Exam 48: Nursing Care of Patients With Central Nervous System Disorders

A patient in the post-ictal period after a seizure remembers smelling something like dead fish prior to the seizure.Which response by the nurse is best?

A patient with bacterial meningitis has an elevated temperature.Which actions should the nurse take to reduce this patient's temperature? (Select all that apply.)

A patient with a spinal cord injury at T3-T4 experiences a sudden increase in blood pressure (BP)and has cool,pale,gooseflesh skin on the lower extremities.What should the nurse do while awaiting physician orders? (Select all that apply.)

The nurse is caring for residents on an Alzheimer's unit.Which assessment finding indicates that a patient is in early stages of the disease?

The nurse is caring for a patient with an acute brain injury.Which interventions should the nurse use to prevent increased intracranial pressure in this patient? (Select all that apply.)

The nurse is caring for a patient with a traumatic brain injury.Which assessment finding alerts the nurse to possible diabetes insipidus?

The nurse is observing a patient to determine if seizure activity is status epilepticus.For what length of time should seizure activity occur for this diagnosis to be appropriate for the patient?

A patient arriving in the emergency department with a bullet wound to the left frontal lobe is comatose.What should the nurse make a priority for this patient?

The nurse is caring for a patient admitted to the emergency department with massive trauma to the right frontal lobe of the brain.Which data should the nurse collect related to the location of the injury?

A patient with a severe headache due to viral meningitis requests an opioid analgesic.What explanation about opioids should the nurse provide?

A student under a great deal of stress develops a severe tension headache and goes to the school clinic.What strategy should the nurse teach the student for dealing with the onset of headaches in the future?

The nurse suspects that a patient is experiencing increasing intracranial pressure.What observations did the nurse make to come to this conclusion? (Select all that apply.)

A patient with a brain injury is not able to respond appropriately to sensory stimulation.What should the nurse do to ensure that this patient does not develop skin breakdown? (Select all that apply.)

The nurse is assisting with teaching a patient about tension headaches.Which explanation of tension headaches should the nurse provide?

The nurse is caring for a patient diagnosed with bacterial meningitis.Which medications should the nurse expect to be prescribed for this patient? (Select all that apply.)

An adolescent sustains an injury while swimming in a river.Friends bring the adolescent to the riverbank and note that the adolescent is conscious and breathing but not moving any extremities.What should the friends do next?

A patient is unable to move the extremities after experiencing a spinal cord injury.What term should the nurse use to document paralysis of all four extremities?

The nurse concludes that a patient's meningitis is improving.What activity did the patient perform for the nurse to come to this conclusion?

A patient with a spinal cord injury is unable to move the extremities.In which area should the nurse suspect that this client's injury occurred?