Neurosensory

A nurse in the emergency department is caring for a group of clients who all have an odor of alcohol on their breath and multiple injuries to the head and extremities. Which of the following clients should the nurse assess first?

A clien who is difficult to arouse and is unable to respond to questions.

A nurse is teaching a client who has a new diagnosis of primary open-angle glaucoma (POAG). Which of the following pieces of information should the nurse include in the teaching? A. Lost vision can improve w eye drops. B. Administer eye drops as needed for vision loss. C. Glasses will be necessary to correct the accompanying presbyopia. D. Driving can be danerous d/t the loss of peripheral vision. E. Laser surgery can help reestablish in the flow of aqueous humor.

D. Driving can be danerous d/t the loss of peripheral vision. E. Laser surgery can help reestablish in the flow of aqueous humor.

A nurse is providing teaching about degenerative complications to the partner of a client who has a new diagnosis of Parkinson's disease. Which of the following manifestations is the priority?

Dysphagia

A nurse is caring for a client who has dementia and is experiencing anciety. Which of the following actions should the nurse take?

Redirect the client to a different activity w a small group of people.

A nurse is providing teaching to a client who has a new diagnosis of multiple sclerosis. The client asks the nurse about the usual cause of MS. Which of the following responses should the nurse make?

"Acute episodes are usually followed by remissions, which can vary in duration."

A nurse is planning care for a client following a stroke. Which of the following interventions shouldl the nurse identify as the priority in the client's plan of care?

Monitor the client for increased intracranial pressure (ICP)

A nurse is caring for a client who is experiencing a traumatic brain injury. Which of the following findings indicates the client is experiencing increased intracranial pressure?

Dilated pupils

A nurse is caring for a client who had a cerebrovascular accident. The client appears alert and engaged during a visit but does not respond verbally to questions. The nurse should document this as which of the following alterations?

Expressive aphasia

A nurse is teaching a class of new patients about otitis media. Which of the following manifestations should the nurse include in the teaching?

Feeling of fullness in the ear.

A nurse in the emergency department has assessed a client's airway, breathing, and circulation (ABC) following a head injurt from a fall at work. Which of the following actions is the priority for the nurse to perform next?

Immobilize the client's cervical spine.

A nurse is assessing a client who has a new diagnosis of mastoiditis. Which of the following manifestations should the nurse expect?

Swelling behind the affected ear.