Quiz Critical Neuro 401

a nurse is assessing a client with a brain tumor, which clinical findings indicate an increase in intracranial pressure

fever, stupor

when performing a neurologic assessment of a client, a nurse identifies that the client has a dilated right pupil , the nurse concludes that is suggests a problem with which cranial nerve

Third

a client experiences a traumatic brain injury , which finding identified by the nurse indicates damage to the upper motor neurons

babinski response

when caring for a client with a head injury that may have involved the medulla, the nurse bases assessments on the knowledge that the medulla control as variety of functions?

breathing pulse rate blood vessel diameter

what therapeutic effect does the nurse expect to identify when mannitol ( Osmitrol) is administered parenterally to a client with cerebral edema?

decreased intracranial pressure

what should the nurse assess for in the immediate post operative period after a client has brain injury

decreased level of consciousness

after surgical clipping of a cerebral aneurysm, the client develops the syndrome of inappropriate secretion of ADH , for which manifestation of excessive levels of ADH should the nurse assess

decreased urine output

the neurologic assessment of a client who had a craniotomy includes the glasgow coma scale,what does the nurse evaluate to assess the client score

degree of purposeful movement by the client appropriateness of the clients verbal responses stimulus necessary to cause the clients eyes to open

in which position should the nurse initially place a client who has experienced a brain attack

lateral

a client had a craniotomy for excision of a brain tumor after surgery , the nurse monitors the client for increased intracranial pressure which clinical finding supports an increase in intracranial pressure

lowered level of consciousness

several clients are admitted to er, with brain injuries, the nurse concludes that the patient with injury to what part will not survive

medulla

what action should the nurse take when caring for a client who has possible skull fracture as a result of trauma

monitor the client for signs of brain injury

when caring for a client who has sustained a head injury it is important that the nurse assess for which clinical indicator

slowing of the heart rate

which clinical indicator is the nurse most likely to identify when assessing a client with a ruptured cerebral aneurysm

sudden severe headache

a client with a brain attack is comatose on admission , which clinical indicator is the nurse most likely to identify

urinary incontinence