quiz 4 ch 38

A client is scheduled for an electroencephalogram (EEG). Which instruction does the nurse give the client before the test? "Do not take any sedatives 12 to 24 hours before the test." "Please do not have anything to eat or drink after midnight." "You may bring some music to listen to for distraction." "You will need to have someone to drive you home."

"Do not take any sedatives 12 to 24 hours before the test."

A diabetic client is scheduled to have a computed tomography-positron emission tomography scan to rule out a brain tumor. What health teaching would the nurse include? "You'll need to let you doctor know if you have seafood allergies." "Take your antidiabetic medications as usual before the test." "This test will only take about 20 to 30 minutes to complete." "You may drink liquids up until an hour before the test."

"Take your antidiabetic medications as usual before the test."

During a client's neurologic assessment, the nurse finds that the client who is arousable only with vigorous or painful stimulation How does the nurse document this client's level of consciousness? A. Stuporous B. Lethargic C. Comatose D. Alert

A

The nurse performs an initial neurologic assessment on an older client. Which assessment findings would the nurse expect to be the result of normal physiologic aging? Select all that apply. A. Decreased coordination B. Hearing loss C. Long term memory loss D. Recent memory loss E. Decreased balance control

ABDE

The nurse is caring for a client following a cerebral angiography. Which assessment finding will the nurse report immediately to the primary health care provider? A. Discomfort at the injection site B. Bleeding from the injection site C. Fatigue and weakness D. Mild headache

B

A client has just returned from having cerebral angiography. Which assessment finding would lead the nurse to act immediately? Bleeding Increased temperature Severe headache Urge to void

Bleeding

The nurse is preparing to conduct a focused neurologic assessment for a client who had a traumatic brain injury. Which assessment finding is the immediate concern of the nurse? A. Disorientation B. Numbness in both arms C. Decreased level of consciousness D. Report of headache

C

The nurse is caring for a client with impaired vision. The nurse knows the cranial nerve that controls visual acuity is which of the following? Cranial nerve II (optic) Cranial nerve III (oculomotor) Cranial nerve V (trigeminal) Cranial nerve VII (facial)

Cranial nerve II (optic)

The nurse is caring for a client who is scheduled to have a transcranial Doppler (TCD). What does this diagnostic test evaluate? Cerebral vasospasm Cerebrospinal fluid Evoked potentials Intracranial pressure

Cerebral vasospasm

The nurse is preparing a client for cerebral angiography. Which nursing actions areappropriate as part of care for the client? (Select all that apply.) Ask about the client's history of any and all allergies. Check for a history of acute or chronic kidney disease. Hold any drug that can interfere with kidney function. Provide adequate hydration before and after the diagnostic test. Communicate any reaction to iodinated contrast to the primary health care provider

Check for a history of acute or chronic kidney disease. Hold any drug that can interfere with kidney function. Provide adequate hydration before and after the diagnostic test. Communicate any reaction to iodinated contrast to the primary health care provider

The nurse has just received report on a group of clients on the neurosurgical unit. Which client is the nurse's first priority? Client whose deep tendon reflexes have become hyperactive. Client who displays plantar flexion when the bottom of the foot is stroked. Client who consistently demonstrates decortication when stimulated. Client whose Glasgow Coma Scale (GCS) has changed from 15 to 13.

Client whose Glasgow Coma Scale (GCS) has changed from 15 to 13.

The nurse is teaching a client about what to expect immediately after a cerebral angiographic examination. Which statement by the client indicates a need for further teaching? A. "I'll have a pressure dressing on my groin for a couple of hours." B. "I'll have to keep my leg straight for a while after the procedure." C. "The nurses will check circulation in my injected leg frequently." D. "I can use heat on my groin to decrease any discomfort."

D

ID: 22244723748 The nurse is performing a neurologic assessment on an 81-year-old client. Which physiologic change does the nurse expect to find because of the client's age? Decreased coordination Increased sleeping during the night Increased touch sensation Nightly confusion

Decreased coordination

The nurse is performing a neurologic assessment for a client and suspects damage to the client's brainstem. Which assessment findings are consistent with brainstem involvement? (Select all that apply.) Dysrhythmias Dysphagia Irregular respiratory pattern Aphasia Pupil constriction

Dysrhythmias Dysphagia Irregular respiratory pattern Pupil constriction

The nurse is assessing a client for cerebellar function. Which assessments will the nurse perform? Muscle strength Gait pattern Sensation Coordination Speech and language

Gait pattern Coordination

The nurse is performing a rapid neurologic assessment on a trauma client. Which assessment findings are considered normal? (Select all that apply.) Decerebrate posturing Glasgow Coma Score (GCS) 15 Lethargy Minimal response to stimulation Pupil constriction to light

Glasgow Coma Score (GCS) 15 Pupil constriction to light

The nurse is assessing a client who is drowsy but easily awakened. What level of consciousness (LOC) would the nurse document for this client? Alert Lethargic Stuporous Comatose

Lethargic

The nurse is caring for a client who had a lumbar puncture. What priority action would the nurse perform to ensure client safety? Observe the needle insertion site for cerebrospinal fluid (CSF) leakage or infection. Take vital signs every hour after the procedure until the client is stable. Give an analgesic for client report of a headache if it is moderate or severe. Monitor for increased intracranial pressure, such as decreased level of consciousness (LOC).

Monitor for increased intracranial pressure, such as decreased level of consciousness (LOC).

Which information is most important for the nurse to communicate to the primary health care provider about a client who is scheduled for CT angiography? Allergy to penicillin History of bacterial meningitis Poor skin turgor and dry mucous membranes The client's dose of metformin (Glucophage) held today

Poor skin turgor and dry mucous membranes

The nurse is assessing a military veteran who reports frequent headaches. For which neurologic health problem is the client most at risk? Bell palsy Stroke Brain cancer Traumatic brain injury

Traumatic brain injury

The nurse is assessing a client with a neurologic condition who is reporting difficulty chewing when eating. The nurse suspects that which cranial nerve has been affected? Abducens (CN VI) Facial (CN VII) Trigeminal (CN V) Trochlear (CN IV

Trigeminal (CN V)

Which client diagnosed with neurologic injury is typically at highest risk for depression? Older man with a mild stroke Older woman with a seizure Young man with a spinal cord injury Young woman with a minor closed head injury

Young man with a spinal cord injury