Exam 67: Assessment of the Neurologic System

The nurse documents the client's gait as short, accelerating steps with the client shuffling in a forward-leaning posture and having difficulty starting and stopping. The nurse would identify this type of gait as

In assessing the function of CNs III, IV, and VI, the nurse would ask the client to

The nurse is having a client sign the informed consent form before having an electromyography (EMG). What is the most appropriate response by the nurse when the client says "The doctor will use little needles to take samples to send to the lab."

A client had a lumbar puncture and the report came back as follows: glucose 70 mg/dl, protein 32 mg/dl, opening pressure 230 mm H₂O, cells 100. The priority action by the nurse would be to

In assessing a client for Babinski's reflex, the nurse would

Neurologic examination reveals that a client has intact, functioning cranial nerves (CNs) III through XII. The nurse would conclude that the client has normal function of the

In assessing function of cranial nerves (CN), the nurse offers a client toothpaste and the client can only identify it by smell. The nurse would record that

When testing comprehension in a client who is expressively aphasic, the nurse lays out a pencil, a key, and a ball and then would

A client with a brain tumor is scheduled for a spiral CT scan. Which of these factors, if present in the client's history, would affect the nurse's preparation for the scan?

The nurse would explain to a client scheduled for an electroencephalogram (EEG) that an EEG

A nurse working on a rehabilitation unit is assessing a new admission, a client with a stable spinal cord injury. The nurse notes that the client is unable to shrug the shoulders. This finding indicates to the nurse that the level of spinal cord injury in the client is

A client with a head injury has had the caloric test performed using ice-cold water. When the water was injected into the auditory canal, the client's eyes moved slowly toward the irrigated side and then quickly returned to midline. The nurse would conclude after watching this reaction that the client

If the client has adequate proprioception, the nurse would know that the client can

During a lumbar puncture on a client in the lateral recumbent position, the physician remarks that the opening pressure is normal. The nurse would interpret this to mean that the pressure is

In assessing the cause of the decreased level of consciousness in a client in a coma, the diagnostic procedure that would provide the most accurate information is

The nurse would point out to a client that the advantage of magnetic resonance spectroscopy (MRS) is that the procedure

When the nurse asks the client to raise the eyebrows and grimace or puff the cheeks, the nurse would be assessing the function of cranial nerve

The nurse asking a client questions that test orientation would include

Which confidence shared by a female client would alter the decision to use magnetic resonance imaging (MRI) as a diagnostic modality?

A nurse assessing a client's neurologic function. Which assessment is specifically added for the client who is suspected to have a spinal cord injury?