Podcast
Questions and Answers
What is the essential postoperative positioning for a patient who has undergone tympanoplasty?
What is the essential postoperative positioning for a patient who has undergone tympanoplasty?
- Elevate the head of the bed to 30 degrees.
- Elevate the head of the bed to 40 degrees with the operative side facing upward. (correct)
- Place the patient in a supine position.
- Maintain the patient in a sitting position.
Which of the following actions should a nurse take when assisting a blind patient walk in an unfamiliar environment?
Which of the following actions should a nurse take when assisting a blind patient walk in an unfamiliar environment?
- Instruct the patient to keep their cane down.
- Guide the patient using physical contact with the shoulder or elbow. (correct)
- Allow the patient to walk quickly.
- Encourage the patient to rely solely on auditory cues.
What is the priority nursing action for a patient with a suspected cervical spine injury in the emergency department?
What is the priority nursing action for a patient with a suspected cervical spine injury in the emergency department?
- Remove all immobilization devices.
- Maintain proper head and neck alignment. (correct)
- Administer pain medication to manage discomfort.
- Perform a thorough neurological assessment immediately.
What action is contraindicated for a patient suspected of having a cervical spine injury?
What action is contraindicated for a patient suspected of having a cervical spine injury?
What is typically included in the postoperative care for a patient after tympanoplasty?
What is typically included in the postoperative care for a patient after tympanoplasty?
In the context of facilitating mobility for a blind patient, which approach is least effective?
In the context of facilitating mobility for a blind patient, which approach is least effective?
Why is it important to keep the head and neck in alignment for someone with a cervical spine injury?
Why is it important to keep the head and neck in alignment for someone with a cervical spine injury?
What is a common misconception about the management of a spinal cord injury?
What is a common misconception about the management of a spinal cord injury?
What is the definition of legal blindness?
What is the definition of legal blindness?
Which part of the nervous system consists of the somatic and autonomic divisions?
Which part of the nervous system consists of the somatic and autonomic divisions?
What term describes the inability to recognize familiar objects or people due to sensory stimuli loss?
What term describes the inability to recognize familiar objects or people due to sensory stimuli loss?
What should the nurse do first after a patient has had an enucleation of the right eye?
What should the nurse do first after a patient has had an enucleation of the right eye?
Which nursing intervention would be most beneficial for a patient with a stroke who has difficulty swallowing?
Which nursing intervention would be most beneficial for a patient with a stroke who has difficulty swallowing?
During a tonic-clonic seizure, what is the most appropriate nursing action?
During a tonic-clonic seizure, what is the most appropriate nursing action?
In the event of high heart rate for a patient in neurological ICU, which patient condition requires immediate assessment?
In the event of high heart rate for a patient in neurological ICU, which patient condition requires immediate assessment?
What is the primary goal of initiating a 'drug holiday' for a patient with Parkinson disease?
What is the primary goal of initiating a 'drug holiday' for a patient with Parkinson disease?
What is a common characteristic of a patient diagnosed with apraxia?
What is a common characteristic of a patient diagnosed with apraxia?
What should be the immediate action when a chemical splashes into someone's eyes?
What should be the immediate action when a chemical splashes into someone's eyes?
Which of the following symptoms indicates a complication in a patient who has had a stroke?
Which of the following symptoms indicates a complication in a patient who has had a stroke?
Upon noticing signs of warmth and a severe headache in a patient with a seizure disorder, what should the nurse prepare for?
Upon noticing signs of warmth and a severe headache in a patient with a seizure disorder, what should the nurse prepare for?
What action should be taken first for a patient exhibiting signs of autonomic dysreflexia?
What action should be taken first for a patient exhibiting signs of autonomic dysreflexia?
What should a nurse document regarding a patient who has undergone eye surgery?
What should a nurse document regarding a patient who has undergone eye surgery?
What is a prudent nursing intervention for a patient with high intracranial pressure?
What is a prudent nursing intervention for a patient with high intracranial pressure?
Which procedure is used to obtain cerebrospinal fluid for examination?
Which procedure is used to obtain cerebrospinal fluid for examination?
If a patient presents with a GCS of 6, what is the nurse's priority action?
If a patient presents with a GCS of 6, what is the nurse's priority action?
To get the most accurate response when interviewing a patient for neurologic symptoms, what question should be asked?
To get the most accurate response when interviewing a patient for neurologic symptoms, what question should be asked?
What is the first symptom that may indicate the onset of macular degeneration?
What is the first symptom that may indicate the onset of macular degeneration?
Which assessment is crucial for a patient recovering from an enucleation procedure?
Which assessment is crucial for a patient recovering from an enucleation procedure?
When managing a patient who is legally blind, how should this information influence the nursing care plan?
When managing a patient who is legally blind, how should this information influence the nursing care plan?
Which behavior is most appropriate when documenting patient responses about a neurologic issue?
Which behavior is most appropriate when documenting patient responses about a neurologic issue?
If a patient's blood pressure is found to be 180/90 mm Hg and they have a cervical spine injury, what might this suggest?
If a patient's blood pressure is found to be 180/90 mm Hg and they have a cervical spine injury, what might this suggest?
Which of the following describes the key characteristic of an aura experienced by patients with generalized tonic-clonic seizures?
Which of the following describes the key characteristic of an aura experienced by patients with generalized tonic-clonic seizures?
When treating burns caused by a chemical splash, how long is prolonged irrigation typically recommended?
When treating burns caused by a chemical splash, how long is prolonged irrigation typically recommended?
What action should a nurse take to best help a patient experiencing severe vertigo due to labyrinthitis?
What action should a nurse take to best help a patient experiencing severe vertigo due to labyrinthitis?
How should a nurse approach an 83-year-old stroke patient with right hemiplegia to ensure the best visual field?
How should a nurse approach an 83-year-old stroke patient with right hemiplegia to ensure the best visual field?
What abnormal vital sign in a patient with head trauma should prompt immediate intervention?
What abnormal vital sign in a patient with head trauma should prompt immediate intervention?
In managing autonomic dysreflexia, which factor should be prioritized for assessment?
In managing autonomic dysreflexia, which factor should be prioritized for assessment?
For a patient diagnosed with bacterial meningitis, what is the most effective action to prevent the spread of infection?
For a patient diagnosed with bacterial meningitis, what is the most effective action to prevent the spread of infection?
How would a nurse document a patient's inability to discern the position of their body after a stroke?
How would a nurse document a patient's inability to discern the position of their body after a stroke?
What can a nurse expect regarding flaccid paralysis following a recent spinal cord injury?
What can a nurse expect regarding flaccid paralysis following a recent spinal cord injury?
What should a nurse ensure upon a child's admission with bacterial meningitis?
What should a nurse ensure upon a child's admission with bacterial meningitis?
How can a nurse assist a home health patient with a C5 spinal cord injury in maintaining independence?
How can a nurse assist a home health patient with a C5 spinal cord injury in maintaining independence?
Which statement correctly describes a common visual impairment following a stroke?
Which statement correctly describes a common visual impairment following a stroke?
What must be emphasized during the nursing care of a patient undergoing the recovery phase from spinal shock?
What must be emphasized during the nursing care of a patient undergoing the recovery phase from spinal shock?
When treating a patient with bacterial meningitis, which precaution is most critical prior to transport?
When treating a patient with bacterial meningitis, which precaution is most critical prior to transport?
What common complication may arise in patients after experiencing a stroke?
What common complication may arise in patients after experiencing a stroke?
For a patient with hemiplegia, which defensive mechanism is most effective for avoiding injury?
For a patient with hemiplegia, which defensive mechanism is most effective for avoiding injury?
What nursing action is critical when faced with a patient who displays signs of neglect after a stroke?
What nursing action is critical when faced with a patient who displays signs of neglect after a stroke?
What characterizes expressive aphasia in a stroke patient?
What characterizes expressive aphasia in a stroke patient?
What is the primary reason for the immediate hospitalization of a patient with Guillain-Barre Syndrome?
What is the primary reason for the immediate hospitalization of a patient with Guillain-Barre Syndrome?
What position is best for a patient with decreased consciousness and increased intracranial pressure?
What position is best for a patient with decreased consciousness and increased intracranial pressure?
What common mistake can impede communication with a hearing-impaired patient?
What common mistake can impede communication with a hearing-impaired patient?
Which intervention should a nurse prioritize for a patient with a Glasgow Coma Scale score of 4 and increased ICP?
Which intervention should a nurse prioritize for a patient with a Glasgow Coma Scale score of 4 and increased ICP?
What is an early sign of increased intracranial pressure in a brain-injured patient?
What is an early sign of increased intracranial pressure in a brain-injured patient?
The term for involuntary rhythmic movements of the eyes is known as what?
The term for involuntary rhythmic movements of the eyes is known as what?
What should be the nurse's initial action for a TBI patient showing flaccid posturing three hours after decorticate posturing?
What should be the nurse's initial action for a TBI patient showing flaccid posturing three hours after decorticate posturing?
Which vital sign change is considered urgent in a patient with a closed head injury?
Which vital sign change is considered urgent in a patient with a closed head injury?
What indicates a severe complication in a patient recovering from Guillain-Barre Syndrome?
What indicates a severe complication in a patient recovering from Guillain-Barre Syndrome?
What does a widening pulse pressure suggest in a patient with increased ICP?
What does a widening pulse pressure suggest in a patient with increased ICP?
What mechanism primarily explains the risk of respiratory failure in Guillain-Barre Syndrome?
What mechanism primarily explains the risk of respiratory failure in Guillain-Barre Syndrome?
Which nursing intervention is crucial for a patient experiencing nystagmus?
Which nursing intervention is crucial for a patient experiencing nystagmus?
What should the nurse prioritize after identifying flaccid posturing in a client with TBI?
What should the nurse prioritize after identifying flaccid posturing in a client with TBI?
What should postcataract patients avoid to prevent increasing intraocular pressure?
What should postcataract patients avoid to prevent increasing intraocular pressure?
During the use of an Amsler grid, what should the nurse instruct the patient to report?
During the use of an Amsler grid, what should the nurse instruct the patient to report?
In a patient who fell from a height, what is a crucial assessment to perform if there is bruising behind the ear?
In a patient who fell from a height, what is a crucial assessment to perform if there is bruising behind the ear?
Post cataract repair, what activity should a patient avoid?
Post cataract repair, what activity should a patient avoid?
To help improve activity levels in a patient with Parkinson's disease, what should be recommended?
To help improve activity levels in a patient with Parkinson's disease, what should be recommended?
Which statement correctly describes the timing of signs and symptoms in a craniocerebral injury?
Which statement correctly describes the timing of signs and symptoms in a craniocerebral injury?
What is a necessary nursing action before a myelogram procedure?
What is a necessary nursing action before a myelogram procedure?
What is the best response when serosanguineous drainage is noted from a patient's nose after a motorcycle accident?
What is the best response when serosanguineous drainage is noted from a patient's nose after a motorcycle accident?
If a newly blind male home health patient seeks assistance, what avenue should the nurse suggest?
If a newly blind male home health patient seeks assistance, what avenue should the nurse suggest?
What is the first sign that may indicate Bell's palsy?
What is the first sign that may indicate Bell's palsy?
In a patient with spinal cord injury, what is the best immediate action for symptoms of autonomic dysreflexia?
In a patient with spinal cord injury, what is the best immediate action for symptoms of autonomic dysreflexia?
What symptoms in a patient post-eye surgery might indicate Sjögren syndrome?
What symptoms in a patient post-eye surgery might indicate Sjögren syndrome?
Why is otitis media more common in children between 6 to 36 months?
Why is otitis media more common in children between 6 to 36 months?
Which action is inappropriate for a patient recovering from cataract surgery?
Which action is inappropriate for a patient recovering from cataract surgery?
What does evidence of serous drainage from a patient's ears or nose indicate?
What does evidence of serous drainage from a patient's ears or nose indicate?
What should a nurse educate a patient on when using the Amsler grid?
What should a nurse educate a patient on when using the Amsler grid?
What should always be checked before administering contrast media for imaging tests?
What should always be checked before administering contrast media for imaging tests?
What should nurses recommend to help reduce risk while walking in a patient with Parkinson's disease?
What should nurses recommend to help reduce risk while walking in a patient with Parkinson's disease?
What symptom indicates a potential risk of retinal problems during an eye examination?
What symptom indicates a potential risk of retinal problems during an eye examination?
How should a nurse respond if a patient exhibits symptoms of a subdural hematoma after a head injury?
How should a nurse respond if a patient exhibits symptoms of a subdural hematoma after a head injury?
What can lead to Sjögren syndrome after eye surgeries?
What can lead to Sjögren syndrome after eye surgeries?
What is indicated by a patient presenting with 'goose flesh' and flushing of the neck?
What is indicated by a patient presenting with 'goose flesh' and flushing of the neck?
Which of the following findings after eye surgery should be reported to a healthcare provider?
Which of the following findings after eye surgery should be reported to a healthcare provider?
What is a common misconception regarding closed versus open injuries to the head?
What is a common misconception regarding closed versus open injuries to the head?
What role do neurotransmitters play in the nervous system?
What role do neurotransmitters play in the nervous system?
In the presence of periorbital edema after head trauma, what underlying condition may need to be assessed?
In the presence of periorbital edema after head trauma, what underlying condition may need to be assessed?
Which symptom is often the first to develop in cases of a herniated intervertebral disk?
Which symptom is often the first to develop in cases of a herniated intervertebral disk?
What is the primary function of photocoagulation for a patient with diabetic retinopathy?
What is the primary function of photocoagulation for a patient with diabetic retinopathy?
Why is it essential to obtain an allergy history before a myelogram?
Why is it essential to obtain an allergy history before a myelogram?
What is the term used for the period of deep sleep following a tonic-clonic seizure?
What is the term used for the period of deep sleep following a tonic-clonic seizure?
How soon must t-PA be administered to a patient for it to be effective?
How soon must t-PA be administered to a patient for it to be effective?
Which symptom is characteristic of acute angle closure glaucoma?
Which symptom is characteristic of acute angle closure glaucoma?
What instruction would be appropriate for a patient with Parkinson's disease to improve their activity level?
What instruction would be appropriate for a patient with Parkinson's disease to improve their activity level?
What is a primary consideration in postoperative care following a tympanoplasty?
What is a primary consideration in postoperative care following a tympanoplasty?
What does an elevated head of bed position help achieve after tympanoplasty?
What does an elevated head of bed position help achieve after tympanoplasty?
Which of the following is NOT a sign of Parkinson's disease?
Which of the following is NOT a sign of Parkinson's disease?
What is a common outcome expected from the use of t-PA?
What is a common outcome expected from the use of t-PA?
What significant event does the postictal period represent?
What significant event does the postictal period represent?
Which demographic is most likely to benefit from photocoagulation?
Which demographic is most likely to benefit from photocoagulation?
What underlying condition may necessitate a myelogram?
What underlying condition may necessitate a myelogram?
What is the primary reason for placing a child with bacterial meningitis in respiratory isolation?
What is the primary reason for placing a child with bacterial meningitis in respiratory isolation?
What anatomical characteristic of children's eustachian tubes contributes to the frequency of otitis media in children aged 6 to 36 months?
What anatomical characteristic of children's eustachian tubes contributes to the frequency of otitis media in children aged 6 to 36 months?
After a left vitrectomy, what is the critical requirement for the patient's positioning?
After a left vitrectomy, what is the critical requirement for the patient's positioning?
What does flaccid paralysis following a spinal cord injury indicate regarding the potential for recovery?
What does flaccid paralysis following a spinal cord injury indicate regarding the potential for recovery?
Which statement is true regarding the oculocephalic reflex test in unconscious patients?
Which statement is true regarding the oculocephalic reflex test in unconscious patients?
What is the initial response required when a chemical splash occurs in the eyes?
What is the initial response required when a chemical splash occurs in the eyes?
What are some common age-related changes in the nervous system of older adults?
What are some common age-related changes in the nervous system of older adults?
What finding in an unconscious patient would indicate damage to the brainstem during an oculocephalic reflex test?
What finding in an unconscious patient would indicate damage to the brainstem during an oculocephalic reflex test?
Which statement about otitis media in children is accurate?
Which statement about otitis media in children is accurate?
In the context of eye irrigation after a chemical splash, what is considered the most critical factor?
In the context of eye irrigation after a chemical splash, what is considered the most critical factor?
Which of the following signs might indicate a disruption of normal brainstem functioning?
Which of the following signs might indicate a disruption of normal brainstem functioning?
What is the primary management strategy for a patient post-tympanoplasty?
What is the primary management strategy for a patient post-tympanoplasty?
What characterizes craniocerebral trauma?
What characterizes craniocerebral trauma?
What factor can influence the presence of flaccid paralysis in a spinal cord injury?
What factor can influence the presence of flaccid paralysis in a spinal cord injury?
When assessing patients' neurological changes with age, which observation is likely?
When assessing patients' neurological changes with age, which observation is likely?
What is the function of photocoagulation in treating diabetic retinopathy?
What is the function of photocoagulation in treating diabetic retinopathy?
When an older adult experiences headaches and difficulty chewing, which condition should the nurse assess for?
When an older adult experiences headaches and difficulty chewing, which condition should the nurse assess for?
Which nursing action is indicated for a child with suspected bacterial meningitis awaiting treatment?
Which nursing action is indicated for a child with suspected bacterial meningitis awaiting treatment?
Why should teenagers wear dark sunglasses when using a UV lamp?
Why should teenagers wear dark sunglasses when using a UV lamp?
What is the recommended position for a patient experiencing severe vertigo from labyrinthitis?
What is the recommended position for a patient experiencing severe vertigo from labyrinthitis?
What is the initial sign of macular degeneration?
What is the initial sign of macular degeneration?
How do miotic eye drops assist patients with glaucoma?
How do miotic eye drops assist patients with glaucoma?
What nursing action is appropriate when assessing clear drainage from the nose of a patient with a suspected basilar skull fracture?
What nursing action is appropriate when assessing clear drainage from the nose of a patient with a suspected basilar skull fracture?
What is a common misconception about the effect of UV exposure on eyes?
What is a common misconception about the effect of UV exposure on eyes?
Which symptom would most likely NOT be associated with external otitis?
Which symptom would most likely NOT be associated with external otitis?
What is a key characteristic of macular degeneration compared to other eye conditions?
What is a key characteristic of macular degeneration compared to other eye conditions?
What is the primary purpose of elevating the head of the bed for postoperative tympanoplasty patients?
What is the primary purpose of elevating the head of the bed for postoperative tympanoplasty patients?
What outcome should the nurse expect when administering miotic eye drops to a glaucoma patient?
What outcome should the nurse expect when administering miotic eye drops to a glaucoma patient?
What characteristic defines expressive aphasia in a stroke patient?
What characteristic defines expressive aphasia in a stroke patient?
What role do neurotransmitters play in the nervous system?
What role do neurotransmitters play in the nervous system?
In the case of a patient with altered neurological status, what is the priority nursing action?
In the case of a patient with altered neurological status, what is the priority nursing action?
When assessing a patient with a craniocerebral injury, what is an important consideration?
When assessing a patient with a craniocerebral injury, what is an important consideration?
What should a nurse avoid when communicating with a hearing-impaired patient?
What should a nurse avoid when communicating with a hearing-impaired patient?
What is the appropriate nursing intervention for a patient with bacterial meningitis?
What is the appropriate nursing intervention for a patient with bacterial meningitis?
Which common mistake can impact effective communication with a hearing-impaired patient?
Which common mistake can impact effective communication with a hearing-impaired patient?
What is crucial to assess in a patient shortly after a head injury?
What is crucial to assess in a patient shortly after a head injury?
What should be a focus when caring for a patient with expressive aphasia?
What should be a focus when caring for a patient with expressive aphasia?
What method aids in safely guiding a blind person in a hospital?
What method aids in safely guiding a blind person in a hospital?
In managing a patient with an increased risk of seizures due to infection, which intervention is least effective?
In managing a patient with an increased risk of seizures due to infection, which intervention is least effective?
When providing care for a patient recovering from a motorcycle crash, what is the key assessment indicator?
When providing care for a patient recovering from a motorcycle crash, what is the key assessment indicator?
Which statement about the cranial nerves is correct after a brain injury?
Which statement about the cranial nerves is correct after a brain injury?
In addressing the care plan for a patient with meningitis, which of the following is a priority?
In addressing the care plan for a patient with meningitis, which of the following is a priority?
What is the period called that follows a seizure and involves a rest phase for the patient?
What is the period called that follows a seizure and involves a rest phase for the patient?
What best describes a patient's inability to assess the spatial position of their body after a stroke?
What best describes a patient's inability to assess the spatial position of their body after a stroke?
When managing a patient with bacterial meningitis, what is the most critical action to take to prevent infection spread?
When managing a patient with bacterial meningitis, what is the most critical action to take to prevent infection spread?
Which patient should a charge nurse prioritize for evaluation based on risk factors?
Which patient should a charge nurse prioritize for evaluation based on risk factors?
What neurological issue is indicated by a total or partial loss of the ability to recognize familiar objects or people?
What neurological issue is indicated by a total or partial loss of the ability to recognize familiar objects or people?
What is the best way to describe a nursing action for a patient recovering from bacterial meningitis?
What is the best way to describe a nursing action for a patient recovering from bacterial meningitis?
Which complication is most likely to arise in patients after a stroke affecting their control of bodily movements?
Which complication is most likely to arise in patients after a stroke affecting their control of bodily movements?
What does a Glasgow Coma Scale score of 15 indicate in a patient?
What does a Glasgow Coma Scale score of 15 indicate in a patient?
What is a nursing action to prioritize in a patient exhibiting signs of neglect after experiencing a stroke?
What is a nursing action to prioritize in a patient exhibiting signs of neglect after experiencing a stroke?
Which condition may require droplet precautions for its prevention?
Which condition may require droplet precautions for its prevention?
What is a common early sign of Alzheimer's disease?
What is a common early sign of Alzheimer's disease?
Which part of the eye is most internal?
Which part of the eye is most internal?
What should a nurse prioritize when caring for a patient with elevated temperature and closed head injury?
What should a nurse prioritize when caring for a patient with elevated temperature and closed head injury?
Which nursing action is essential for a patient suspected of having a cervical spine injury?
Which nursing action is essential for a patient suspected of having a cervical spine injury?
In visual acuity measured at 20/40, what distance can the patient see compared to normal vision?
In visual acuity measured at 20/40, what distance can the patient see compared to normal vision?
What is the likelihood that corticosteroids can assist in reducing cerebral edema related to meningitis?
What is the likelihood that corticosteroids can assist in reducing cerebral edema related to meningitis?
What indicates a potential complication for a patient with a cervical spine injury?
What indicates a potential complication for a patient with a cervical spine injury?
What is the best nursing action if a blood pressure of 160/90 mm Hg is recorded after starting nicardipine?
What is the best nursing action if a blood pressure of 160/90 mm Hg is recorded after starting nicardipine?
What is a potential consequence of hyperextension of the neck in a patient with suspected cervical spine injury?
What is a potential consequence of hyperextension of the neck in a patient with suspected cervical spine injury?
Which vital sign assessment would be most concerning for a patient with a subarachnoid hemorrhage?
Which vital sign assessment would be most concerning for a patient with a subarachnoid hemorrhage?
What critical role does proper head alignment play for a patient with cervical spine injury?
What critical role does proper head alignment play for a patient with cervical spine injury?
What should be performed first when a patient has a suspected cervical spine injury?
What should be performed first when a patient has a suspected cervical spine injury?
What symptom would most likely indicate an elevated intracranial pressure in a head injury patient?
What symptom would most likely indicate an elevated intracranial pressure in a head injury patient?
In a patient care scenario, which statement reflects the priority intervention when a patient suddenly presents with a fever?
In a patient care scenario, which statement reflects the priority intervention when a patient suddenly presents with a fever?
What is the primary nursing intervention when a patient with a spinal cord injury shows symptoms of autonomic dysreflexia?
What is the primary nursing intervention when a patient with a spinal cord injury shows symptoms of autonomic dysreflexia?
What should be the priority nursing action prior to administering a myelogram?
What should be the priority nursing action prior to administering a myelogram?
Which action defines a 'drug holiday' in the treatment of Parkinson disease?
Which action defines a 'drug holiday' in the treatment of Parkinson disease?
How are results reported on the FOUR score coma scale?
How are results reported on the FOUR score coma scale?
What is the mechanism by which the lens of the eye adjusts to focus on the retina?
What is the mechanism by which the lens of the eye adjusts to focus on the retina?
What is the first action a nurse should take for a patient who has just suffered a tonic-clonic seizure?
What is the first action a nurse should take for a patient who has just suffered a tonic-clonic seizure?
What is the primary purpose of avoiding heavy lifting after cataract surgery?
What is the primary purpose of avoiding heavy lifting after cataract surgery?
What symptom is commonly associated with diabetes retinopathy?
What symptom is commonly associated with diabetes retinopathy?
What is the most effective way to address a family member's concern about a patient's deep sleep following a seizure?
What is the most effective way to address a family member's concern about a patient's deep sleep following a seizure?
Which medication is a priority for a patient with a central venous pressure (CVP) of 2 mm Hg and low blood pressure?
Which medication is a priority for a patient with a central venous pressure (CVP) of 2 mm Hg and low blood pressure?
What action should a nurse take first for a patient with a Glasgow Coma Scale score of 3?
What action should a nurse take first for a patient with a Glasgow Coma Scale score of 3?
Which of the following is a characteristic sign of autonomic dysreflexia?
Which of the following is a characteristic sign of autonomic dysreflexia?
What common misconception may arise regarding a C5 spinal cord injury's impact on patient independence?
What common misconception may arise regarding a C5 spinal cord injury's impact on patient independence?
In managing a patient with a suspected cervical spine injury, which action should be done first?
In managing a patient with a suspected cervical spine injury, which action should be done first?
What nursing action should be emphasized when caring for a patient in the recovery phase from spinal shock?
What nursing action should be emphasized when caring for a patient in the recovery phase from spinal shock?
What primary risk does a patient face following a major head injury indicated by a low Glasgow Coma Scale score?
What primary risk does a patient face following a major head injury indicated by a low Glasgow Coma Scale score?
In the context of assessing a neurologically compromised patient, which assessment priority is crucial?
In the context of assessing a neurologically compromised patient, which assessment priority is crucial?
What complication should be closely monitored after a patient undergoes tympanoplasty?
What complication should be closely monitored after a patient undergoes tympanoplasty?
What is the most common characteristic of an aura in patients with generalized tonic-clonic seizures?
What is the most common characteristic of an aura in patients with generalized tonic-clonic seizures?
Which treatment is typically focused on for patients experiencing autonomic dysreflexia?
Which treatment is typically focused on for patients experiencing autonomic dysreflexia?
Which precaution is most critical for nurses to take when transporting a patient diagnosed with bacterial meningitis?
Which precaution is most critical for nurses to take when transporting a patient diagnosed with bacterial meningitis?
What is a common complication following stroke that nurses should monitor for?
What is a common complication following stroke that nurses should monitor for?
After spinal cord injury at level C5, the patient is most likely to retain which level of function?
After spinal cord injury at level C5, the patient is most likely to retain which level of function?
Which assessment finding would indicate a potential complication in a patient with increased intracranial pressure?
Which assessment finding would indicate a potential complication in a patient with increased intracranial pressure?
What is the most effective method in preventing further damage after identifying a kinked urinary catheter in a patient with autonomic dysreflexia?
What is the most effective method in preventing further damage after identifying a kinked urinary catheter in a patient with autonomic dysreflexia?
Which type of hearing loss is primarily addressed by tympanoplasty?
Which type of hearing loss is primarily addressed by tympanoplasty?
What vital sign changes might indicate potential complications in a patient with severe head trauma?
What vital sign changes might indicate potential complications in a patient with severe head trauma?
What is a common characteristic of a patient with functional paralysis following a spinal cord injury?
What is a common characteristic of a patient with functional paralysis following a spinal cord injury?
Study Notes
Postoperative Positioning After Tympanoplasty
- Patient should be positioned on the operative side to promote drainage.
Assisting a Blind Patient
- Verbal cues are the most effective way to guide a blind patient.
Cervical Spine Injury in the Emergency Department
- The priority for a patient with suspected cervical spine injury is to maintain cervical spine immobilization.
Contraindicated Action for Cervical Spine Injury
- Rotating the head is contraindicated for patients with suspected cervical spine injury.
Postoperative Care after Tympanoplasty
- Avoid straining, blowing the nose, and coughing to prevent pressure on the ear.
Least Effective Approach for Blind Patient Mobility
- Providing a cane is the least effective approach to facilitating mobility for a blind patient.
Cervical Spine Injury Alignment
- Maintaining alignment helps prevent further injury and spinal cord damage.
Misconception about Spinal Cord Injury Management
- A common misconception is that all spinal cord injuries result in permanent paralysis.
Legal Blindness Definition
- Legal blindness is defined as visual acuity of 20/200 or worse in the better eye with correction.
Somatic and Autonomic Divisions
- The peripheral nervous system consists of the somatic and autonomic divisions.
Inability to Recognize Familiar Objects
- This inability is called agnosia.
Post-Enucleation Nursing Action
- The nurse should first assess the patient's vital signs after enucleation.
Stroke Patient with Swallowing Difficulty
- Thickened liquids can be helpful for patients with swallowing difficulties.
Tonic-Clonic Seizure Nursing Action
- During a tonic-clonic seizure, the primary nursing action is to protect the patient from injury.
Neurological ICU: High Heart Rate
- Increased intracranial pressure is a condition that requires immediate assessment when a patient in the neurological ICU exhibits a high heart rate.
Drug Holiday for Parkinson's Disease
- The goal of a drug holiday is to reduce medication-induced complications.
Characteristic of Apraxia
- Difficulty with planned, sequential movements despite the physical ability to perform them.
Chemical Splash in Eyes
- Flush the affected eyes with copious amounts of water for at least 15 minutes.
Stroke Complication Indication
- Sudden changes in consciousness are a key indicator of complications after a stroke.
Seizure Disorder: Warmth and Headache
- The nurse should prepare for febrile seizures.
Autonomic Dysreflexia Action
- Elevate the head of the bed is the initial action for a patient exhibiting signs of autonomic dysreflexia.
Documentation After Eye Surgery
- The nurse should document visual acuity immediately after eye surgery.
Nursing Intervention for High Intracranial Pressure
- Maintain the patient's head in a neutral position to facilitate drainage.
Cerebrospinal Fluid Examination Procedure
- A lumbar puncture is used to obtain cerebrospinal fluid.
GCS of 6 Nursing Priority
- Maintain airway, breathing, and circulation (ABCs) as the priority.
Neurologic Symptom Interview Question
- "Can you describe the symptoms you are experiencing?"
Macular Degeneration First Symptom
- Distorted or blurred central vision is the first symptom of macular degeneration.
Post-Enucleation Assessment
- Pain assessment is crucial for a patient recovering from enucleation.
Nursing Care Plan for Legally Blind Patient
- The nurse should provide clear and concise verbal instructions and use tactile cues when appropriate.
Documentation for Neurologic Issue
- Objective and specific documentation is essential when recording a patient's responses about a neurologic issue.
High Blood Pressure and Cervical Spine Injury
- This may suggest autonomic dysreflexia.
Generalized Tonic-Clonic Seizures Aura
- Auras are often sensory and predictable events.
Chemical Splash Burn Irrigation
- Prolonged irrigation (at least 20 minutes) is typically recommended.
Severe Vertigo due to Labyrinthitis Nursing Action
- Reduce environmental stimuli to promote comfort.
Right Hemiplegia Patient Visual Field
- Approach the patient from the left side to ensure the best visual field for the patient.
Abnormal Vital Sign in Head Trauma
- Decreased pulse pressure after head trauma demands immediate intervention.
Prioritized Assessment in Autonomic Dysreflexia
- Assess for bladder distention as a priority.
Action to Prevent Meningitis Spread
- Droplet precautions are essential to prevent the spread of bacterial meningitis.
Documenting Inability to Discern Body Position
- Document "Patient exhibits proprioceptive deficits following a stroke."
Flaccid Paralysis After Spinal Cord Injury
- Flaccid paralysis is expected immediately after a spinal cord injury — it is a temporary state during spinal shock.
Child Admission with Bacterial Meningitis
- Ensure droplet precautions are in place.
Home Health Patient with C5 Spinal Cord Injury
- Promote adaptive equipment and training to maintain independence.
Visual Impairment After Stroke
- Homonymous hemianopsia is a common visual impairment after stroke, resulting in blindness in half of the visual field.
Spinal Shock Recovery Phase Nursing Care
- Monitor for complications like autonomic dysreflexia.
Bacterial Meningitis Transport Precaution
- Droplet precautions are crucial before transport.
Common Stroke Complication
- DVT and pulmonary embolism are common complications after stroke.
Hemiplegia Injury Prevention
- Teach the patient to use their strong side to assist with activities.
Neglect After Stroke Nursing Action
- Encourage the patient to use their affected side to prevent neglect.
Expressive Aphasia After Stroke
- Difficulty expressing thoughts verbally despite understanding language.
Guillain-Barre Syndrome Hospitalization
- Rapid progression of weakness necessitates immediate hospitalization.
Decreased Consciousness and Increased Intracranial Pressure Position
- Elevate the head of the bed to 30 degrees.
Hearing-Impaired Communication Mistake
- Talking too loudly is a common mistake that can impede communication.
Glasgow Coma Scale Score of 4 and Increased ICP
- Maintain airway and ventilation support as the priority.
Early Sign of Increased Intracranial Pressure
- Change in level of consciousness is an early sign of increased intracranial pressure.
Involuntary Rhythmic Eye Movements
- Nystagmus.
Flaccid Posturing 3 Hours After Decorticate Posturing
- Rapidly assess for life-threatening complications.
Urgent Vital Sign Change in Closed Head Injury
- Widening pulse pressure is urgent and indicates increased intracranial pressure.
Severe Complication After Guillain-Barre Syndrome
- Respiratory failure is the most severe complication.
Widening Pulse Pressure and Increased ICP
- It indicates worsening intracranial pressure.
Guillain-Barre Syndrome Respiratory Failure Mechanism
- Ascending paralysis leading to respiratory muscle weakness.
Nystagmus Nursing Intervention
- Maintain a safe environment to prevent falls or injury.
Priority After Flaccid Posturing in TBI Patient
- Immediately assess the patient's respiratory function.
Post-Cataract Activity to Avoid
- Avoid rubbing the eyes and heavy lifting to prevent increased intraocular pressure
Amsler Grid Patient Instructions
- Report any distortions or missing areas on the grid.
Bruising Behind the Ear After Fall
- Assess for a basilar skull fracture.
Activity to Avoid After Cataract Repair
- Avoid bending at the waist to prevent pressure on the eye.
Parkinson's Disease Activity Improvement
- Encourage regular exercise and participation in activities.
Timing of Craniocerebral Injury Signs and Symptoms
- The signs and symptoms of a craniocerebral injury can develop immediately or over several days.
Nursing Action Before Myelogram
- Confirm allergy history and obtain informed consent.
Serosanguineous Drainage From Nose After Motorcycle Accident
- Assess for a possible skull fracture.
Newly Blind Home Health Patient Assistance Suggestion
- Connect the patient with a local organization for visually impaired individuals.
First Sign of Bell's palsy
- Facial asymmetry is the first noticeable sign.
Autonomic Dysreflexia Immediate Action
- Immediately elevate the head of the bed to lower blood pressure.
Eye Surgery and Sjögren Syndrome Symptoms
- Dry eyes and mouth dryness are key signs.
Otitis Media Prevalence in Children
- Eustachian tube structure and function differences contribute to its prevalence.
Action Inappropriate for Cataract Surgery Recovery
- Rubbing the eyes is inappropriate during recovery.
Serous Drainage from Ears or Nose Indication
- Possible skull fracture.
Amsler Grid Patient Education
- Explain the importance of regular use to monitor visual changes.
Contrast Media Administration Check
- Check for allergies to iodine or contrast media.
Parkinson's Disease Walking Risk Reduction
- Encourage the use of a cane or walker for stability.
Retina Problem Symptom During Eye Examination
- Flashing lights can indicate retinal detachment or tears.
Subdural Hematoma Symptoms After Head Injury
- Assess for changes in consciousness, headache, and neurologic deficits.
Sjögren Syndrome Cause After Eye Surgery
- The surgery itself does not cause the syndrome, but it can trigger its onset.
Goose Flesh and Neck Flushing Indication
- Autonomic dysreflexia.
Eye Surgery Finding to Report
- Increased redness, swelling, or discharge should be reported to the healthcare provider.
Misconception Regarding Closed vs. Open Head Injury
- Closed head injuries can be just as severe as open head injuries.
Neurotransmitter Role in Nervous System
- Neurotransmitters act as chemical messengers that transmit signals between neurons.
Periorbital Edema After Head Trauma Assessment
- Assess for orbital fracture.
Herniated Intervertebral Disk First Symptom
- Back or neck pain is often the first symptom.
Photocoagulation Function for Diabetic Retinopathy
- To seal leaking blood vessels and prevent further damage to the retina.
Myelogram Allergy History Importance
- Because iodine-based contrast agents are used, an allergy history is crucial.
Period of Deep Sleep After Tonic-Clonic Seizure
- Postictal state.
t-PA Effective Administration Time Window
- Within 4.5 hours of stroke onset.
Acute Angle Closure Glaucoma Characteristic
- Severe eye pain, nausea, and vomiting.
Parkinson's Disease Activity Level Improvement Instruction
- Encourage physical therapy and participation in activities that promote mobility and coordination.
Tympanoplasty Postoperative Care Consideration
- Keeping the surgical site dry is essential for healing.
Elevated Head of Bed Position After Tympanoplasty
- To prevent swelling and facilitate drainage.
Sign Not Associated with Parkinson's Disease
- Involuntary muscle spasms are not a sign of Parkinson's disease.
Common t-PA Outcome
- Reversal of stroke-related deficits in some patients.
Postictal Period Event
- Represents the period of recovery after a seizure.
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Description
This quiz tests your knowledge on postoperative positioning after tympanoplasty, assisting blind patients, and managing cervical spine injuries. Understand the key actions and precautions necessary for these patient care scenarios to improve clinical outcomes.
