6410 chapter 43 neuro assessment & prelecture quiz

A client preparing to undergo a lumbar puncture states he doesn't think he will be able to get comfortable with his knees drawn up to his abdomen and his chin touching his chest. He asks if he can lie on his left side. Which statement is the best response by the nurse?

"Although the required position may not be comfortable, it will make the procedure safer and easier to perform."

The nurse is assessing the client's mental status . Which question will the nurse include in the assessment?

"Who is the president of the United States?"

The cerebral circulation receives approximately __________% of the cardiac output.

15

Which term refers to the inability to coordinate muscle movements, resulting difficulty walking?

Ataxia

A client is waiting in a triage area to learn the medical status of family members following a motor vehicle accident. The client is pacing, taking deep breaths, and handwringing. Considering the effects in the body systems, what does the nurse anticipate the liver will do?

Convert glycogen to glucose for immediate use.

The __________ __________, the outermost layer, covers the brain and spinal cord.

DURA MATER

A patient is being tested for a gag reflex. When the nurse places the tongue blade to the back of the throat, there is no response elicited. What dysfunction does the nurse determine the patient has?

Dysfunction of the vagus nerve

Which term refers to a method of recording, in graphic form, the electrical activity of a muscle?

Electromyography

Which neurotransmitter inhibits pain transmission?

Enkephalin Explanation: Enkephalins are excitatory neurotransmitters that cause pleasurable sensations and inhibit pain transmission. Acetylcholine is an excitatory transmitter that sometimes has inhibitory parasympathetic effects. Serotonin is an inhibitory transmitter that helps control mood and sleep. Dopamine usually is inhibitory, affecting behavior and fine movement.

What safety actions does the nurse need to take for a client receiving oxygen therapy who is undergoing magnetic resonance imaging (MRI)?

Ensure that no client care equipment containing metal enters the room where the MRI is located.

Which of the following areas of the brain are responsible for temperature regulation?

Hypothalamus

Cranial nerves III and __________ originate in the midbrain.

IV

A male client is scheduled for an electroencephalogram (EEG). When the nurse caring for the client is preparing him for the test, the client states that during childhood he was mildly electrocuted but miraculously lived. Therefore, he is quite afraid of going through an EEG. In what ways can the nurse help dispel the client's fear regarding the test?

Inform the client that he will not experience any electrical shock.

Which of the following is an age-related change in the nervous system?

Loss of neurons in the brain

The nurse is caring for a client in the emergency department with a diagnosis of head trauma secondary to a motorcycle accident. The nurse aide is assigned to clean the client's face and torso. Which action by the nurse aide would prompt the nurse to provide further instruction?

Moving the client's head to clean behind the ears

A client newly diagnosed with Huntington disease asks for information concerning management of symptoms. Which action would the nurse first take to address this request?

Perform a focused assessment on the client's needs and capabilities.

The nurse cares for a client with Huntington disease. What intervention is a priority for safe care?

Protecting the client from falls

A Glasgow Coma Scale score of 8 or lower usually indicates coma.

TRUE

Which lobe of the brain is responsible for concentration and abstract thought?

Which lobe of the brain is responsible for concentration and abstract thought?

The nurse is instructing a community class when a student asks, "How does someone get super strength in an emergency?" The nurse should respond by describing the action of the:

sympathetic nervous system.

A client is scheduled for standard EEG testing to evaluate a possible seizure disorder. Which nursing intervention should the nurse perform before the procedure?

Withhold anticonvulsant medications for 24 to 48 hours before the exam

Sympathetic stimuli are mediated by norepinephrine, and parasympathetic impulses are mediated by __________.

acetylcholine

The __________ is a branch-type structure with synapses for receiving electrochemical messages.

dendrite

The nurse is caring for a patient with Huntington's disease in the long-term care facility. What does the nurse recognize as the most prominent symptom of the disease that the patient exhibits?

Rapid, jerky, involuntary movements

Agnosia is the inability to interpret or recognize objects seen through the special senses.

TRUE

CSF pressure with the patient in a lateral recumbent position is normally 70 to 200 mm H2O.

TRUE

For most people, whether right- or left-handed, Wernicke's area is in the left lobe.

TRUE

Which client should the nurse assess for degenerative neurologic symptoms?

The client with Huntington disease.

The spinal cord is composed of 31 pairs of spinal nerves. How many pairs of thoracic nerves are contained within the spinal column?

Twelve