Med-surg Tb Neuro 22-24

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| By Victoria.roco

Victoria.roco

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The nurse is caring for the patient who has had an injury to the hypothalamus. Which intervention will the nurse be most concerned with implementing?
- Maintaining environmental temperature control
- Monitoring for signs of hemorrhage
- Protecting the eyes from bright lights
- Providing care designed to preserve skin integrity

About This Quiz

This quiz focuses on neurological nursing within medical-surgical contexts, assessing knowledge on hypothalamic function, nervous system differences, aging impacts on reflexes, and specific neurological assessments.

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Current Version
Feb 03, 2023

Quiz Edited by
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Dec 10, 2018

Quiz Created by
Victoria.roco

Med-surg Tb Neuro 22-24

The nurse is caring for the patient who has had an injury to the hypothalamus. Which intervention will the nurse be most concerned with implementing?

Quiz Preview

The nurse differentiates the sympathetic from the parasympathetic nervous systems in that the sympathetic system:

The nurse assessing an 80-year-old attributes the slowed knee jerk reflex with which age-related change?

A student nurse questions the nurse about the difference between a quadriplegic and a tetraplegic patient. The nurse correctly reports that a tetraplegic patient:

The nurse requesting the patient to stick out the tongue and move it rapidly from side to side is assessing the __________ nerve.

The nurse may record a positive Romberg’s test if during the test, the patient:

The nurse explains that a reflex is a simple automatic response requiring only:

The nurse interprets the physician’s finding of a grade of 2/5 on the Achilles tendon to mean what has occurred?

The reflex that indicates an abnormality in the motor control pathways from the cerebral cortex is the __________ reflex.

The vital sign assessment of a person with a head injury was temperature (T), 97° F; pulse (P), 86; respiration (R), 18; and blood pressure (BP), 140/86 at 1:00. Which vital sign assessment made 30 minutes later is indicative of increasing intracranial pressure (ICP)?

The nurse notes that the Glasgow Coma Scale rating made on the patient 4 hours ago indicated a fully alert patient with a score of _____ points.

The assessment of a patient’s ability to think can be evaluated by asking the patient:

The nurse is performing a neurologic assessment on a newly admitted head injury patient. Which sign does the nurse recognize as that most indicative of a brainstem injury?

The crossed arms of the examiner when assessing muscle strength in a neurologic assessment is done in order to:

When feeding a patient with dysphagia with a left-sided hemiplegia, how should the nurse position the patient?

Bladder training begins with toileting the patient every:

A patient is admitted to the hospital to rule out the possibility of bacterial meningitis. Which test will be most helpful in diagnosing this condition?

The patient scheduled for a PET (positron emission tomography) scan of the brain asks if there is any special preparation for the test. The nurse correctly responds with which statements? (Select all that apply.)

The loss of neurons in the autonomic nervous system (ANS) of the older adult will cause the older adult to take longer to: (Select all that apply.)

The nurse can be proactive in reducing neurologic injuries by: (Select all that apply.)

The FOUR (Full Outline of UnResponsiveness) tool is based on the assessment of the status of the: (Select all that apply.)

The nurse describes a concussion as a closed head injury in which:

The nurse is aware that the older adult is more at risk for a cranial bleed following a head injury because the older adult has:

The emergency room nurse assessing clear drainage from the nose of a newly admitted patient with a head injury should perform which intervention?

In assessing the patient with a significant right-sided closed head injury, the nurse would anticipate the patient to demonstrate which sign?

The older adult who is admitted to the hospital following a closed head injury that resulted in a 5-minute period of unconsciousness will be observed for which change?

The patient with a suspected subdural hematoma is on an IV drip of mannitol infusing at 50 mL/hr. The nurse explains that the slow infusion rate is essential for what purpose?

Following a craniotomy to relieve increased intracranial pressure (ICP), the nurse will implement which intervention?

The unconscious patient with a closed head injury is on mechanical ventilation. To improve brain perfusion through increased blood pressure, the CO2 level is maintained at _____ mm Hg.

The nurse caring for a patient with an epidural hematoma suspects diabetes insipidus when the patient exhibits increased:

The most beneficial and safe positioning of an unconscious patient who has a rightsided closed head injury is:

The nurse assesses the level of consciousness (LOC) of a patient with a neurologic injury as mildly disoriented to surroundings and time, but awake and needs additional verbal cues to stimulate response to commands. Which documentation is the most accurate in regard to LOC?

The anxious mother of an adolescent who sustained a spinal injury yesterday and has paralysis of the lower limbs asks if the paralysis is permanent. Which response by the nurse is most helpful?

The patient who suffered a spinal cord injury (SCI) 3 days ago resulting in flaccid paralysis begins to flex his arm. The concerned family is instructed that this muscle activity may be related to:

To avoid stimulation of painful muscle spasms, the nurse will:

In the event of autonomic dysreflexia (AD) in the patient with a spinal cord injury, the initial intervention should be to:

When turning the patient who is in Crutchfield tongs traction, the nurse will:

The patient presents in the health clinic with low back pain that radiates into the buttocks and below the knee. The nurse suspects which condition?

The student nurse is planning care for a patient with a recent spinal cord injury. Which intervention indicates the need for further instruction regarding care of the patient with a spinal cord injury?

The nurse uses a visual aid to demonstrate how a coup-contrecoup injures the brain by: (Select all that apply.)

After an older adult falls, the nurse suspects the development of a subdural hematoma based on which assessment findings? (Select all that apply.)

The nurse documents all the signs of epidural hematoma in a patient with a closed head injury, which are: (Select all that apply.)

The nurse is aware that an epidural hematoma warrants immediate intervention based on which criteria? (Select all that apply.)

The nurse is caring for a patient who has a complete transection of the cord at C7. The patient asks the nurse what functions he will be able to perform. The nurse responds that the patient will most likely be able to perform which activities? (Select all that apply.)

The nurse caring for a patient with autonomic dysreflexia assesses the patient for which conditions or situations? (Select all that apply.)

The nurse is evaluating the patient to determine if adequate learning has occurred regarding care of lower back pain. The nurse determines no further teaching is required when observing which patient activities? (Select all that apply.)

The nurse is caring for a patient who recently suffered a cerebrovascular accident (CVA). The family asks the nurse why their father had a seizure. What is the best response by the nurse?

The nurse is providing teaching to a patient newly diagnosed with simple partial seizure disorder. Which statement by the nurse is most accurate?