Ch. 60 Assessment of Neurological Function Flashcards
Quiz
A nurse is performing a neurological assessment on a client. The nurse notices the client has a flat affect. Which lobe of the brain is responsible for affect?
- Parietal lobe
- Temporal lobe
- Frontal lobe
- Occipital lobe
Frontal lobe
A nurse is performing a neurological assessment on a client. The nurse notices the client is bumping into a few objects and doesn’t know their right from their left. Which lobe of the brain is responsible for proprioception and R/L orientation?
- Parietal lobe
- Temporal lobe
- Frontal lobe
- Occipital lobe
Parietal lobe
A nurse is performing a neurological assessment on a client. The nurse notices the client does not understand what the nurse is saying. Which lobe of the brain is responsible for understanding language and music?
- Parietal lobe
- Temporal lobe
- Frontal lobe
- Occipital lobe
Temporal lobe
A nurse is performing a neurological assessment on a client. The nurse notices the client cannot describe what she is seeing. Which lobe of the brain is responsible for visual interpretation and memory?
- Parietal lobe
- Temporal lobe
- Frontal lobe
- Occipital lobe
Occipital lobe
A client scheduled for an MRI has arrived at radiology. As the nurse prepares the client for the study, what action should be prioritized?
- Withholding stimulants 24-48 hrs before study.
- Remove all metal-containing objects.
- Instructing the client to void before the study.
- Initiate an IV line for contrast administration.
Remove all metal-containing objects.
A client scheduled for electroencephalography (EEG) has arrived for their study. As the nurse prepares the client for the study, what action should be prioritized?
- Withholding stimulants 24-48 hrs before study.
- Remove all metal-containing objects.
- Instructing the client to void before the study.
- Initiate an IV line for contrast administration.
Withholding stimulants 24-48 hrs before study so that they do not affect the study results.
A client is scheduled for a lumbar puncture. What action should the nurse prioritize as the client is prepared for the puncture?
- Withholding stimulants 24-48 hrs before study.
- Remove all metal-containing objects.
- Instructing the client to void before the study.
- Initiate an IV line for contrast administration.
Instructing the client to void before the study to prevent discomfort and perforation of the bladder during the procedure.
A client scheduled for a CT scan has arrived for their study. As the nurse prepares the client for the study, what action should be prioritized?
- Withholding stimulants 24-48 hrs before study.
- Remove all metal-containing objects.
- Instructing the client to void before the study.
- Initiate an IV line for contrast administration.
Initiate an IV line for contrast administration if contrast has been ordered. Before giving contrast, make sure the client is not allergic to iodine or shellfish
A gerontologic nurse performing a neurologic assessment of an elderly patient is considering what normal, age-related changes can influence assessment results. What phenomenon should the nurse consider?
- Hyperactive deep tendon reflex.
- Reduction in cerebral blood flow.
- Increased cerebral metabolism.
- Hypersensitivity to painful stimuli
Reduction in cerebral blood flow is part of the normal aging process. Deep tendon reflexes, cerebral metabolism, and sensitivity to painful stimuli decrease with age.
A nurse is performing a complex neurological assessment for a client recently diagnosed with Alzheimer’s. What questions should the nurse ask when assessing the client’s language ability? (SATA
- How are a pen and pencil alike?
- Can you write your name on this blank sheet of paper?
- Can you read this article and explain what it’s saying?
- Can you tell me what year it is?
- What is the name of the president of the US?
- Can you write your name on a blank sheet of paper?
- Can you read this article and explain what it is saying?
A nurse is performing a complex neurological assessment for a client recently diagnosed with a brain injury. What question should the nurse ask to assess the client’s intellectual function?
- How are a pen and pencil alike?
- Can you write your name on this blank sheet of paper?
- Can you read this article and explain what it’s saying?
- Can you tell me what year it is?
- What is the name of the president of the US?
How are a pen and pencil alike?
A nurse is performing a complex neurological assessment for a confused client. What questions should the nurse ask when assessing the client’s mental status? (SATA)
- How are a pen and pencil alike?
- Can you write your name on this blank sheet of paper?
- Can you read this article and explain what it’s saying?
- Can you tell me what year it is?
- What is the name of the president of the US?
- Can you tell me what year it is?
- What is the name of the president of the US?
