Neuro Quiz Week 12

a nurse is caring for a client in a coma who has suffered a closed head injury what intervention should the nurse Implement to prevent increases an intracranial pressure ICP

Elevate the head of the bed 15 to 30 degrees

the nurse is scoring the clients level of Consciousness using the Glasgow Coma Scale which score would indicate to the nurse that the client is in a semi-comatose state

a score of 9

a client suffers a head injury the nurse implements and assessment plan to monitor for potential subdural hematoma development which manifestation does the nurse anticipate seeing first

altered in level of Consciousness LOC

as part of the start of shift nursing assessment the nurse is documenting a patient's neurological status according to the Glasgow Coma Scale what responses will the nurse assess to determine the patient's GCS score select all that apply

best eye opening best verbal response best motor response

the nurse has documented a patient diagnosed with a head injury as having a Glasgow Coma Scale score of 7 this score is generally interpreted as which of the following

coma

during recovery from a stroke a client is given Nothing by mouth to help prevent aspiration to determine when the client is ready for a liquid diet the nurse assesses the clients long ability once per shift this assessment evaluates

cranial nerves IX and X

a patient is being tested for gag reflex when the nurse places the tongue blade to the back of the throat there is no responsible I elicited what does function does the nurse determine the patient has

dysfunction of the vagus nerve

the nurses completed evaluating the cranial nerves of a patient the nurse documents impaired of the cranial IX and X nerves based on these findings the nurse will instruct the patient to complete which of the following

refrain from eating or drinking for now

which of the following types of hematoma result from venous bleeding with blood gradually accumulating in the space below the dura

subdural

a client has sustained a head injury to the occipital area he cannot identify a familiar object by looking at it the nurse knows that this deficit is which of the following

verbal agnosia