Neuro EQ

which intervention will the nurse include in a care plan for a client with dementia who wanders? select all that apply

1. assess and treat pain 2. avoid loud music, television, and glaring lights 3. have family members monitor client activity when possible

which term would the nurse use to describe a noticeable difference in the pupil sizes

anisorcia

which information would the nurse include in the teaching plan when back brace is prescribed for a client who had a laminectomy

apply the brace before getting out of bed

which is the priority risk associated with dysphagia for a client who has myasthenia gravis

aspiration

which sense is likely to eb lost by a client who has osteogenesis imperfecta

auditory acuity

which phase of a severe unilateral throbbing headache with nausea and intolerance to light and sound involves double vision

aura phase

which instruction would the nurse provide when assisting a client with parkinson disease to ambulate

avoid leaning forward

which beta adrenergic is prescribed to client with glaucoma

betaxolol

assessing progress of pt being tx for myasthenia gravis

fluctuating weakness of muscles innervated by cranial nerves

which lobe of the cerebrum includes the broca speech center

frontal

which test would the nurse expect to be prescribed for a client who is suspected to have an intracranial aneurysm

magnetic resonance angiography

which imaging technique is specific for alzheimer disease

magnetic resonance spectroscopy (MRS)

which action would the nurse implement to prevent the development of plantar flexion when providing care for a client who sustained a CVA 2 days ago

maintain the feet at right angles to the legs

which nursing intervention is anticipated for a client who has gullain barre syndrome

maintaining ventilator settings to support respiration

which information would the nurse include in the response to a client with a diagnosis of polyarteritis nodosa who asks for information about this disorder

the disorder entails hypersensitivity, and the exact cause is unknown

which structure is the middle layer of the eye

uveal tract

which condition results in visual distortion

astigmatism

which medication would the nurse expect will be prescribed by the primary health care provider to manage a clients diagnosis fo trachoma

azithromycin

which part of the brain contains the "central switchboard" of the CNS

diencephalon

which task will be difficult for a client admitted to the hospital with the diagnosis of a right sided cerebrovascular accident who is right handed?

dressing every morning

which clinical indicator would the nurse expect to identify when assessing a client with tic douloureaux? select all that apply

excruciating facial pain twitching of the mouth

in which position would the nurse place a client with a spinal cord injury experiencing autonomic dysreflexia

high fowler

which cranial nerve emerges from the clients medulla

hypoglossal

which finding is a clinical manifestation of a cluster headache

ipsilateral tearing of the eye

which intervention is the appropriate initial nursing action when a client reports urinary urgency and frequency during an exacerbation of multiple sclerosis?

palpate the suprapubic area of the abdomen

myasthenia gravis with diplopia, ptosis and mild dysphagia

take prescribed anticholinergic meds on schedule

which area of the cerebral lobe is linked to wernickes area of speech

temporal lobe

which cerebral lobe includes the speech area that allows the client to process words into coherent thoughts

temporal lobe

which short term goal would a nurse develop when planning care for a client 1 week after the client experienced a spinal cord injury at the T3 level

the client will carry out personal hygiene activities

which instruction would the nurse include when teaching a client with multiple sclerosis about managing urinary retention? select all that apply

using the crede maneuver monitoring for and reporting signs of urinary tract infection

which medication would most likely cause the clients eyelids to itch and eye to burn as a side effects

vidarabine

which test helps a primary health care provider distinguish between conductive and sensorineural hearing loss

weber test

which phrase describes the function of the limbic system

influence emotional behavior

which goal would the nurse include in the plan of care for a client who manifests right sided hemianopsia as a result of a crebrovascular accident

instruct the client to scan surroundings

which clinical finding in a child with a diagnosis of meningitis indicates an increase in intracranial pressure? elect all that apply

irritability bradycardia

which statement would a nurse make about trigeminal autonomic cephalgia (cluster headaches)

it is caused by an overactive hypothalamus

which eye muscle is controlled by cranial nerve VI

lateral rectus

which structure helps bend light rays and allows them to fall onto the retina

lens

which disability would the nurse anticipate when the magnetic resonance image of a client who sustained brain trauma reveals injury to the occipital lobe

loss of visual capability

which structure is a component of the auditory ossicles

malleus

which medication would the nurse anticipate will be prescribed by the primary health care provider for a client who has narcolepsy and reports, "i often feel drowsy and fall asleep at inappropriate times"

modafinil

which statement made by the nursing student about cluster headaches indicates a need for further teaching?

pulsating pain is the characteristic type of pain that occurs in cluster headaches

left side stroke

slow performance and caution impaired speech/language aphasias awareness of deficits with depression and anxiety

which position would the nurse select for an infant with hydrocephalus

supine, with the head elevated about 45 degrees

which initial objective would the nurse establish with the client when a health care provider prescribes a diagnostic workup for a client who may have myasthenia gravis

the client will maintain present muscle strength

which rationale would the nurse use to support a client reestablishing a regular pattern of defecation

the gastrocolic reflex initiates intestinal peristalsis

which response would explain the function of a tilt table to clients immobilized in a body cast or traction for an extended time?

the therapy assists in preventing loss of calcium from long bones

which information would the nurse expect the client who has multiple sclerosis with hand tremors to report?

the tremors increase when i perform an activity

which rationale explains why fluid intake would be increased for a client who has quadraperesis from a spinal cord injury

to prevent urinary tract infection

which intervention and rationale would the nurse lan for a client admitted to the hospital with a right sided cerebrovascular accident

use a hand roll and support the left arm on a pillow to prevent contractures

which statement by the client about ear irrigation for cerumen removal at home indicates need for further instruction

1. i should fill the syringe with hot water 2. i should use cotton to remove any extra water in my ear

which clinical indicator would the nurse monitor for when a client develops the syndrome of inappropriate antidiuretic hormone (SIADH) after a craniotomy to remove a brain tumor? select all that apply

1. increased weight 2. decreased serum sodium 3. decreased level of consciousness

which sleep disorder is an example of a dyssomnia? select all that apply

1. insomnia 2. restless leg syndrome 3. obstructive sleep apnea

which intervention will the nurse include in a care plan for a client with alzheimer disease? select all that apply

1. limit choices 2. toilet every 2 hours 3. encourage participation in self care

which order would the nurse prioritize teenager bells palsy

1. low self esteem 2. difficulty communicating 3. risk for malnutrition 4. risk for dental caries 5. chance of falls

which finding would the nurse expect when assessing a client who is in an early stage of multiple sclerosis? select all that apply

1. nystagmus 2. scanning speech 3. intention tremors

which action would be considered in the collaborative plan of care for a client with increased lens density? select all that apply

1. performing phacoemulsificaion 2. monitoring the clients blood glucose levels 3. assessing if the client is on anti platelet meds

for which reason would a lumbar puncture be performed on a client? select all that apply

1. reading csf pressure 2. injecting contrast medium for diagnostic study

which factor in a clients health history increases the risk of hearing loss? select all that apply

1. diabetes 2. noisy environment 3. ear infections 4. loud music

which activity would the nurse recommend to a client who asks for advice about insomnia? select all that apply

1. follow the same bedtime ritual each night 2. perform deep breathing exercises

Which instruction would the nurse provide for a cervical spine injury client with a halo in place? select all that apply

1. attach the vest wrench to the jacket for emergency access 2. observe the pin sites and report purulent drainage to your doctor 3. check to make sure one finger fits between the device and your skin

which activity would the nurse inform the client awaiting surgery for a ruptured lumbar nucleus pulpous will likely increase the pain? select all that apply

1. coughing repeatedly 2. bearing down for a bowel movement

an older adult client presents with tremors, muscle rigidity, bradykinesea, and postural instability. in which order do the pathophysiological events involved in this condition occur?

1. degeneration of substantial nigra 2. decreased dopamine production 3. decreased ability to refine voluntary movements 4. imbalance between excitatory and inhibitory neuronal activity

which definition would a nurse use to describe photophobia

persistent abnormal intolerance to light

which principles of body mechanics would the nurse use when providing care for an immobilized client

placing the feet apart to increase the stability of the body

which procedure would the nurse expect as a treatment option for a client newly diagnosed with gillian barre syndrome

plasmapheresis

which response to a tension test would confirm the diagnosis of myasthenia gravis

rapid but brief symptomatic improvement

which nursing intervention would the nurse implement to promote sleep for a client in a health care setting? select all that apply

reduce lighting provide activities during the day

right sided hemiplegia and expressive aphasia

speaking preferences aloud

which action elicits the brachioradialis reflex?

striking the radius 3 to 5 cm above the wrist

which information would the reuse include in postoperative teaching for a client who had cataract surgery? Select all that apply

1. do not blow your nose 2. avoid bending from the waist

which clinical indicator would the nurse expect to identify when assessing a client who has trigeminal neuralgia? select all that apply

1. exhaustion and fatigue 2. inadequate nutritional intake

cerebral angiography

1. maintain pressure dressing for 2 hrs 2. obtain vs and complete neuron checks 3. check dressing for bleeding and swelling

which muscle helps in moving the eye diagonally downward toward the middle of the head? select all that apply

1. medial rectus muscle 2. inferior rectus muscle

which other symptom may be manifested by a client reporting a severe, sharp, stabbing headache and internees pain in and around the eye that lasts for up to 1 hour with similar episodes of headaches previously that lasted for 10 weeks? select all that apply

1. rhinorrhea 2. lacrimation 3. pupillary constriction

which information would the nurse include when counseling a client with amyotrophic lateral sclerosis? select all that apply

1. space planned activities throughout the day 2. anticipate the use of alternative ways to communicate

which test would the nurse use to assess a clients cortical sensory function? select all that apply

1. stereognosis 2. graphesthesia 3. two point discrimination

which clinical finding is consistent with an increase in intracranial pressure

lowered level of consciousness

which condition may cause a foreign body sensation in the eye

superficial corneal erosion

which food selection by a client with meunière disease provides evidence that the nurses teaching was effective

macaroni

which medication is specifically used to treat a client reporting severe right sided headache with runny nose, droopy eyelids, tearing fo the eye on the right side, and facial sweating? select all that apply

oral glucosamine lithium

which condition would the nurse suspect while interacting with a client who reported visual changes and is frequently exposed to the sun select all that apply

cataracts pterygium pinguecula

which part of the brain primarily regulates muscle functioning and coordinates movement

cerebellum

which structure lies inside and parallel to the sclera

choroid

which type of response to sensory deprivation is being exhibited when a client newly admitted to a long term care facility has a decreased attention span sand cannot concentrate

cognitive

which intervention is useful in promoting comfort for the client experiencing a headache

cold therapy

future treatment and precautions when teaching glaucoma

continuation of therapy for life

which action would the nurse test when assessing a clients eyes to ensure formation of a single image of close objects

convergence

which clinical manifestation would the nurse expect for a client who has myasthenia gravis

blurred vision with episodes of vertigo

cushing triad

bradycardia irregular respirations systolic hypertension widening pulse pressure e

which part of the brain is primarily associated with life support and basic functions of the body

brainstem

which position would the nurse place a client in during the immediate period after injury to the frontal lobe of the brain

low fowler

which type of nerve helps the clients pupil constrict

parasympathetic motor

which lobe of the brain would the nurse conclude is affected in a client unable to differentiate between heat or cold and sharp or dull sensory stimulation after a cerebrovascular accident (CVA)?

parietal

which eye movement is controlled by the superior oblique muscle?

pulls eye downward

which clinical indicator is commonly present in the assessment of a client with a rupture cerebral aneurysm

sudden severe headache

which test is used to diagnose diseases of the vestibular system

caloric reflex test

which physiological process can be corrected with a prescribed convex lens

convergence of images behind the retina

which action would the nurse identify as likely to increase the pain of a client awaiting surgery for a herniated lumbar nucleus pulposus

coughing excessively

which outcome would the nurse reinforce as the surgical goal in a client who is scheduled for surgery for a detached retina after the health care provider explains the procedure

create a scar that aids in healing retinal holes

which finding would the nurse document after observing dorsiflexion of the big toe and fanning of other toes when the lateral side of a clients foot is stroked

exhibits a positive babinski sign

which nursing intervention would the nurse implement for a client newly diagnosed with myasthenia gravis who voiced concerns about fluctuations in physical condition and generalized weakness

preplan the spacing of activities throughout the day

which goal is the nurse trying to achieve by reinforcing to the client that it is important to seek treatment for primary open angle glaucoma

prevent blindness

which visual system assessment technique provides a magnified view of the retina and optic nerve head

ophthalmoscopy

which medication used in the treatment of clients with glaucoma is a prostaglandin agonist

bimatoprost

which type of vision problem would the nurse document when a client describes being able to see near objects clearly, but objects in the distance are blurry?

myopia

which cranial nerve would the nurse suspect is affected when a client reports buzzing in the ear for the past 5 days and a decreased ability to hear sounds while receiving long term amino glycoside therapy

CN VIII

which radiologic study is used to obtain three dimensional brain images

CT

which type of surgery involves opening the skull with a drill

burr hole

which intervention would the nurse incorporate into the plan of care for the older adult experiencing chronic pain

exercise

which statement made by a client with glaucoma who is receiving a carbonic anhydrase inhibitor will require the nurse to notify the primary health care provider

i am allergic to sulfonamides

which statement by the client who has multiple sclerosis indicates a need for further teaching

i will take a hot bath to help relax my muscles

in which position would a nurse maintain a client who has experienced a subarachnoid hemorrhage

in bed with the head of the bed elevated

which clinical manifestation would the nurse expect the client who has a tumor of the cerebellum to exhibit

inability to coordinate movement