Med Surg PNVN 1631 Module 8 - Neuro
Cognitive Exam/ Q&A.
A client admitted the previous day for a suspected neurologic disorder becomes
increasingly lethargic. Which is the best nursing action? - Answer: Complete a full
neurologic assessment and notify the neurologist.
A client is actively experiencing status epilepticus. Which prescribed medication
does the nurse prepare to administer? - Answer: Lorazepam (Ativan)
A client who has Alzheimer's disease is being discharged home. What safety
instructions does the nurse include in the teaching plan for the client's caregiver?
- Answer: "Install deadbolt locks on all outside doors."
Page 1 of 13
, A client with new-onset status epilepticus is prescribed phenytoin (Dilantin). After
teaching the client about this treatment regimen, the nurse assesses the client's
understanding. Which statement indicates that the client understands the
teaching? - Answer: "Even when my seizures stop, I will take this drug."
A hospitalized client with late-stage Alzheimer's disease says that breakfast has
not been served. The nurse witnessed the client eating breakfast earlier. Which
statement made to this client is an example of validation therapy? - Answer: "I see
you are still hungry. I will get you some toast."
The nurse is discharging an 80-year-old client with diminished touch sensation.
Which instruction does the nurse provide to promote client safety? - Answer:
"Look at the placement of your feet when walking."
During a neurologic assessment of a client, the nurse notes that the client's arms,
wrists, and fingers have become flexed, and internal rotation and plantar flexion
of the legs are evident. How does the nurse document these findings? - Answer:
Decorticate posturing
Decorticate posturing - Answer: characterized by upper extremities flexed at the
elbows and held closely to the body and lower extremities that are externally
rotated and extended. occurs when the brainstem is not inhibited by the motor
function of the cerebral cortex.
Page 2 of 13
Cognitive Exam/ Q&A.
A client admitted the previous day for a suspected neurologic disorder becomes
increasingly lethargic. Which is the best nursing action? - Answer: Complete a full
neurologic assessment and notify the neurologist.
A client is actively experiencing status epilepticus. Which prescribed medication
does the nurse prepare to administer? - Answer: Lorazepam (Ativan)
A client who has Alzheimer's disease is being discharged home. What safety
instructions does the nurse include in the teaching plan for the client's caregiver?
- Answer: "Install deadbolt locks on all outside doors."
Page 1 of 13
, A client with new-onset status epilepticus is prescribed phenytoin (Dilantin). After
teaching the client about this treatment regimen, the nurse assesses the client's
understanding. Which statement indicates that the client understands the
teaching? - Answer: "Even when my seizures stop, I will take this drug."
A hospitalized client with late-stage Alzheimer's disease says that breakfast has
not been served. The nurse witnessed the client eating breakfast earlier. Which
statement made to this client is an example of validation therapy? - Answer: "I see
you are still hungry. I will get you some toast."
The nurse is discharging an 80-year-old client with diminished touch sensation.
Which instruction does the nurse provide to promote client safety? - Answer:
"Look at the placement of your feet when walking."
During a neurologic assessment of a client, the nurse notes that the client's arms,
wrists, and fingers have become flexed, and internal rotation and plantar flexion
of the legs are evident. How does the nurse document these findings? - Answer:
Decorticate posturing
Decorticate posturing - Answer: characterized by upper extremities flexed at the
elbows and held closely to the body and lower extremities that are externally
rotated and extended. occurs when the brainstem is not inhibited by the motor
function of the cerebral cortex.
Page 2 of 13
