Nero

The nurse is caring for a patient diagnosed with bacterial meningitis. Which medications should the nurse expect to be prescribed for this patient? (Select all that apply.)

Analgesics Antibiotics Antipyretics Anti-inflammatories

Carbidopa-levodopa (Sinamet) is prescribed for a client with Parkinson's disease, and the nurse monitors the client for adverse reactions to the medication. Which symptom would indicate that the client is experiencing an adverse reaction?

Impaired voluntary movements

What is a condition where myelin sheaths are progressively destroyed and nerve fibers are damaged?

Multiple sclerosis

Several hours following a head injury, the client's score on the Glasgow Coma Scale changes from 13 to 8. The nurse responds appropriately by:

Notifying the Physician

What is Huntington's disease characterized by?

Progressive intellectual decline

A client is in the end stages of amyotrophic lateral sclerosis (ALS). The nurse should be certain the family knows how to identify and manage which manifestation of disease progression?

Respiratory failure

A client has just been diagnosed with Parkinson's disease. The nurse is teaching the client and his family about dietary practices related to Parkinson's disease. What risk is a priority for the nurse to address?

Dysphagia

When assessing a client admitted with a brain tumor, the nurse observes for signs and symptoms of what complication?

Increased intracranial pressure (IICP)

The nursing student is caring for a client with a left-sided Cerebral Vascular Accident (CVA) who is experiencing aphasia. The student anticipates this client will have difficulty with which action?

Communication

Abnormal extension posturing term.

Decerebrate

A nurse is assisting with caring for a client after a craniotomy. The nurse plans to position the client in what position?

Semi-Fowler's position

A nurse is caring for the client who has suffered a spinal cord injury. The nurse further monitors the client for signs of autonomic dysreflexia and suspects this complication if which of the following is noted?

Severe, throbbing headache

A client is being discharged following treatment for seizures related to epilepsy. His discharge medication includes phenytoin (Dilantin). What is the classification of this medication?

Anticonvulsant

Which statement by the nurse, to a 24-year-old client with Guillain-Barre Syndrome, would be appropriate?

The disease is an acute inflammatory process with most clients regaining complete function

After a lumbar puncture, orders include: "to keep patient in a supine position for six hours". What is the purpose of this position?

To prevent a headache

Which of the following blood pressure changes alerts the nurse to increasing ICP, and should be reported immediately?

Widening pulse pressure

When caring for a patient who has just undergone a lumbar puncture, which of the following nursing actions takes the highest priority?

Have the patient lie flat for 6-8 hours

A nurse is caring for a client with increased intracranial pressure (ICP). The nurse would monitor for which trend in vital signs that would occur if ICP is rising?

Increasing temperature, decreasing pulse, decreasing respirations, increasing BP

A blow to the head may result in brain injury called Coup-Countercoup. What does this terminology mean?

Injury on both sides of the brain

What symptoms are associated with multiple sclerosis? (Select all that apply.)

Periods of remission and exacerbations Blurred, double vision Depression

What term is used to describe the fibrous connective tissue that covers the brain closely and extends into every fold of the brain's surface?

Pia Mater

What is a sign indicating brain stem involvement and deteriorating level of consciousness?

Decerebrate posturing

A nurse is monitoring a client with a head injury and notes that the client is assuming this posture. The nurse notifies the registered nurse immediately to report that the client is exhibiting what manifestation?

Decorticate Posturing

Symptoms of Parkinson's disease result from a deficiency of which neurotransmitter?

Dopamine

The nurse is caring for a client on the neurologic unit who is in status epilepticus. What medication may be given to halt the seizure immediately?

Intravenous diazepam (Valium)

The nurse is assigned to care for a client with early stage of Alzheimer's disease. Which nursing interventions should be included in the client's plan of care? Select all that apply.

Place familiar objects in client's environment Assist the client with activities of daily living (ADLs) as necessary Assign tasks in simple steps

The nurse is caring for a client with a brain tumor. What medication would the nurse expect to be prescribed to reduce the edema (caused by fluid) surrounding the tumor?

mannitol (Osmitrol)

A client with a history of epilepsy is admitted to the medical-surgical unit. While assisting the client from the bathroom, the nurse observes the start of a tonic-clonic seizure. Which nursing interventions are appropriate for the client at this time to promote safety? Select all that apply.

Assist the client to the floor Turn the client's head to the side Place a pillow under the client's head

Identify the structure in the diagram that speeds impulses away from the cell body.

Axon

A client diagnosed with a transient ischemia attack (TIA) is scheduled for a carotid endarterectomy. What is the purpose of this procedure?

Decrease the risk for a stroke by removing atherosclerotic plaques blocking cerebral flow

The nurse is caring for a patient brought to the emergency department after an automobile accident. The patient is fully conscious. For what early signs of increased intracranial pressure (ICP) should the nurse be alert?

Decreased level of consciousness

A client is diagnosed with a stroke five days following mitral valve replacement. What is the most probable cause of his condition?

Embolism

A nurse is assisting in caring for a client with a brain lesion. The nurse monitors which of the following as the critical index of central nervous system (CNS) dysfunction?

Level of consciousness

What is the most important indicator of neurological status?

Level of consciousness

A nurse is caring for a client diagnosed with a hemorrhagic stroke. What goal is a priority for this client?

Maintain and improve cerebral tissue perfusion

When caring for an unconscious client what nursing intervention takes highest priority?

Maintaining a patent airway

Mannitol (Osmitrol) is administered to a client who is experiencing problems with increased intracranial pressure (ICP). What nursing measure is appropriate when this medication has been administered?

Measure intake and output