Neurological Problems (practice Mode)- Www.rnpedia.com

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Neurological Problems (Practice Mode)- Www.RNpedia.com
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1.  A patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient reveals increased blood pressure (168/94) and decreased heart rate (48/minute), diaphoresis, and flushing of the face and neck. What action should you take first? 
A.
B.
C.
D.
2.  A patient with a spinal cord injury at level C3-4 is being cared for in the ED. What is the priority assessment? 
A.
B.
C.
D.
3.  A patient with Parkinson disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene? 
A.
B.
C.
D.
4.  You are caring for a patient with a recurrent glioblastoma who is receiving dexamethasone (Decadron) 4 mg IV every 6 hours to relieve symptoms of right arm weakness and headache. Which assessment information concerns you the most? 
A.
B.
C.
D.
5.  A patient recently started on phenytoin (Dilantin) to control simple complex seizures is seen in the outpatient clinic. Which information obtained during his chart review and assessment will be of greatest concern? 
A.
B.
C.
D.
6.  You are mentoring a student nurse in the intensive care unit (ICU) while caring for a patient with meningococcal meningitis. Which action by the student requires that you intervene immediately?   
A.
B.
C.
D.
7.  A 23-year-old patient with a recent history of encephalitis is admitted to the medical unit with new onset generalized tonic-clonic seizures. Which nursing activities included in the patient’s care will be best to delegate to an LPN/LVN whom you are supervising? (Choose all that apply). 
A.
B.
C.
D.
8.  You are supervising a senior nursing student who is caring for a patient with a right hemisphere stroke. Which action by the student nurse requires that you intervene? 
A.
B.
C.
D.
9.  The LPN/LVN, under your supervision, is providing nursing care for a patient with GBS. What observation would you instruct the LPN/LVN to report immediately? 
A.
B.
C.
D.
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