Neurosensory exam with complete solution graded A+

The client has increased intracranial pressure with cerebral edema, and mannitol is administered. Which assessment should the nurse make to evaluate if a complication from the mannitol is occurring? 1. Auscultate breath sounds to assess for crackles 2. Monitor for >50 mL/hr urine output 3. Monitor Glasgow Coma Scale increasing from 8/15 to 9/15 4. Press over the tibia to assess for pitting edema - 1 A nurse is speaking with the parent of a school-aged child who was newly diagnosed with myopia. Which statements by the parent support this diagnosis? Select all that apply. 1. "My child closes one eye to read." 2. "My child gets headaches frequently." 3. "My child is doing poorly in math." 4. "My child's eyes blink often." 5. "My child's eyes seem red most of the time." - 2,3,4 The nurse is caring for a client diagnosed with Guillain-Barré syndrome (GBS) after a recent gastrointestinal (GI) illness. Monitoring for which of the following is a nursing carepriorityfor this client? 1. Diaphoresis with facial flushing 2. Hypoactive or absent bowel sounds 3. Inability to cough or lift the head 4. Warm, tender, and swollen leg - 3 The neurological unit staff is composed of an experienced registered nurse (RN), a new graduate RN, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP). Which are appropriate assignments for the charge nurse to give to the new graduate RN? Select all that apply. 1. Client with multiple sclerosis who has ataxia and is awaiting discharge placement 2. Discharge a client who had a stroke to the rehabilitation unit 3. New admission with Guillain-Barré syndrome with paralysis to the thigh4. New admission with head injury and Glasgow Coma Scale (GCS) score of 8 5. Provide initial teaching for a client beginning prednisone therapy - 1,2,5 A client is admitted to the hospital for severe headaches. The client has a history of increased intracranial pressure (ICP), which has required lumbar punctures to relieve the pressure by draining cerebrospinal fluid. The client suddenly vomits and states, "That's weird, I didn't even feel nauseated."Which action by the nurse is themostappropriate? 1. Document the amount of emesis 2. Lower the head of the bed 3. Notify the health care provider (HCP) 4. Offer anti-nausea medication - 3