with correct answers
A nurse is performing a neurologic assessment for a client who has a brain
tumor. Which of the following findings should indicate to the nurse cranial
nerve involvement?
Dysphagia
Rationale: Dysphagia, or difficulty swallowing, can occur as a result of damage
to cranial nerves IX (glossopharyngeal) or V (vagus).
A nurse is providing discharge teaching to the family of a client who has a new
diagnosis of a seizure disorder. The nurse should instruct the client's family to
take which of the following actions first in the event of a seizure.
Protect the client's head.
A nurse is assessing a client who has sustained a recent head injury. Which of
the following findings should the nurse recognize as a manifestation of
increased intracranial pressure?
Widened pulse pressure
A nurse is teaching a client who has a new diagnosis of primary open-angle
glaucoma (POAG). Which of the following information should the nurse
include in the teaching? (Select all that apply.)
Driving can be dangerous due to loss of peripheral vision.
Laser surgery can help reestablish the flow of aqueous humor.
A nurse is assessing a client who is postoperative following a craniotomy and
has a urine output of 600 mL/hr. The nurse suspects the client has
, manifestations of diabetes insipidus (DI). Which of the following laboratory
values should the nurse plan to obtain to assess for DI?
Specific gravity
A nurse is providing discharge teaching to a client who is postoperative
following cataract surgery and has an intraocular lens implant. Which of the
following statements by the client indicates an understanding of the
instruction?
"I will avoid bending over."
A nurse is providing teaching to the family of a client who has stage II
Alzheimer's disease (AD). Which of the following information should the
nurse include in the teaching?
Limit choices offered to the client.
A nurse is caring for a client who has a traumatic brain injury and assumes a
decerebrate posture in response to noxious stimuli. Which of the following
reactions should the nurse anticipterm-1ate when drawing a blood sample?
The client rigidly extends his arms.
A nurse in a rehabilitation center is performing an assessment for a client who
is recovering from a left-hemisphere stroke. Which of the following findings
should the nurse expect?
Difficulty with speech
A nurse is reviewing the laboratory results of a lumbar puncture (LP) for a
client who has manifestations of bacterial meningitis. Which of the following
findings should the nurse expect?