Med. Surg- Neurosensory exam with complete solution graded A+

A nurse is collecting data from a client following a recent head injury. Which of the following findings should the nurse recognize as a manifestation of ICP? - Widened pulse pressure *other manifestations include pupil changes, changes in LOC, and N/V. A nurse is reinforcing teaching about auras with a client who has a new dx of simple partial seizures. Which of the following statements by the client indicates an understanding of the teaching? - "An aura is a sensory warning that a seizure is imminent." * the client can report hearing bells, seeing lights, or smelling an odor A nurse is reinforcing teaching with a client who has a new dx of primary open-angle glaucoma. Which of the following information should the nurse include in the teaching? (Select all that apply) - Driving can be dangerous due to the loss of peripheral vision. *Damage to the optic nerve that occurs secondary to ICP causes a decrease in peripheral vision and can cause complete vision loss if not treated. Laser surgery can help reestablish the flow of aqueous humor. *this reopens the trabecular meshwork and widen the canal of schlemm. A nurse is reinforcing discharge teaching c the family of a client who has a new dx of a seizure disorder. The nurse should instruct the clients family to take which of the following actions first in the event of a seizure? - Protect the clients head. *the clients greatest risk for injury is from hitting their head. A nurse is collecting data from a client who has Guillain-Barre syndrome. Which of the following findings should the nurse expect? - Weakness of the lower extremities. *inflammatory disorder of the peripheral nerves. It is characterized by the rapid onset of ascending weakness and paralysis, starting at the lower extremities, and can advance to the upper extremities. A nurse is reinforcing teaching c a group of clients about TIAs. Which of the following information should the nurse include in the teaching? - A TIA can precede an ischemic stroke.