Patho Ch 16 NCLEX
A nurse in the emergency room is assessing a client who appears very drowsy but is able to follow simple commands and respond to painful stimuli appropriately. Which documentation is most accurate regarding this client's level of consciousness?
Obtundation
A child has developed a benign brain tumor in the cerebellum and the floor of the third ventricle. The proper documentation for this type of tumor includes which terminology?
Pilocytic astrocytomas
Which symptoms would support the diagnosis of a stroke involving the posterior cerebral artery? Select all that apply.
Repeating of verbal responses, loss of central vision
The emergency department nurse is caring for a client who fell and has a head injury. Which assessment would be noted during the early stage of increased intracranial pressure?
Stable vital signs
11The family of a male client documented to be in a vegetative state excitedly reports to the nurse that the client has just opened his eyes for the first time. The best response by the nurse is:
"I will come and assess the client."
According to the Glasgow Coma Scale, opening one's eyes to only painful stimuli would receive which score
2
Which individual has the highest chance of having a primary central nervous system lymphoma?
A 24-year-old man with acquired immunodeficiency syndrome (AIDS) and behavioral and cognitive changes
A client who is diagnosed with seizures describes feeling a strange sensation before losing consciousness. The family members report that the client has been smacking his lips prior to having a seizure. Which type of seizure disorder presents with these symptoms?
Complex partial or focal seizure with impairment of consciousness
The health care provider is concerned that a client may be at risk for problems with cerebral blood flow. The most important data to assess would be:
Decreased level of oxygen
The CT scan report identified that a client with a skull fracture has developed a hematoma that resulted from a torn artery. The report would be interpreted as:
Epidural hematoma
The emergency room doctor suspects a client may have bacterial meningitis. The most important diagnostic test to perform would be:
Lumbar puncture
The nurse would consider which factors when providing education regarding modifiable risk factors for stroke? Select all that apply.
Monitoring diabetes mellitus, Avoiding excessive alcohol use, Controlling blood pressure, Selecting low fat foods
A client's recent computed tomography (CT) scan has revealed the presence of hydrocephalus. Which treatment measure is most likely to resolve this health problem?
Placement of a shunt
The nurse is explaining to a client's family how vasogenic brain edema occurs. The most appropriate information for the nurse to provide would be:
The blood-brain barrier is disrupted, allowing fluid to escape into the extracellular fluid.
A client who is being seen in the outpatient clinic reports a single episode of unilateral arm and leg weakness and blurred vision that lasted approximately 45 minutes. The client is most likely experiencing:
Transient ischemic attack (TIA)
A client has started having uncontrolled seizures that are not responding to usual medications. Nurses working with the client must pay special attention to which priority aspects of this client's care? Assessment of:
Respiratory status and oxygen saturation
Which medication would be recommended for myoclonic seizures?
Valproic acid
Generalized convulsive status epilepticus is a medical emergency caused by a tonic-clonic seizure that does not spontaneously end, or recurs in succession without recovery. What is the first-line drug of choice to treat status epilepticus?
Intravenous lorazepam
A client is brought to the emergency department and is diagnosed with an ischemic stroke confirmed by CT scan. The most important treatment for this client would be to:
administer IV tissue plasminogen activator (tPA).