Neurological Problems

Nursing Management: Delirium,depression and Dementia

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopaedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases

Nursing Management: Critical Care Environment

Nursing Management: Shock,systemic Inflammatory Response Syndrome and Multiple Organ Dysfunction Syndrome

Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

Nursing Management: Emergency Care Situations

Filters

A patient admitted with dermal ulcers who has a history of a T₃spinal cord injury tells the nurse,"I have a pounding headache and I feel sick to my stomach." Which action should the nurse take first?