CH 16 & 18 Neuro & Renal Quiz

A patient was admitted with acute kidney injury. Which urinalysis value reflects a decreased ability of the kidneys to concentrate urine? A No casts B pH of 5.0 C Specific gravity of 1.000 D Urine sodium of 140 mEq/24 hr

C Specific gravity of 1.000

The patient complains of a metallic taste and loss of appetite. The nurse is concerned that the patient has developed what problem? A Myoglobin B Glycosuria C Proteinuria D Uremia

D Uremia

Patient has been admitted who is severely malnourished. The patient's serum albumin is very low. Which finding would the nurse expect to see in this patient? A Peripheral edema B Extra heart sounds C Hypertension D Hyponatremia

A Peripheral edema

A patient was admitted with multiple trauma who has been volume resuscitated. The nurse suspects the patient is fluid overloaded. Which assessment findings would confirm the nurse's suspicion? A Presence of a third heart sound B Presence of orthostatic hypotension C Distended neck veins in the supine position D Venous filling of the hand veins greater than 5 seconds

A Presence of a third heart sound

The nurse knows that change in pupil size is a significant neurologic finding particularly in the patient with a head injury. How much of a size difference between the two pupils is still considered normal? A. 1 mm B 1.5 mm C 2.5 mm D 2 mm

A. 1 mm

The nurse is caring for a severely head injured comatose patient who is dying. The practitioner asks to be notified when the patient starts to exhibit signs of Cushing reflex. The nurse would call the practitioner when the patient starts to show which signs? A Headache, nuchal rigidity, and hyperthermia B Bradycardia, systolic hypertension, and widening pulse pressure C Bradycardia, aphasia, and visual field disturbances D Tachycardia, systolic hypotension, and tachypnea

B Bradycardia, systolic hypertension, and widening pulse pressure

A patient has been admitted with acute kidney injury. The nurse knows the most important consideration for evaluating the patient's fluid status is what parameter? A Intake and output B Daily weights C Hemoglobin and hematocrit levels D Urine and serum osmolality

B Daily weights

A patient was admitted with acute heart failure who has been receiving diuretic therapy. The nurse suspects the patient is hypovolemic. What auscultatory parameter would confirm the nurse's suspicion? A Third or fourth heart sound B Orthostatic hypotension C Vascular bruit D Hypertension

B Orthostatic hypotension

The nurse is caring for a patient with a head injury and observes a rhythmic increase and decrease in the rate and depth of respiration followed by brief periods of apnea. What should the nurse document under breathing pattern? A Central neurogenic hyperventilation B. Cheyne-Stokes respirations C Ataxic respirations D Apneustic breathing

B. Cheyne-Stokes respirations

A patient is admitted with acute kidney injury. The patient's weight upon admission was 176 lb and the next day it is 184 lb. What is the approximate amount of fluid retained with this weight gain? A 800 mL B 8000 mL C 3600 mL D 2200 mL

C 3600 mL

The nurse is starting a peripheral intravenous catheter in the right hand of an unconscious patient. During the procedure, the patient reaches over with his left hand and tries to remove the noxious stimuli. How would the nurse document this response? A Decorticate posturing B Decerebrate posturing C Localization D Withdrawal

C Localization

A patient has been on complete bed rest for 3 days. The practitioner has left orders to get the patient out of bed for meals. The patient complains of feeling dizzy and faint while sitting at the bedside. The nurse suspects that the patient is experiencing what problem? A Orthostatic hypertension B Electrolyte imbalance C Orthostatic hypotension D Hypervolemia

C Orthostatic hypotension

The nurse is caring for a patient with a closed head injury with a Glasgow Coma Scale (GCS) score of 6. What does this score indicate about the patient's neurologic status? A. Patient is a paraplegic. B. Patient is in vegetative state C. Patient is in a coma. D. Patient is able to obey commands.

C. Patient is in a coma.

The nurse is caring for a patient who has sustained a traumatic head injury. The practitioner has asked the nurse to test the patient's oculocephalic reflex. What must the nurse verify before performing the test? A Patient's ability to follow a verbal command B Patient's ability to swallow C Depth and rate of respiration D. Absence of cervical injury

D. Absence of cervical injury

The nurse is precepting a nursing student. The student asks about testing of extraocular eye movements. What should the nurse tell the student? A It tests the oculocephalic reflex. B It tests the ability of the eyes to accommodate to a closer moving object. C It tests the pupillary response to light. D. It tests function of the three cranial nerves.

D. It tests function of the three cranial nerves.