Assessment
The nurse is assisting with a lumbar puncture and observes that when the physician obtains CSF, it is clear and colorless. What does this finding indicate?
What is a normal finding??
A client with a head injury is scheduled for a computed tomography (CT) scan. What should the nurse do when preparing the client for this test?
What is: Determine whether the client is allergic to iodine, contrast dyes, or shellfish.?
A nurse is performing a neurologic assessment on a client with a stroke and cannot elicit a gag reflex. This deficit is related to cranial nerve (CN) X, the vagus nerve. What will the nurse consider a priority nursing diagnosis?
What is Risk for aspiration?
The nurse is providing care for a client who is unconscious. What nursing intervention takes highest priority?
What is Maintaining Airway Patency?
Which neuro condition is a progressive demyelinating disease of the nervous system.
What is Multiple Sclerosis?
A patient suffering a stroke is having a difficult time swallowing. What would the nurse document this finding as?
What is dysphagia?
A nurse is preparing a client for a lumbar puncture. The client has heard about post-lumbar puncture headaches and asks what causes them. The nurse tells the client that these headaches are caused by:
What is Cerebral spinal fluid leakage at the puncture site?
In reviewing a client's history and physical examination, a nurse finds that the client was found positive for ataxia during the physician's neurological testing. Which nursing diagnosis will be a priority for this client?
What is Risk for Falls?
When caring for a client who has had a stroke, a priority is reduction of ICP. What client position is most consistent with this goal?
What is Elevation of the head of the bed ?
In myasthenia gravis (MG), there is a decrease in the number of receptor sites of which neurotransmitter?
What is Acetylcholine?
The nurse is assessing a client with a suspected stroke. What acronym (assessment findings) is most suggestive of a stroke?
What is BEFAST?
Balance - loss of balance
Eyes - blurred vision
F - facial droop
A - arm or leg weakness
S - speech difficulty
T - Time to call
A client exhibiting an altered level of consciousness (LOC) due to blunt force trauma to the head is admitted to the ED. The nurse should gauge the client's LOC on the results of what diagnostic tool?
What is Glasgow Coma Scale?
The nurse is caring for a client with Guillain-Barré syndrome (GBS). The client also has an ascending paralysis. Knowing the potential complications of the disorder, what should the nurse keep always ready at the bedside?
What is Intubation tray and suction apparatus??
The nurse is caring for a patient with increased ICP. As the pressure rises, what osmotic diuretic does the nurse prepare to administer?
What is Mannitol?
The nurse teaches the client with which disorder that the disease is due to decreased levels of dopamine in the basal ganglia of the brain ?
What is Parkinson's Disease?
A client in the emergency department has bruising over the mastoid bone and rhinorrhea. The triage nurse suspects the client has which type of skull fracture?
What is Basilar Skull Fracture?
A client is brought to the emergency department with symptoms of a cerebrovascular accident (CVA). The nurse would anticipate which diagnostic evaluation to be completed prior to initiation of treatment?
What is CT?
Thrombolytic therapy for the treatment of an ischemic stroke should be initiated within how many hours of the onset of symptoms to obtain the best functional outcome?
What is 3 hours?
The nurse is caring for a client who has developed SIADH. Would you restrict the fluids or increase the fluids?
What is Fluid Restriction?
An Autosomal Dominant genetic disease due to deficiency in Acetylcholine and GABA neurotransmitters
What is Huntington's disease?
The nurse is assessing a client with meningitis. Which of the following signs would the nurse expect to observe?
What is nuchal rigidity and headache?
A client with a tentative diagnosis of myasthenia gravis is admitted for a diagnostic workup. Myasthenia gravis is confirmed by:
What is a positive edrophonium (Tensilon) test?
Which is a contraindication for the administration of tissue plasminogen activator (t-PA)?
The clinic nurse caring for a client with Parkinson disease notes that the client has been taking levodopa and carbidopa (Sinemet) for 7 years. For what common side effect should the nurse assess this client?
What is Dyskinesia?
A motor neuron degeneration disease with atrophy of muscles
What is Amyotrophic Lateral Sclerosis?