Neuro

A nurse is caring for a client who is scheduled to have a MRI scan. The client askes the nurse what to expect during the procedure. Which of the following statements should the nurse make?

"An MRI scan is very noisy, and you will be allowed to wear earplugs while in the scanner."

A nurse is presenting discharge instructions to a client who has multiple sclerosis MS. The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?

"Implement a schedule to include periods"

A nurse is caring for a client who has aphasia following a stroke. A family member ask the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate?

"Incorporate nonverbal cues in the conversation."

A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instruction should the nurse include in the teaching?

"Move objects away from the client."

A nurse is teaching the family of a client who has Alzheimer's disease about donepezil. Which of the following information should the nurse include in the teaching?

"Syncope episodes may occur when taking this medication."

A nurse is providing discharge teaching to a female client who has neuropathy and a new prescription for gabapentin. Which of the following statements should the nurse include in the teaching?

"You may experience drowsiness while taking this medication."

A nurse is caring for a client who has an intracranial pressure ICP reading of 40 mmHg. Which of the following findings should the nurse identify as a late sign of ICP? Select all that apply.

Bradycardia, Nonreactive dilated pupils,

A nurse is assessing a client who has Parkinson's disease. Which of the following manifestation should the nurse expect?

Bradykinesia

A nurse who is off duty finds a woman who has collapsed and has right-sided weakness and slurred speech. Which of the following actions should the nurse take?

Call emergency services.

A nurse is modifying the diet have a client who has Parkinson's disease and it's prescribed Selegiline, an MAOI. Which of the following foods should the nurse eliminate?

Cheddar cheese

A nurse is caring for a client who has increased intracranial pressure. Which of the following intervention should the nurse take?

Elevate the head of the bed 20°.

A nurse is caring for a client who has sustained a traumatic brain injury. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?

Decreased level of consciousness

A nurse is caring for a client who has Parkinson's disease and is taking diphenhydramine 25 mg PO TID. Which of the following therapeutic outcomes should the nurse expect to see?

Decreased tremors

A nurse is teaching a client who is taking benztropine to treat Parkinson's disease. The nurse should instruct the client to report which of the following adverse effects?

Difficulty voiding

A nurse is implementing precautions for a client who has a cerebral aneurysm. Which of the following nursing intervention should the nurse implement?

Encourage exhaling through mouth during defecation.

A nurse is instructing a clients family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instruction should the nurse include?

Encourage the client to take small bites.

A nurse at a rehabilitation center is planning care for a client who has a left hemispheric cerebral accident CVA three weeks ago. Which of the following goals should the nurse include in the clients rehabilitation program?

Establish the ability to communicate effectively.

A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations and function should the nurse expect?

Inability to recognize his family members

A nurse is monitoring a client who has a cerebral aneurysm rupture. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure?

Irritability

A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take? Select all that apply.

Loosen restrictive clothing, place pillow under head

A nurse is planning care for a client who has a cerebral aneurysm. Which of the following actions should the nurse plan to take?

Maintain the client on absolute bed rest.

A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?

Manifestations preceded by a severe headache

A nurse is caring for a client who has an intracranial aneurysms and requires aneurysm precautions. Which of the following intervention should the nurse take?

Minimize environmental stimuli.

A nurse is shopping and finds a woman who has collapsed with right sided weakness and slurred speech. Which of the following actions should the nurse take?

Notify emergency management services.

A nurse working on a medical unit is caring for a client who is prescribe seizure precautions. Which of the following intervention should the nurse include in the client's plan of care?

Obtain IV access.

A nurse is assessing a client who has ataxia. Which of the following actions should the nurse take to evaluate the client's ability to safely ambulate?

Perform a Romberg's test.

A nurse enters a client's room and find him on the floor in the clinic phase of a tonic-clonic seizure. Which of the following actions should the nurse take?

Place a pillow under the client's head.

A nurse enters a clients room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?

Place the client on his side.

A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Which of the following intervention should the nurse include? Select all that apply.

Provide a suction setup at the bedside, Elevate the side rails near the head when the client is in bed, Place the bed in the lowest position, Keep an oxygen setup at the bedside.

A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should instruct the client to monitor which of the following complications?

Pulmonary embolism

A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?

Remind the client to look for food on the left side of the tray.

A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure ICP?

Restlessness

A nurse is caring for a client who has global aphasia. Which of the following actions should the nurse take?

Speak to the client about one idea at a time

A nurse is caring for a client who is unconscious following a cerebral hemorrhage. Which of the following nursing interventions is of highest priority?

Suction saliva from the client's mouth.

A nurse is assessing a client who has a score of six on the Glasgow coma scale. The nurse should expect which of the following outcomes based on the score?

The client needs total nursing care.

A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow coma scale score of 3 for eye opening, 5 for verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?

The client opens his eyes when spoken to.

A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?

Turn the client's head to the side.

A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident CVA. Which of the following parameters should the nurse he is first in order to assess the clients pain level?

a self-report pain rating scale