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Anatomy
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100
When assessing a patient with a traumatic brain injury, the nurse notes uncoordinated movement of the extremities. How should the nurse document this assessment?
What is ataxia? (A neurological sign consisting of a lack of voluntary coordination of muscle movements that includes gait abnormality.)
100
The nurse cares for a 34-year-old woman after a lumbar puncture. What is the priority nursing intervention postoperatively?
What is assess for drainage or bleeding from the puncture site?
100
The patient with peripheral facial paresis on the left side of her face is diagnosed with?
What is Bell's Palsy?
100
While the nurse is transporting a patient on a stretcher to the radiology department, the patient begins having a tonic-clonic seizure. Which action should the nurse take?
What is time, observe, and record the details of the seizure and postictal state?
100
A 19-year-old man is admitted to the emergency department with a C6 spinal cord injury after a motorcycle crash. What is the priority of care for him?
What is maintain airway and provide supplemental oxygen?
200
When assessing the accessory nerve, what should the nurse do?
What is ask the patient to shrug the shoulders against resistance?
200
A patient's sudden onset of hemiplegia has necessitated a computed tomography (CT) of her head. Which assessment should the nurse complete prior to this diagnostic study?
What is assess the patient for allergies to shellfish, iodine, or dye?
200
The nurse is caring for a patient admitted with a spinal cord injury following a motor vehicle accident. The patient exhibits a complete loss of motor, sensory, and reflex activity below the injury level. The nurse recognizes this condition as which of the following?
What is spinal shock syndrome?
200
Which characteristic of a patient's recent seizure is consistent with a focal seizure?
What is the seizure involved lip smacking and repetitive movements?
200
The patient has an order for phenytoin (Dilantin) 100 mg q8hr IV. Available is a phenytoin injection containing 50 mg/mL. How many milliliters of solution should the nurse draw up for the dose? _______ mL
What is 2 mL? Rationale: 100 mg ÷ 50 mg/mL = 2 mL
300
A patient who has a neurologic disease that affects the pyramidal tract is likely to manifest what sign?
What is impaired muscle movement?
300
How should the nurse most accurately assess the position sense of a patient with a recent traumatic brain injury?
What is ask the patient to stand with the feet together and eyes closed and observe for balance maintenance?
300
The nurse is providing care for a patient who has been diagnosed with Guillain-Barré syndrome. Which assessment should be the nurse's priority?
What is a respiratory assessment?
300
A female patient complains of a throbbing headache. When her history is obtained, the nurse discovers that the patient has had this type of headache before and experienced photophobia before the headache occurred. The nurse should know that what is probably the cause of this patient's headache?
What is a migraine headache?
300
The patient with type 1 diabetes mellitus with hypoglycemia is having a seizure. Which medication should the nurse anticipate administering to stop the seizure?
What is IV dextrose solution?
400
The new patient has a diagnosis of frontal lobe dementia. What functional difficulties should the nurse expect in this patient?
What is higher cognitive function abnormalities?
400
The nurse is preparing the patient for an electromyography (EMG). What should the nurse include in teaching the patient before the test?
What is the pain that occurs is from the insertion of the needles?
400
Which intervention should the nurse perform in the acute care of a patient with autonomic dysreflexia?
What is urinary catheterization?
400
A male patient with a diagnosis of Parkinson's disease (PD) has been admitted recently to a long-term care facility. Which action should the health care team take in order to promote adequate nutrition for this patient?
What is provide small, frequent meals throughout the day that are easy to chew and swallow?
400
The nurse teaches a 38-year-old woman who has migraine headaches about sumatriptan (Imitrex). What should the patient know about when to take this medication?
What is take the medication as soon as the headache starts?
500
The nurse is completing a health assessment for an obese 62-year-old man who wants to begin a diet and exercise program. Which assessment should the nurse perform to determine the cognitive function of the patient during the physical examination?
What is ask the patient a question such as, “Who were the last three presidents?”
500
When establishing a diagnosis of MS, the nurse should teach the patient about what 3 diagnostic studies?
What is a CT scan, evoked response testing, and cerebral spinal fluid analysis?
500
A 42-year-old man is admitted to the hospital with a diagnosis of Guillain-Barré syndrome. The physician orders include IV Sandoglobulin. What is important for the nurse to assess for before administration?
What is elevated serum creatinine and blood urea nitrogen (BUN)?
500
When a 74-year-old patient is seen in the health clinic with new development of a stooped posture, shuffling gait, and pill rolling–type tremor, the nurse will anticipate teaching the patient about?
What is anti-parkinsonian drugs or Parkinson's disease?
500
A 40-year-old patient is diagnosed with early Huntington's disease (HD). When teaching the patient, spouse, and children about this disorder, the nurse will provide what priority teaching?
What is option of genetic testing for the patient's children to determine their own HD risks?