RN Alterations in Neurologic Function Assessment
RN Alterations in Neurologic Function Assessment
Study online at https://quizlet.com/_enaqus
1. A nurse is caring for a client in the emer- Meningitis; CSF Culture Results
gency department. The nurse suspects
that the client will be diagnosed with
_________ as evidenced by the client's
_______________.
2. A nurse is caring for a client. The Insert endotracheal tube now. Contraindicated.
client continues to experience focal ton- Perform electroencephalogram. Anticipated.
ic seizures. For potential provider's pre- Administer diazepam 5 mg IV now. Anticipated.
scription, click to specify if the potential Schedule emergent vagal nerve stimulation in-
prescription is anticipated, nonessen- sertion. Nonessential.
tial, or contraindicated for the client. Administer glucose 50 mg IV now. Contraindicat-
ed.
Administer oxygen at 6 L via mask. Contraindicat-
ed.
3. A nurse is caring for a 25-year-old, Female
white female client without housing in
the intensive care unit admitted for an
aneurysm. The client's blood pressure is
118/78 mm Hg and heart rate is 88/min.
Their medical history includes Type 1
diabetes, obesity, and arthritis. What is
the client's highest risk factor for the
aneurysm to rupture?
4. A nurse is caring for a client who has Dextrose 10% in Water (D10W)
been admitted for head trauma relat-
ing to a fall. The client is developing
cerebral edema. Which of the following
types of intravenous (IV) fluid should
1/7
1 of 7
, RN Alterations in Neurologic Function Assessment
RN Alterations in Neurologic Function Assessment
Study online at https://quizlet.com/_enaqus
the nurse expect to administer to the
client?
5. A nurse is providing discharge teaching Changes in weather.
for a client who has been newly diag- Caffeine.
nosed with migraine headaches. Which Food containing nitrates or tyramine is correct.
of the following topics are important to Bright lights.
include in the teaching as migraine trig-
gers? (Select all that apply).
6. A nurse is caring for a group of clients The client with a blood pressure of 180/96 mm
on a medical-surgical unit. Which of the Hg.
following clients are at risk for stroke? The client with Type II diabetes mellitus (DM).
(Select all that apply). The client with sleep apnea.
The client with mitral valve stenosis.
7. A nurse is admitting a client who has "How are you sleeping at night?"
a peripheral neuropathy of both feet.
The client has a history of diabetes type
II and hypertension. Which of the fol-
lowing questions should the nurse ask
while performing the admission assess-
ment?
8. A nurse is caring for a client brought The client lost consciousness.
into the emergency department (ED) by
ambulance. The client's partner reports
finding the client lying on the kitchen
floor with jerking movements of the
whole body and urine all over the floor.
Which of the following additional client
findings should the nurse expect the
client's partner to report?
2/7
2 of 7
RN Alterations in Neurologic Function Assessment
Study online at https://quizlet.com/_enaqus
1. A nurse is caring for a client in the emer- Meningitis; CSF Culture Results
gency department. The nurse suspects
that the client will be diagnosed with
_________ as evidenced by the client's
_______________.
2. A nurse is caring for a client. The Insert endotracheal tube now. Contraindicated.
client continues to experience focal ton- Perform electroencephalogram. Anticipated.
ic seizures. For potential provider's pre- Administer diazepam 5 mg IV now. Anticipated.
scription, click to specify if the potential Schedule emergent vagal nerve stimulation in-
prescription is anticipated, nonessen- sertion. Nonessential.
tial, or contraindicated for the client. Administer glucose 50 mg IV now. Contraindicat-
ed.
Administer oxygen at 6 L via mask. Contraindicat-
ed.
3. A nurse is caring for a 25-year-old, Female
white female client without housing in
the intensive care unit admitted for an
aneurysm. The client's blood pressure is
118/78 mm Hg and heart rate is 88/min.
Their medical history includes Type 1
diabetes, obesity, and arthritis. What is
the client's highest risk factor for the
aneurysm to rupture?
4. A nurse is caring for a client who has Dextrose 10% in Water (D10W)
been admitted for head trauma relat-
ing to a fall. The client is developing
cerebral edema. Which of the following
types of intravenous (IV) fluid should
1/7
1 of 7
, RN Alterations in Neurologic Function Assessment
RN Alterations in Neurologic Function Assessment
Study online at https://quizlet.com/_enaqus
the nurse expect to administer to the
client?
5. A nurse is providing discharge teaching Changes in weather.
for a client who has been newly diag- Caffeine.
nosed with migraine headaches. Which Food containing nitrates or tyramine is correct.
of the following topics are important to Bright lights.
include in the teaching as migraine trig-
gers? (Select all that apply).
6. A nurse is caring for a group of clients The client with a blood pressure of 180/96 mm
on a medical-surgical unit. Which of the Hg.
following clients are at risk for stroke? The client with Type II diabetes mellitus (DM).
(Select all that apply). The client with sleep apnea.
The client with mitral valve stenosis.
7. A nurse is admitting a client who has "How are you sleeping at night?"
a peripheral neuropathy of both feet.
The client has a history of diabetes type
II and hypertension. Which of the fol-
lowing questions should the nurse ask
while performing the admission assess-
ment?
8. A nurse is caring for a client brought The client lost consciousness.
into the emergency department (ED) by
ambulance. The client's partner reports
finding the client lying on the kitchen
floor with jerking movements of the
whole body and urine all over the floor.
Which of the following additional client
findings should the nurse expect the
client's partner to report?
2/7
2 of 7
