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A patient comes to the emergency department immediately after experiencing numbness of the face and an inability to speak, but while the patient awaits examination, the symptoms disappear and the patient request discharge. The nurse stresses that it is important for the patient to be evaluated pr...

A client is being treated in the clinic for an exacerbation of multiple sclerosis. The nurse would anticipate administering which drug? a. Diazepam (Valium) b. Interferon b1b (Betaseron) c. Lioresal (Baclofen) d. Methylprednisolone (Solu-Cortef) B ~ Drugs used to treat exacerbations in ambulato...

The nurse is assessing the motor function of an unconscious client. The nurse should plan to use which technique to test the client's peripheral response to pain? 1. Sternal rub 2. Nail Bed Pressure 3. Pressure on orbital rim 4. Squeezing of the sternocleidomastoid muscle 2. Nail Bed Pressure ...

A client is seen by a primary care provider because of difficulty walking. A neurological assessment is done. A nurse informs the client that which assessment procedure was done to test the functioning of the cerebellum? a. Ask the client to shut eyes and distinguish whether the touch is with sha...

1) A client admitted to the hospital with a subarachnoid hemorrhage has complaints of severe headache, nuchal rigidity, and projectile vomiting. The nurse knows lumbar puncture (LP) would be contraindicated in this client in which of the following circumstances? 1. Vomiting continues 2. Intracra...

The nurse is assessing the motor function of an unconscious client. The nurse should plan to use which technique to test the client's peripheral response to pain? Nail bed pressure Motor testing in the unconscious client can be done only by testing response to painful stimuli. Nail bed pressure ...

Permissive Hypertension Phenomenon: After an acute ischemic stroke, the body senses the need for increased pressure to perfuse the penumbra (area of swollen and vulnerable but salvageable brain tissue) to keep the stroke from extending), autocorrects within 24 - 48 hours without treatment >22...

A white female client is admitted to an acute care facility with a diagnosis of cerebrovascular accident (CVA). Her history reveals bronchial asthma, exogenous obesity, and iron deficiency anemia. Which history finding is a risk factor for CVA? a. Caucasian race b. Female sex c. Obesity d. Bro...

Family members of a patient who has a traumatic brain injury ask the nurse about the purpose of the ventriculostomy system being used for intracranial pressure monitoring. Which response by the nurse is best for this situation? A) "This type of monitoring system is complex, and it is managed by ...

The nurse is caring for a patient who suffered massive head trauma, and suspected increased intracranial pressure (ICP) from an automobile accident. Which cranial nerves are most appropriate to check at this time? A. CN I and CN II B. CN II and CN III C. CN III and CN IV D .CN IV and CN V B. C...

During hospitalization, a child experiences a tonic-clonic seizure. To provide for the client's safety, which of the following actions should the nurse take? 1. Put a padded tongue blade between the child's teeth 2. Perform a jaw thrust and administer oxygen 3. Securely restrain the child in t...