neuro EAQ

When planning long-term care for a 2-year-old child with cerebral palsy (CP), which is important for the nurse to consider?

CP is not progressively degenerative

A client develops tinnitus. Which of the client's medications would the nurse suspect is the cause of this new development?

aspirin 335mg, two tablets every 4 hours

Which ophthalmic solution is contraindicated for clients with glaucoma?

atropine

The company transported an unconscious construction worker, who fell off the roof of a two-story, to the hospital. Which clinical finding would the nurse report immediately?

bleeding from ears

The nurse would include which instruction to the parents of a child being treated with oral ampicillin for otitis media?

complete the entire course of antibiotics therapy

For optimum nutrition, which intervention would the nurse implement when determining a client, who sustained a cerebrovascular accident (also known as a "brain attack"), needs assistance with eating?

encourage the client to participate in the feeding process

A client arrives in the emergency department unconscious and exhibiting decerebrate posturing. Which positioning behaviors would the nurse expect to observe?

hyperextension of both the upper and lower extremities

A client manifests right-sided hemianopsia as a result of a cerebrovascular accident (CVA, also known as a "brain attack"). Which goal would the nurse include in the client's plan of care?

instruct the client to scan surroundings

Which early sign of increased intracranial pressure (ICP) would the nurse monitor in a client who sustained a head injury while playing soccer?

lethargy

Which clinical assessment would the nurse perform to evaluate the effectiveness of a shunt for an infant with hydrocephalus?

palpating the anterior fontanel

Which intervention would the nurse perform first for the client admitted with a closed head injury and increased intracranial pressure (ICP)?

place the head and neck in neutral alignment

Which finding would help confirm the nurse's suspicion that a client may have meningitis after surgery for a brain tumor?

positive kernig sign

A newborn is admitted to the neonatal intensive care unit with a myelomeningocele located at the fourth lumbar vertebra (L4). Which is the priority nursing intervention while the infant is awaiting surgery?

providing meticulous skin care

Dexamethasone has been prescribed for a client after a craniotomy for a brain tumor. Which physiological response is responsible for this medication's therapeutic effect?

reduced cerebral edema

The nurse teaches a client with multiple sclerosis methods to reduce fatigue. Which statement indicates an understanding of the education?

rest in an air conditioned room

A client is diagnosed with Parkinson disease and receives a prescription for levodopa therapy. Which mechanism of action would the nurse identify for this medication?

restores the dopamine levels in the brain

Which clinical manifestations indicate a client who sustained head and chest injuries from a motor vehicle accident, responded to medical treatments, and is ready for transfer to a critical care unit?

stabilize vital signs and complaints of pain

The nurse is caring for a client who has a traumatic brain injury with increased intracranial pressure. Which health care provider prescription would the nurse question?

teach isometric exercises

A client with myasthenia gravis asks the nurse, "What is going to happen to me and to my family?" Which information about the anticipated disease process would the nurse incorporate when responding to the client's question?

the disease is a chronic illness with exacerbations and remissions

Which clinical indicator would the nurse expect to identify when assessing a client who has a brain tumor in the occipital lobe?

visual hallucinations

Which response reported by an older adult client would the nurse identify as consistent with the diagnosis of macular degeneration?

" I can't see objects in the center of my vision field"

A client with migraine headaches is scheduled for an electroencephalogram (EEG). Which statement by the client indicates to the nurse that preprocedure teaching has been effective?

" I will need to avoid beverages with caffeine"

The nurse observes dorsiflexion of the big toe and fanning of other toes when the lateral side of a client's foot is stroked. Which finding would the nurse document?

"exhibits a positive Babinski sign"

A client diagnosed with a transient ischemic attack (TIA) related to hypertension is discharged with a prescription of hydrochlorothiazide. Which instruction would the nurse include when teaching about this medication?

"increase the intake of potassium rich foods"

Which instruction will the nurse give a client with migraine headaches who is starting triptan medication therapy?

"report any chest discomfort to the health care provider"

A health care provider prescribed a diagnostic workup for a client who may have myasthenia gravis. Which initial objective would the nurse establish with the client?

"the client will maintain present muscle strength"

The nurse is taking care of a client who has chronic back pain. Which nursing considerations would be made when determining the client's plan of care? Select all that apply. One, some, or all responses may be correct.

- ask the client about the acceptable level of pain - admin pain meds regularly around the clock

The nurse performed a neurological assessment on a client, which included the Glasgow Coma Scale (GCS). Which components does the GCS assessment tool include? Select all that apply. One, some, or all responses may be correct.

- best verbal response - best motor response - best eye opening response

Which actions will the nurse take to support cognitive ability in clients who have Alzheimer disease? Select all that apply. One, some, or all responses may be correct.

- encouraging caregivers to support safe independence - using calendars, clocks, and pictures to support memory - providing limited number of choices to support decision making

Which factors can trigger a client's migraine attacks? Select all that apply. One, some, or all responses may be correct.

- fatigue - sleep problems - hormonal fluctuations

Which clinical manifestations would the nurse expect to identify in a client experiencing spinal shock client immediately after sustaining a functional transection of the spinal cord at C7-C8? Select all that apply. One, some, or all responses may be correct.

- flaccid paralysis - lack of reflexes below the injury

For which clinical manifestations would the nurse assess the client diagnosed with Alzheimer disease? Select all that apply. One, some, or all responses may be correct.

- loss of recent memory - perceptual disturbances - Dif learning something new

Which information would the nurse include in the teaching plan for a client diagnosed with epilepsy?

Individuals taking phenytoin must floss their teeth regularly