The nurse conducts A neurological A. constricted pupils
assessment for a patient. Which finding
correlates to a parasympathetic stimulation
of the autonomic nervous system?A.
Constricted pupils
B. elevated blood glucose
C. tachycardia
D. decreased saliva production
The nurse needs to provide a strong B. Stupor
stimulus to elicit a response: however the
patient drifts back to unresponsiveness.
What term should the nurse use to
document this patient's level of
responsiveness?
a. Coma
b. Stupor
c. Lethargy
d. Conscious
Your patient is having a tonic clonic seizure. a. Protect the head from injury
Which actions should you take? c. turn patient on to side
Select all that applies e. remove any clothing from the neck area
a. Protect the head from injury
b. sweep anything out of the mouth
c. turn patient on to side
d. document the time of the seizure ended
e. remove any clothing from the neck area
, In assessing neurological status on an older a. Reaction time can be slower.
patient, the nurse needs to consider which
age-related change of the neurological
system?
a. Reaction time can be slower.
b. Flexibility is maintained
c. Pain sensation is heightened.
d. Basal body temperature is elevated.
The nurse is caring for a patient with c. Set the person upright while eating, have suction set up.
Parkinson's disease who has a history of
excessiveoral secretions. What is the most
important safety intervention for this
patient?
a. Educate the persons family about the
disease
b. Use adaptive equipment to foster
independence.
c. Set the person upright while eating, have
suction set up.
d. Place the person on fall precautions
Bacterial meningitis is a droplet precaution a. True
true or false?
a. True
b. False
Our patient is in status epilepticus. The b. Check the MAR for a PRN diazepam order.
patient is in a safe position and suction is at
the bedside. What is the next best action
that you should take?
a. Call the doctor to tell them.
b. Check the MAR for a PRN diazepam
order.
c. Administer CPR.
d. Sweep the mouth of foreign objects.
A patient is having a seizure on the neuro
floor. Which of the following needs to be
documented?
Select All that apply
a. Onset and duration.
b. Triggering activity or aura.
c. Time of last meal.
d. Response to rescue medications.
e. All of the above
f. a comma B, D