Neuro Quiz/In-class Activity Flashcards
The emergency department nurse is caring for a 78-year old patient whose daughter reports a decrease in cognition. Which nursing statement directed to the patient helps the nurse to assess cognition?
“Tell me what this fable means to you.”
The nurse is caring for an older adult who is usually alert and oriented. When the patient exhibits a change in mental status, which cause does the nurse assess for first?
Oxygen insufficiency
The nurse is caring for a 30-year-old patient who experienced a frontal lobe infarction after a motorcycle accident. What is the appropriate nursing intervention?
Enable the bed alarm safety system.
When assessing a patient, the nurse notes that they cannot identify the scent as coffee. How should the nurse document this?
Anosmia present bilaterally.
The nurse is caring for a patient with an acoustic neuroma. When preparing to assess the patient further which of the following tests should the nurse anticipate doing? Select all that apply.
Weber test
Whisper test
Rinne test
A patient with cerebral edema after a motor vehicle accident opens their eyes to noise, grunts when the nurse asks questions and withdraws from painful stimuli. When documenting these findings, what is the associated Glascow Coma Scale score?
9
A patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The nurse suspects:
Damage to the trigeminal nerve
When assessing a patient’s deep tendon reflexes, the nurse does not get a strong response with their patellar reflex. What is the most appropriate action?
Try again and have the patient use a distraction technique
A nurse comes into a patient’s room to perform an assessment and administer medication. When asked if they would like to take their medication with water or juice, the patient starts yelling at the nurse and tells her to get out of the room. How should the nurse document this patient’s response?
Agressive
