MS III Test One

Cranial Nerve X: Vagus

-Function: sensory/motor impulses for larynx and pharynx; parasympathetic motor fibers supply smooth muscles of abdominal organs; sensory impulses from viscera -Testing procedure: tested in conjunction with cranial nerve IX

A client is transferred to the intensive care unit after evacuation of a subdural hematoma. Which nursing intervention reduces the client's risk of increased intracranial pressure (ICP)?

Administering a stool softener as ordered

Cerebellum

Balance and coordination

What diseases may impair sensory perception?

DM and PVD

If a client has a lower motor neuron lesion, the nurse would expect to observe which manifestation upon physical assessment?

Decreased muscle tone

Injury at C3-C4

Diaphragm control compromised. May not breathe on their own.

A client in the emergency department has a suspected neurologic disorder. To assess gait, the nurse asks the client to take a few steps; with each step, the client's feet make a half circle. To document the client's gait, the nurse should use which term

Helicopod

Cranial Nerve Pneumonic

On Occasion Our Trusty Truck Acts Funny, Very Good Vehicle Anyhow

Which term refers to muscular hypertonicity in a weak muscle, with increased resistance to stretch?

Spasticity

A client with spinal trauma tells the nurse she cannot cough. What nursing intervention should the nurse perform when a client with spinal trauma may not be able to cough?

Suction the airway.

Cranial Nerve V: Trigeminal

chewing, smiling Bells Palsy

Cranial Nerve IV: Trochlear

eye movement

Cranial Nerve III: Oculomotor

eyelid elevation, pupil constriction and accommodation Assess PERRLA

Cranial Nerve VII: Facial

facial expression; taste - anterior 2/3 of tongue; eyelid and lip closure

Cranial Nerve IX: Glossopharyngeal

gagging; swallowing - sensory; taste Disorder results in aspiration d/t dysphasia

Cranial Nerve VIII Vestibulocochlear

hearing and balance

Cranial Nerve VI: Abducens

innervates the lateral rectus muscle (abducts eye)

Cranial Nerve XII: Hypoglossal

movement of tongue

A nurse is caring for a client with an injury to the central nervous system. When caring for a client with a spinal cord insult slowing transmission of the motor neurons, the nurse would anticipate a delayed reaction in:

response due to interrupted impulses from the central nervous system

Cranial Nerve I: Olfactory

sensory, smell

Cranial Nerve XI: Accessory

shoulder movement and head rotation

Cranial Nerve II: Optic

vision