CHAPTER 60 - ASSESSMENT OF NEUROLOGIC FUNCTION

To evaluate a client's cerebellar function, a nurse should ask:

"Do you have any problems with balance?"

Which of the following neurotransmitters are deficient in myasthenia gravis?

Acetylcholine

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

Ataxia

The nurse obtains a Snellen eye chart when assessing cranial nerve function. Which cranial nerve is the nurse testing when using the chart?

CN II

There are 12 pairs of cranial nerves. Only three are sensory. Select the cranial nerve that is affected with decreased visual fields.

CN II

A patient comes to the emergency department with severe pain in the face that was stimulated by brushing the teeth. What cranial nerve does the nurse understand can cause this type of pain?

CN V

The provider orders the Romberg test for a patient. The nurse tells the patient that the provider wants to evaluate his equilibrium by assessing which cranial nerve?

CN VIII

Which diagnostic test can monitor the status of the aneurysm?

Cerebral Angiography

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

If a client has a lower motor neuron lesion, the nurse would expect the client to exhibit _____________________

Decreased muscle tone

Which neurotransmitter inhibits pain transmission?

Enkephalin

A patient sustained a head injury during a fall and has changes in personality and affect. What part of the brain does the nurse recognize has been affected in this injury?

Frontal Lobe

Cranial nerve IX is also known as which of the following?

Glossopharyngeal

The sympathetic and parasympathetic nervous systems have a direct effect on the circulatory system. Stimulation of the parasympathetic nervous system (PNS) can cause what in the heart?

Heartrate to decrease

A client presents to the emergency department status post-seizure. The physician wants to know what the pressure is in the client's head. What test might be ordered on this client?

Lumbar Puncture

The pre-nursing class is learning about the nervous system in their anatomy class. What part of the nervous system would the students learn is responsible for digesting food and eliminating body waste?

Parasympathetic

The nurse is caring for a client who is to have a lumbar puncture. What are the lowest vertebrae that contain the spinal cord?

Second lumbar vertebrae

Which diagnostic test may be performed to evaluate blood flow within intracranial blood vessels?

Transcranial Doppler

Which area of the brain is responsible for temperature regulation?

hypothalamus

A patient is treated for a neurologic dysfunction affecting facial expressions. The affected cranial nerve originates in the:

pons

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 actively hallucinating during an assessment. The nurse would be correct in documenting the hallucination as a disturbance in

thought content

The nurse is performing a neurologic assessment on a client diagnosed with a stroke and cannot elicit a gag reflex. This deficit is related to which of the following cranial nerves?

CN X