NEURO

A client exhibits blurred and double vision and muscular weakness, and diagnostic tests are prescribed. The client is informed that a diagnosis of multiple sclerosis (MS) has been made. The client becomes visibly upset. How should the nurse respond?

"That must have really shocked you. Tell me what the healthcare provider told you about it."

A 50-year-old male client has difficulty communicating because of expressive aphasia after a cerebrovascular accident (CVA, also known as a "brain attack"). When the nurse asks the client how he is feeling, his wife answers for him. How should the nurse address this behavior?

Acknowledge the wife but look at the client for a response.

Which beta-adrenergic blocker is prescribed to clients with glaucoma?

Betaxolol

Which cranial nerve damage may lead to a decrease in the client's olfactory acuity?

CN 1

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?

Emotional lability is associated with brain trauma.

A nurse may find that for optimum nutrition a client with a cerebrovascular accident (also known as "brain attack") needs assistance with eating. What should the nurse do?

Encourage the client to participate in the feeding process.

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?

Exhibiting denial

A client comes into the emergency department with neurologic deficits after falling off a ladder. Which client assessment will the nurse perform for the Glasgow Coma Scale?

Motor response to verbal commands

What are the reasons for performing a lumbar puncture on a client?

Reading cerebrospinal fluid pressure Injecting contrast medium for diagnostic study

After performing an otoscopic examination on a client who reports a decrease in hearing acuity, the primary healthcare provider diagnoses the condition as otitis media. Which assessment finding supports the diagnosis?

Redness of the eardrum

A nurse is monitoring a client who is having a computed tomography (CT) scan of the brain with contrast. Which response indicates that the client is having an untoward reaction to the contrast medium?

SOB

A client is diagnosed as having expressive aphasia. Which type of impairment does the nurse expect the client to exhibit?

Speaking or writing

Which health problem does the nurse identify from an older client's history that increases the client's risk factors for a cerebrovascular accident (CVA, also known as "brain attack")?

TIAs

A client asks for information about glaucoma. How should the nurse explain glaucoma to the client?

An increase in the pressure within the eyeball

Which anatomical area in the brain regulates a client's verbal expression?

Broca's area

Initially after a brain attack (stroke, cerebrovascular accident), a client's pupils are equal and reactive to light. Four hours later the nurse identifies that one pupil reacts more slowly than the other. The client's systolic blood pressure is beginning to increase. On which condition should the nurse be prepared to focus care?

ICP

A nurse finds a victim under the wreckage of a collapsed building. The individual is conscious, supine, breathing satisfactorily, and reports back pain and an inability to move the legs. Which action should the nurse take first?

Leave the individual lying on the back with instructions not to move, and seek additional help.

A client is scheduled for a lumbar puncture. What nursing care should be implemented after the procedure?

Maintaining the client in the supine position for several hours

Which refractive error condition is due to a decrease in elasticity of the client's lens?

Presbyopia

A client with myasthenia gravis experiences generalized weakness. What is most important when planning this client's nursing care?

Providing frequent rest periods

Which structure helps to bend light rays and allow them to fall onto the retina?

lens

Which type of brain tumor can originate from cells that form the myelin sheath around nerves?

Acoustic neuroma

A client is admitted to the emergency department with head and chest injuries sustained in a motor vehicle accident. What clinical findings indicate that the client is responding to medical intervention and is ready to be transferred from the emergency department to a critical care unit?

Stable vital signs and pain

Family members of a client who had a brain attack (cerebrovascular accident, CVA) ask why the client cries easily and without provocation. How does the nurse explain the client's behavior?

Has little control over this behavior

Which clinical indicator does the nurse expect to identify when assessing a client admitted with a herniated lumbar disk?

Pain radiating to the hip and leg

While setting up a client's food tray, the nurse identifies tremoring of the hand when it lies in the client's lap. The tremor disappears when the client reaches for silverware. What type of tremor should the nurse document in the client's medical record?

Resting tremor

During the neurologic assessment of a client with a tentative diagnosis of Guillain-Barré syndrome, what does the nurse expect the client to manifest?

increase muscle weakness