Neuro quiz

Explain the location of items using clock cues

A client has a sudden loss of vision after head trauma. How should the nurse best describe the placement of items on the dinner tray?

Gray and pearl shape

A 6 month old infant is brought to the ED by his parents for inconsolable crying and pulling at his right ear. When assessing this infant, the advanced practice is aware that the tympanic membrane should be what color in a healthy ear?

Insertion of a ventilaton tube

A child has been experiencing recurrent eqisodes of acute otitis media (AOM). The nurse should anticipate what intervention is likely to be ordered?

Arrange for the client to be assessed for smacular degeneration

A client has informed the home health nurse that she has recently noticed distortions when she looks at the amsier grid that she has mounted on her refrigerator. What is the nurses most appropriate action?

Follow the order, because this position will help keep the retinal repair intact.

A client has just returned to the surgical floor after undergoing a retinal detachment repair. The post-op oders specify that the cient should be kept in a prone position until otherwise ordered. What should the nurse do?

Surgical intervention

A client is exloring the treatment options after being diagnosed with age-related cataracts that affect her vision. What treatment is most likely to be used in this client's care?

No bending at the waist.

A home health nurse is teaching an older adult client who just had cataract surgery. Which of the following instructions should the nurse include?

The client should wear dark glasses while outdoors.

A nurse at an outpatient surgery center is providing discharge teaching to a client and his spouse following surgical removal of a cataract. Which of the following should the nurse include in the teaching?

Having a decreased ability to percieve colors.

A nurse in an opthalmology clinic is interviewing a client who was referred by his primary care providor for suspicion of cataracts. The nurse should expect the clinet to report?

Vertigo

A nurse is assessing a client who has an acoustic neuroma which of the following client manifestations should the nurse expect?

Perform a Romberg's test

A nurse is assessing a client who has ataxia, which of the following actions should the nurse take to evaluate the client's ability to safely ambulate?

Perforated tympanic membrane

A nurse is assessing a client who reports ear pain for the past 3 days that has suddenly resolved the client has a new onset of otorrhea, the nurse should recognize the client has manifestations of which of the following conditions?

"I need something for the pain in my eye. I cannot stand it"

A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client's providor?

"Please call for assistance when you wish to get out of bed."

A nurse is caring for a client who has Menieres disease. When asked by the client if he is allowed to ambulate independently, which of the following responses should the nurse make?

Place suction equipment at the client's bedside.

A nurse is caring for a client who has right-sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?

Notify the surgeon

A nurse is caring for a client who is postoperative following a left corneal transplant the nurse observes purulent drainage from the affected eye. Which of the following actions is the nurse's priority?

Occipital

A nurse is completing a neurological assessment and determines that the client has significant visual deficits. Considering the functions of the lobes of the brain, which area will most likely contain the neurologic deficit?

Position the client in the prone position

A nurse is developing a plan of care for a client who is post-op following a pneumatic retinopexy to repair a detached retina. Which of the following interventions should the nurse include in the plan?

"Restrict lifting objects greater than 10 pounds"

A nurse is providing discharge instructions for a client following cataract surgery with insertion of an intraocular lens. Which of the following instuctions shuld the nurse include?

-Without treatment glaucoma can lead to blindness. -eye medication will need to be administered for life

A nurse is providing education to a client who has glaucoma. Which of the following statements should the nurse include in the teaching?

"Vision will be greatly improved on the day of surgery."

A nurse is providing post-op teaching to a client who is scheduled for cataract surgey. Which of the following information should the nurse include?

Avoid lifting anything heavier than 4.5 kg for 1 week.

A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include?

Restrict head movement

A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following preoperative instructions should the nurse include?

Plan to teach about drugs for glaucoma

A patient's intraocular pressure is 28 mm Hg; what action by the nurse is best?

Disturbed body image

A patient's ocular tumor has necessitated enucleation and the patient will be fitted with a prothesis. The nurse should address what nursing diagnosis when planning the patient's discharge education?

1.4

Dosage quesion

Pain on manipulation of the auricle

The clinic nurse is assessing a child who has been brought to the clinic with S/S that are suggestive of otitis externa with assessment finding is characteristic of the diagnosis?

5 minutes

The nurse is administering eye drops to a client with glaucoma. After instilling the client's first medication, how long should the nurse wait before instilling the client's second medication into the same eye?

-Pinpoint pupils -Absence of pupillary response -Unequal pupils

The nurse is assessing the client's pupils following a sport injury. Which of the assessment findings indicates a neurologic concern? Select all that apply.

The sound is heard better in the ear in which hearing is better.

The nurse is discussing the results of a client's diagnostic testing with the NP. What Weber Test result would indicate the presence of a sensorineural loss?

Cranial Nerve 8 (VIII)

The nurse is employeed in a neurologists office performing a history and assessment on a clinet experiencing hearing difficulty the nurse is most correct of gather equipment to assess the function of which cranial nerve?

Ask the patient to demonstrate the instillation of her medication

The nurse is providing discharge education to na adult clinet who will begin a regimen of ocular medications for the treatment of glaucoma. How can the nurse best determine if the client is able to self administer these medications safely and effectively?