Neuro

Which cranial nerve is responsible for the ability to see?

(II) the optic nerve

A nurse assesses the client's level of consciousness using the Glasgow Coma Scale. What score indicates severe impairment of neurologic function?

3

The nurse is caring for a client hospitalized with a severe exacerbation of myasthenia gravis. When administering medications to this client, what is a priority nursing action?

Administer medications at exact intervals ordered.

The nurse is caring for a client immediately after supratentorial intracranial surgery. The nurse performs the appropriate action by placing the client in the

After surgery, the nurse should place the client in either a supine position with the head slightly elevated or a side-lying position on the unaffected side.

This term refers to the inability to recognize objects through a particular sensory system?

Agnosia

A client is ordered to undergo CT of the brain with IV contrast. Before the test, the nurse should complete which action first?

Assess the client for medication allergies.

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

Ataxia

A client is admitted to an acute care facility after an episode of status epilepticus. After the client is stabilized, which factor is most beneficial in determining the potential cause of the episode?

Compliance with the prescribed medication regimen

If a client has a lower motor neuron lesion, the nurse would expect to observe which manifestation upon physical assessment?

Decreased muscle tone

Following a generalized seizure in a client, which nursing assessment is a priority for detailing the event?

Duration of time and including tonic-clonic activity.

A client is being tested for a gag reflex. When the nurse places the tongue blade to the back of the throat, there is no response elicited. What dysfunction does the nurse determine the client has?

Dysfunction of the vagus nerve

What is the best way to assess cranial nerve XI, the accessory nerve?

Have the patient move their shoulders up and down.

Which cranial nerves "make the eyes do tricks?"

III, IV, VI; 3, 4, 6 (oculomotor, trochlear, abducens)

A client with epilepsy is having a seizure. What intervention should the nurse do after the seizure?

Keep the client on one side.

A patient has difficulty interpreting visual stimuli. Based on these findings, the nurse suspects injury to which lobe of the brain?

Occipital

Which cranial nerve is responsible for muscles that move the eye and lids?

Oculomotor

What part of the nervous system is responsible for digesting food and eliminating body waste?

Parasympathetic

A transsphenoidal adenohypophysectomy is performed to treat which type of cancer?

Pituitary carcinoma

Sympathetic nervous system effects to the body

Sympathetic effects of the nervous system include decreased peristalsis, increased blood pressure, dilated pupils, and dilated bronchioles.

Which nerve is often associated with trigeminal neuralgia?

Trigeminal nerve (V)

A patient is experiencing hearing difficulty. The nurse is most correct to gather equipment to assess the function of which cranial nerve?

VIII- the 8th cranial nerve is the Vestibulocochlear or auditory nerve responsible for hearing and balance.

Which cranial nerve affects heart rate and digestion?

Vagus nerve (X)

A client is exhibiting signs of increasing intracranial pressure (ICP). Which intravenous solution (IV) would the nurse anticipate hanging?

With increasing ICP, isotonic normal saline, lactated Ringer's, or hypertonic (3%) saline solutions are used to decrease swelling in the brain cells.

The initial sign of increasing intracranial pressure (ICP) includes

decreased level of consciousness.

A nurse is monitoring a client for increasing intracranial pressure (ICP). An early sign of increased ICP include:

diminished responsiveness.

Upper motor neuron lesions cause

little to no muscle atrophy; Upper motor neuron lesions cause little to no muscle atrophy but do cause loss of voluntary control

Romberg test

used to evaluate cerebellum function and balance; Ask client to stand with feet at comfortable distance apart, arms at sides, and eyes closed -expected finding: client should be able to stand with minimal swaying for at least 5 seconds