Podcast
Questions and Answers
When assessing motor response in a comatose client, which action is appropriate?
When assessing motor response in a comatose client, which action is appropriate?
- Observing the reaction of pupils to light
- Observing the client's response to painful stimuli (correct)
- Using the Romberg test
- Monitoring the client's sensitivity to temperature, touch, and pain
What is the purpose of the Romberg test?
What is the purpose of the Romberg test?
- Assess oculomotor cranial nerve function
- Assess sensory function in a conscious client
- Assess equilibrium in a comatose client
- Assess motor response in a conscious client (correct)
After an electroencephalogram (EEG), what is the most appropriate post-procedure activity for the client?
After an electroencephalogram (EEG), what is the most appropriate post-procedure activity for the client?
- Measure the level of consciousness (LOC) of the client
- Provide the client with caffeine-rich drinks
- Measure the heart and the pulse rate
- Allow the client to wash hair and rest (correct)
What is the purpose of monitoring sensitivity to temperature, touch, and pain in a comatose client?
What is the purpose of monitoring sensitivity to temperature, touch, and pain in a comatose client?
What is the priority nursing action during a seizure?
What is the priority nursing action during a seizure?
What is the priority nursing action after a lumbar puncture?
What is the priority nursing action after a lumbar puncture?
Which assessment technique is used to evaluate sensitivity to heat, cold, touch, and pain?
Which assessment technique is used to evaluate sensitivity to heat, cold, touch, and pain?
What is a significant sign of rising intracranial pressure in a client with multiple fractures and closed head injury?
What is a significant sign of rising intracranial pressure in a client with multiple fractures and closed head injury?
What is a complication of bacterial meningitis that can lead to damage to nerves facilitating vision and hearing?
What is a complication of bacterial meningitis that can lead to damage to nerves facilitating vision and hearing?
What are absence seizures in children characterized by?
What are absence seizures in children characterized by?
What are signs of increasing intracranial pressure in a client with head trauma?
What are signs of increasing intracranial pressure in a client with head trauma?
What is the priority nursing action for a client with severe myasthenia gravis exacerbation?
What is the priority nursing action for a client with severe myasthenia gravis exacerbation?
Which action is not a priority during a seizure?
Which action is not a priority during a seizure?
What is not a symptom associated with increasing intracranial pressure?
What is not a symptom associated with increasing intracranial pressure?
What is a potential complication of bacterial meningitis?
What is a potential complication of bacterial meningitis?
What are signs of increasing intracranial pressure in a client with head trauma?
What are signs of increasing intracranial pressure in a client with head trauma?
What is the purpose of the Glasgow Coma Scale (GCS)?
What is the purpose of the Glasgow Coma Scale (GCS)?
When is lumbar puncture ordered in neurological care?
When is lumbar puncture ordered in neurological care?
What does assessment of the movement of the tongue relate to?
What does assessment of the movement of the tongue relate to?
What does a GCS score of 9 indicate?
What does a GCS score of 9 indicate?
What do unequal, pinpoint, or absent pupillary responses indicate?
What do unequal, pinpoint, or absent pupillary responses indicate?
When is a pretest dose of antihistamine administered?
When is a pretest dose of antihistamine administered?
When is flaccidity documented in a client's motor response?
When is flaccidity documented in a client's motor response?
How is sensation in the upper extremity assessed?
How is sensation in the upper extremity assessed?
What do nerve conduction studies measure?
What do nerve conduction studies measure?
What are appropriate nursing actions to assess level of consciousness?
What are appropriate nursing actions to assess level of consciousness?
Which cranial nerve is responsible for hearing and balance?
Which cranial nerve is responsible for hearing and balance?
What is the function of the sympathetic nervous system?
What is the function of the sympathetic nervous system?
What is the concern regarding cloudy cerebrospinal fluid (CSF) during a lumbar puncture?
What is the concern regarding cloudy cerebrospinal fluid (CSF) during a lumbar puncture?
How is the Romberg test conducted to assess balance and neurologic deficits?
How is the Romberg test conducted to assess balance and neurologic deficits?
What is myelin?
What is myelin?
What is the purpose of tapping the lower portion of the neck during a physical examination?
What is the purpose of tapping the lower portion of the neck during a physical examination?
What imaging technique uses radiofrequency waves to produce images of tissue?
What imaging technique uses radiofrequency waves to produce images of tissue?
What is the role of the parasympathetic nervous system during an emergency?
What is the role of the parasympathetic nervous system during an emergency?
What is the purpose of using shampoo to remove the paste from electroencephalogram electrodes attached to the head?
What is the purpose of using shampoo to remove the paste from electroencephalogram electrodes attached to the head?
When is the nurse advised to measure the client's level of consciousness (LOC), heart rate, and pulse rate?
When is the nurse advised to measure the client's level of consciousness (LOC), heart rate, and pulse rate?
What does a computed tomography (CT) scan produce?
What does a computed tomography (CT) scan produce?
What is the function of the endocrine system?
What is the function of the endocrine system?
What is the primary focus in caring for Parkinson disease?
What is the primary focus in caring for Parkinson disease?
What is the first action for a client with a brain tumor complaining of a headache upon awakening?
What is the first action for a client with a brain tumor complaining of a headache upon awakening?
What is used to manage symptoms of muscle spasticity and rigidity in clients diagnosed with neuromuscular disorders?
What is used to manage symptoms of muscle spasticity and rigidity in clients diagnosed with neuromuscular disorders?
What is a normal finding in intracranial pressure (ICP)?
What is a normal finding in intracranial pressure (ICP)?
What is beneficial in diagnosing encephalitis secondary to West Nile virus?
What is beneficial in diagnosing encephalitis secondary to West Nile virus?
What is used to decrease swelling in the brain cells with increasing ICP?
What is used to decrease swelling in the brain cells with increasing ICP?
What is the characteristic gait in Parkinson disease?
What is the characteristic gait in Parkinson disease?
What is used to manage symptoms of muscle spasticity and rigidity in clients diagnosed with neuromuscular disorders?
What is used to manage symptoms of muscle spasticity and rigidity in clients diagnosed with neuromuscular disorders?
What is the priority in the management of symptoms in Bell palsy?
What is the priority in the management of symptoms in Bell palsy?
What are important assessment findings in a client with bacterial meningitis?
What are important assessment findings in a client with bacterial meningitis?
What is a symptom of ALS?
What is a symptom of ALS?
What is the characteristic of a propulsive gait in Parkinson disease?
What is the characteristic of a propulsive gait in Parkinson disease?
Study Notes
Neurological Nursing Practice
- Clients are advised against taking sedative drugs and caffeine-related drinks before EEG, so there is no need to provide them after the test.
- The sympathetic nervous system regulates energy expenditure and is responsible for the body's response to emergency situations.
- Cranial nerve VIII is responsible for hearing and balance, while cranial nerve II is the optic nerve.
- A computed tomography (CT) scan is used to obtain thin "slices" of the body area, while MRI uses radiofrequency waves to produce images of tissue.
- Cloudy cerebrospinal fluid (CSF) is a concern during a lumbar puncture (LP) as normal CSF is clear and colorless.
- Shampoo is used to remove the paste from electroencephalogram electrodes attached to the head.
- In the Romberg test, the client stands erect with feet close together and eyes closed to assess balance and neurologic deficits.
- Myelin is the covering of axons and is a fatty substance that covers some axons in the CNS and PNS.
- Assessing neck rigidity is important in the physical examination of a client with a suspected neurologic disorder.
- Tapping the lower portion of the neck helps in detecting sensation and assessing for neck rigidity.
- The parasympathetic nervous system works to conserve body energy during an emergency, while the endocrine system regulates metabolic processes.
- The nurse should not measure the client's LOC, heart rate, or pulse rate unless advised by the health care provider.
Neurological Nursing Care Summary
- Generalized pain is not significant with ICP unless related to complaint of headache, especially upon awakening
- Glasgow Coma Scale of 15 and brisk pupil response are normal findings in ICP
- Isotonic normal saline, lactated Ringer’s, or hypertonic saline solutions are used to decrease swelling in the brain cells with increasing ICP
- The first action for a client with a brain tumor complaining of a headache upon awakening would be to elevate the head of the bed
- For a client with bacterial meningitis, cloudy cerebral spinal fluid and purpura of hands and feet are important assessment findings
- Exposure to mosquito bites can be beneficial in diagnosing encephalitis secondary to West Nile virus
- Baclofen is used to manage symptoms of muscle spasticity and rigidity in clients diagnosed with neuromuscular disorders
- ALS usually begins with muscle weakness of the arms and progresses
- In Bell palsy, ophthalmic lubricant and protection of the eye are priority in the management of symptoms
- The primary focus in caring for Parkinson disease is on maintaining a safe environment
- Parkinson disease often has a propulsive gait, characterized by a tendency to take increasingly quicker steps while walking and an inability to stop abruptly without losing balance
- Prevention of communicable diseases and establishing a balanced nutrition is encouraged in Parkinson disease management
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Description
Test your knowledge of neurological nursing practices and care with this quiz. Covering topics such as cranial nerves, diagnostic procedures, neurological assessments, and specific nursing interventions, this quiz will help reinforce your understanding of neurological nursing care.
