Neuro_Sensory EAQ
Q: A nurse is teaching the client about cerumen when irrigating the ear. Which area will the nurse indicate to the client in the given image that is an example of cerumen?
A: 2
Q: Which muscle in the given figure turns the eye towards the nose?
A: 2
Q: Which type of brain tumor can originate from cells that form the myelin sheath around nerves?
A: Acoustic neuroma
Q; Which part of the client's brain is primarily associated with life support and basic functions of the body?
A: Brain stem
Q: Which part of the client's brain primarily regulates muscle functioning and coordinates movement?
A: Cerebellum
Q: Which structure lies inside and parallel to the sclera?
A: Choroid
Q: Which part of the brain contains the client's "central switchboard" of the central nervous system?
A: Diencephalon
Q: A client is suspected of having myasthenia gravis. What are the most significant initial nursing assessments that should be performed?
A: Effectiveness of respiratory exchange and ability to swallow
Q: The family members of a client with the diagnosis of cerebrovascular accident (CVA, also known as "brain attack") express concern that the client often becomes uncontrollably tearful during their visits. What should the nurse include in a response?
A: Emotional lability is associated with brain trauma
Q: What is the nurse assessing when checking the cardinal positions from the image?
A: Extraocular muscle function
Q: Which lobe of the cerebrum includes the client's Broca's speech center?
A: Frontal lobe
Q: Which beta-adrenergic blocker is prescribed to clients with glaucoma?
A: Betaxolol
Q: During a home visit, a nurse discovers that a child in the household has a disability and has been experiencing seizures. In addition, the child's parent is indifferent to the child's physical, emotional, or medical needs and seems to provoke seizure episodes by harsh verbal exchanges with the child. The nurse believes that an intervention by an appropriate community resource is indicated. Where should the nurse direct the referral?
A: Child Protective Services
Q: A college athlete sustained a complete transection of the spinal cord while practicing on a trampoline. The healthcare provider explains that return of function to the lower extremities is not likely to occur. Two weeks later, the client verbalizes the need to get out of the hospital to practice for an upcoming tournament. Which is the nurse's most appropriate conclusion about the client's statement?
A: Exhibiting denial
Q: A nurse is interviewing a client with a tentative diagnosis of Parkinson disease. What should the nurse expect the client to report about how the onset of symptoms occurred?
A: Gradually
Q: A nurse is evaluating the practice of a home health aide who is caring for a client who has paraplegia. Which behavior indicates understanding about the nursing team's responsibility in relation to pressure ulcers?
A: Inspecting the skin daily
Q: A client had a craniotomy for excision of a brain tumor. After surgery, the nurse monitors the client for increased intracranial pressure. Which clinical finding supports an increase in intracranial pressure?
A: Lowered level of consciousness
Q: A client is scheduled for a lumbar puncture. What nursing care should be implemented after the procedure?
A: Maintaining the client in the supine position for several hours
Q: Which condition is characterized with an involuntary and rapid twitching of the client's eyeball?
A: Nystagmus
Q: What nursing action is essential when a client experiences hemianopsia as the result of a left ischemic stroke?
A: Place objects within the visual field.
Q: The nurse uses which principles of body mechanics when caring for immobilized clients?
A: Placing the feet apart to increase the stability of the body
Q: A client has left hemiplegia because of a cerebrovascular accident (CVA, "brain attack"). What can the nurse do to contribute to the client's rehabilitation?
A: Position the client to prevent contractures
Q: A client has sensorineural hearing loss. Which finding in the client's history will alert the nurse to the most likely cause of the sensorineural hearing loss?
A: Prolonged exposure to noise
Q: A nurse enters the room of a client with myasthenia gravis and identifies that the client is experiencing increased dysphagia. What should the nurse do first?
A: Raise the head of the bed
Q: A client is admitted to the hospital with a diagnosis of acute Guillain-Barré syndrome. Which assessment is priority?
A: Respiratory exchange
Q: A recently hospitalized client with multiple sclerosis is concerned about generalized weakness and fluctuating physical status. What is the priority nursing intervention for this client?
A: Space activities throughout the day.
Q: The client is admitted to the emergency department after a fall from a roof. After determining that the client sustained a head injury, the nurse observes clear fluid coming from the client's left ear. What will the nurse do next?
A: Test the drainage from the client's ear with a glucose reagent strip
Q: A client is admitted to the hospital for observation after an accident. The client is oriented to person, place, and time, and vital signs are within normal ranges. When performing an assessment, the nurse observes a clear, watery drainage oozing from the client's ear. What should be the nurse's first action?
A: Test the fluid for glucose and apply a sterile dressing.
Q: What should the nurse infer from the given figure?
A: Used for self-administration of eye drops