Neuro Test Bank 2024/2025 updated Questions And Answers 100% correct Verified

When admitting an acutely confused 20-year-old patient with a head injury, which action should the nurse take? a. Ask family members about the patients health history. b. Ask leading questions to assist in obtaining health data. c. Wait until the patient is better oriented to ask questions. d. Obtain only the physiologic neurologic assessment data.a. Ask family members about the patients health history. When admitting a patient who is likely to be a poor historian, the nurse should obtain health history information from others who have knowledge about the patients health. Waiting until the patient is oriented or obtaining only physiologic data will result in incomplete assessment data, which could adversely affect decision making about treatment. Asking leading questions may result in inaccurate or incomplete information. Which finding would the nurse expect when assessing the legs of a patient who has a lower motor neuron lesion? a. Spasticity b. Flaccidity c. No sensation d. Hyperactive reflexesb. Flaccidity Because the cell bodies of lower motor neurons are located in the spinal cord, damage to the neuron will decrease motor activity of the affected muscles. Spasticity and hyperactive reflexes are caused by upper motor neuron damage. Sensation is not impacted by motor neuron lesions