Show
This preview shows page 49 - 52 out of 188 pages. 1.When admitting an acutely confused patient with a head injury, which action should the nurse take?a.Ask family members about the patient’s 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.ANS:AWhen admitting a patient who is likely to be a poor historian, the nurse should obtain health historyinformation from others who have knowledge about the patient’s health. Waiting until the patient isoriented or obtaining only physiologic data will result in incomplete assessment data; this couldadversely affect decision-making about treatment. Asking leading questions may result in inaccurate orincomplete information. DIF:Cognitive Level: ApplicationREF:1412-1413TOP:Nursing Process: AssessmentMSC:NCLEX: Physiological Integrity We have textbook solutions for you! The document you are viewing contains questions related to this textbook. Biological Psychology Kalat Expert Verified 2.A patient has a lesion that affects lower motor neurons. During assessment of the patient’s lowerextremities, the nurse expects to finda Get answer to your question and much more DIF:Cognitive Level: ComprehensionREF:1408-1409TOP:Nursing Process: AssessmentMSC:NCLEX: Physiological Integrity3.When performing a focused assessment on a patient with a lesion of the left posterior temporal lobe,the nurse will assess for
Get answer to your question and much more The posterior temporal lobe integrates the visual and auditory input for language comprehension.Reasoning and problem solving are functions of the anterior frontal lobe. Sensation on the left side ofthe body is located in the right postcentral gyrus. Voluntary movement on the right side is controlled inthe left precentral gyrus.DIF:Cognitive Level: ApplicationREF:1409TOP:Nursing Process: AssessmentMSC:NCLEX: Physiological Integrity4.Propranolol (Inderal), a β-adrenergic blocker that inhibits sympathetic nervous system activity, isprescribed for a patient. The nurse monitors the patient fora.dry mouth.b.constipation.c.slowed pulse.d.urinary retention.ANS:CInhibition of the fight or flight response leads to decreased heart rate. Dry mouth, constipation, andurinary retention are associated with peripheral nervous system blockade.DIF:Cognitive Level: ComprehensionREF:1407TOP:Nursing Process: EvaluationMSC:NCLEX: Physiological Integrity5.To assess the functioning of the trigeminal and facial nerves (CN V and VII), the nurse shoulda. Upload your study docs or become a Course Hero member to access this document Upload your study docs or become a Course Hero member to access this document End of preview. Want to read all 188 pages? Upload your study docs or become a Course Hero member to access this document Tags Nursing, Intracranial pressure, confused patient We have textbook solutions for you!The document you are viewing contains questions related to this textbook. The document you are viewing contains questions related to this textbook. Biological Psychology Kalat Expert Verified What should the nurse include in a focused assessment of a patient's left posterior temporal lobe functions?3. What should the nurse include in a focused assessment of a patient's left posterior temporal lobe functions? The posterior temporal lobe integrates the visual and auditory input for language comprehension. Reasoning and problem solving are functions of the anterior frontal lobe.
Which test should the nurse anticipate discussing with a patient who has a possible seizure disorder?EEG brain activity
An EEG records the electrical activity of the brain via electrodes affixed to the scalp. EEG results show changes in brain activity that may be useful in diagnosing brain conditions, especially epilepsy and other seizure disorders.
Which assessment actions will the nurse make to test a patient's cerebellar function?The cerebellum is responsible for coordination and is assessed by looking at the patient's gait and the finger-to-nose test.
Which cerebrospinal fluid analysis result will be most important for the nurse to communicate to the health care provider?After reviewing a patient's cerebrospinal fluid analysis, which result will be most important for the nurse to communicate to the health care provider? The protein level is high.
|
When admitting an acutely confused patient with a head injury, which action should the nurse take?
Urheberrechte © © 2024 membukakan Inc.
