Exam 47: Neurologic System Function,Assessment,and Therapeutic Measures

The nurse notes that a patient has a history of falling.Which part of the brain should the nurse question as being affected in this patient?

The nurse suspects a patient is experiencing a sympathetic response.What manifestations should the nurse expect the patient to demonstrate this response? (Select all that apply.)

The nurse is preparing to conduct a Romberg test with a patient.For how many seconds should the nurse explain to the patient that the position will need to be held?

The nurse is caring for a patient who has had a stroke (brain attack).The patient is unable to understand what the nurse is saying and appears frustrated.What term should the nurse use to document this finding?

The nurse is preparing a patient for an electroencephalogram (EEG).What information should be given to the patient?

A 22-year-old female patient recovering from a craniotomy begins crying and asking for her mother who is sleeping in the visitor's lounge.The patient's Glasgow Coma Scale (GCS)of 15 and pupils are equal and reactive.What nursing action would be most appropriate at this time?

The nurse completes data collection on a newly admitted older patient.Which finding is considered abnormal in an aging patient and should be reported to the physician? (Select all that apply.)

When the nurse shines a light in a patient's left pupil,both of the pupils constrict.What type of response should the nurse document?

The nurse is preparing material about impulse transmission to help with a presentation on the neurological system.When discussing spinal nerves,the nurse will include that each spinal nerve is made up of the dorsal root and which other root?

The nurse is caring for a patient who has impaired functioning of the left glossopharyngeal (IX)nerve and the vagus (X)nerve.What intervention should the nurse plan to maintain the patient's safety while diagnostic testing is being completed?

A patient is scheduled for a lumbar puncture.Which action should the nurse take when preparing this patient?

The nurse is participating in the preparation of a seminar on the neurologic system for a community health fair.Which part of the system is the nurse referring when the statement "rest and digest" is included?

The nurse is caring for an individual with a head injury and notes unequal pupils.Which term should the nurse use to document this finding?

The nurse is caring for a patient scheduled for a computed tomography (CT)scan with contrast.What should be included in pre-procedure preparation? (Select all that apply.)

The nurse is assisting as a neurosurgeon examines a patient who has a positive Babinski reflex.What assessment finding should the nurse expect to observe?

The nurse is planning to use the FOUR tool to assess a patient's neurological functioning.In which areas should the nurse collect data when using this tool? (Select all that apply.)

The nurse notes that a patient is not able to voluntary move the right arm.Which part of the brain should the nurse suspect is affected in this patient?

The nurse is assessing a patient's pupils for reactivity to light.Which cranial nerve (CN)is being tested?

A patient learns that abdominal pain is originating from the liver.The nurse should explain to the patient that the impulses from receptors in the internal organs to the central nervous system are transmitted from which type of neurons?

The nurse is providing post-procedure care for a patient recovering from a lumbar puncture.Which order should the nurse anticipate for this patient?