Chapter 78 Neuro Part 1

You were the nurse caring for a client with Guillain Barré syndrome. The client also has an ascending paralysis. Knowing the potential complications of the disorder, what should you keep always ready at the bedside?

Intubation tray and suction apparatus

A client, with a recent closed head injury, began experiencing partial seizures and asked the nurse to explain why this is happening. Which is the best response from the nurse?

It is not uncommon for seizure activity to occur after head trauma

The nurse monitors and 80 year old clients BUN and creatinine before and after PET. The day I used in the test increases the clients risk for what side effects?

Kidney damage

Following a motorcycle accident, a client is brought to the emergency department with multiple fractures. Which process meant finding would be most significant in determining the client has also suffered a closed head injury with rising intracranial pressure?

Lethargy

Which medication would be prescribed to reduce the tremors and rigidity of Parkinson's syndrome?

Levodopa

The family nurse practitioner is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity. Which method should help the nurse assess for neck rigidity correctly?

Moving the head and chin toward the chest

A client is receiving baclofen (lioresal) for management of symptoms associated with multiple sclerosis. The nurse evaluates the effectiveness of this medication by assessing which of the following?

Muscle spasms

The nurse is caring for a comatose client. The nurse knows she should assess the clients motor response. Which method may the nurse used to assess the motor response?

Observing the clients response to painful stimulus

A nurse is assisting with a cerebral arteriography for a client with a head injury. What is the nurse's role when assisting with this procedure?

Obtain a baseline neurologic assessment before the procedure

Which measures should the nurse implement when caring for a client in an active seizure?

Place a soft pad beneath the clients head

A client you were caring for experiences a seizure. What would be a priority nursing action?

Protect the client from injury

A client is prescribed Phenytoin daily for seizures. The nurse teaches the client about the importance of adhering to the dosage schedule based on the understanding that which of the following may occur if a single dose is missed?

Recurrence of seizures

Which LOC would be most correct for a nurse to document when calling a clients name causes the client to awaken temporarily, followed by drifting back to sleep?

Somnolent

A client diagnosed with Huntington's disease has developed severe depression. What would be most important for the nurse to assess for?

Suicidal ideation's

When selecting the equipment to place in the room of a client who has been diagnosed with Guillain Barré syndrome, which item is most essential to the nurses ability to facilitate the clients care?

Supplemental oxygen

The nurse is instructing a community class when a student asks, " how does someone get superstrength in an emergency?" The nurse is correct to instruct on the action of which system?

Sympathetic nervous system

The nurse is preparing a 25 year old male client for a resting EEG. What information will the nurse provide the client regarding preparation for this test?

Tell the client that he will be asked to watch a pattern on a TV monitor

The nurse is caring for a client newly diagnosed with multiple sclerosis. The client indicates that there is so much to understand at one time. The client indicates understanding that there is a disruption in the covering of axons but does not remember what the covering is called. Which nursing action is correct?

Tell the client that the covering is called myelin and that you can discuss at the next meeting

A nurse is caring for a client with trigeminal neuralgia. What knowledge about the nature of the clients condition will guide the nurses care prior to surgery?

The pain may be triggered by the slightest touch of the trigger zone

A client falls to the floor in a generalized seizure with tonic clonic movements. Which is the first action taken by the nurse?

Turn client to side lying position

The nurse reviews the clients medical record for possible conditions that would contraindicate the use of carbidopa/levodopa. Which of the following with the nurse identify as a contraindication? Select all that apply.

Use of MAOI antidepressants

The client presents to the walk in clinic with fever, nuchal rigidity, and headache. Which of the following assessment findings would be most significant in the diagnosis of this client?

Vector bites

A 30-year-old was diagnosed with ALS. Which statement by the client would indicate a need for more teaching from the nurse?

"My children are at greater risk to develop this disease"

Which are manifestations of a myasthenic crisis? Select all that apply.

-ptosis -dysphasia -dysphagia -diplopia

The nurse is caring for a client with head trauma who has increased intracranial pressure. Which ICP is normal?

4 to 13 mm Hg

The nurse is providing genetic counseling to a young couple hoping to start a family. The husband has the Huntington's disease Jean and does not want to pass the disease on to his children. Which teaching point should the nurse include in a teaching plan for this couple?

A child with a parent who has HD has a 50-50 chance of inheriting the Gene

The nurse is caring for a client with ALS also known as Lou Gehrig's disease. Which is a characteristic of this disease?

ALS always progresses to respiratory dysfunction and death

What assessment data should the nurse document on a client both before and after a lumbar puncture?

Ability to move all extremities

The nurse is caring for a client hospitalized with a severe exacerbation of myasthenia gravis. When administering medications to this client, what is a priority nursing action?

Administer medication at exact intervals ordered

The school nurse notes a six-year-old running across the playground with his friends. The child stops in mid stride, freezing for a few seconds. Then the child resumed his progress across the playground. The school nurse suspects word in this child?

An absence seizure

What teaching should the nurse provide for a client diagnosed with myasthenia gravis?

Avoid exposure to temperature extremes and infections

Which intervention is most critical when monitoring the clients ICP?

Avoid moving the clients head up or down without a physicians order

The brain and spinal cord make up the ____________________ nervous system?

Central

The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern?

Cerebrospinal fluid is cloudy in nature

A client is receiving carbidopa/levodopa (sinemet). When assessing this client for possible adverse reactions, which of the following might the nurse note?

Choreiform movements

The critical care nurse is giving report on a client she is caring for. The nurse uses the Glasgow coma scale to assess the level of consciousness of a female client and reports to the oncoming nurse that the client has an LOC of 6. What does NLOC score of 6 in a client indicate?

Comatose

The nurse is employed in a neurologist office, performing a history and assessment on a client experiencing hearing difficulty. The nurse is most correct together equipment to assess the function of which cranial nerve?

Cranial nerve VIII

The nurse is completing an assessment on a client with myasthenia gravis. Which of the following historical recounting provides the most significant evidence regarding when the disorder began?

Drooping eyelids

Which diagnostic test is used to detect seizure activity in the brain?

Electroencephalography

Which neurologic condition is directly associated with lead poisoning?

Encephalitis

The nurse is caring for a client following an angiogram. Which nursing intervention is recommended for this client?

Encourage fluids, if not contraindicated

Which description accurately describes the physiology of the spinal cord?

The spinal cord is the communication system between the brain and body

Which topic is most important for the nurse to include in the teaching plan for a client newly diagnosed with Parkinson's disease?

Maintaining a safe environment

The nurse is caring for a client who is diagnosed with a brain abscess. If left untreated, what condition may develop as a result of a brain abscess?

Meningitis

Which neurons transmit impulses from the CNS?

Motor

Which of the following teaching points is a priority in the management of symptoms for a client with Bell's palsy?

Use ophthalmic lubricant and protect the eye

Which statement accurately describes a positive Brudzinski sign?

Evidence of pain or resistance when the client lies on the back and brings her head forward towards the chest

The nurse is caring for a hospitalized client with Guillain barré syndrome. Which is a nursing consideration for this client?

Excellent nursing care is necessary to prevent permanent damage

Immediately following a lumbar puncture, a client asks to ambulate to the restroom. Which nursing response is most appropriate?

Explain that the client was temporarily lie flat and use a bedpan

____________________ Is an inflammation of the meninges caused by various infectious microorganisms such as bacteria, viruses, fungi, or parasites.

Meningitis