Nokea
Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem?
- A. Do you have any sensations of pins and needles in your feet?'
- B. Does the pain radiate from your back into your legs?'
- C. Can you describe the sensations you are having?'
- D. Do you ever have any nausea or dizziness?'
Correct Answer: C
Rationale: For patients with suspected neurologic conditions, the presence of many symptoms or subjective data may be significant. Offering leading questions is not beneficial and may allow the patient to give misinformation. Questions should be specific about symptoms.
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Which divisions are the two divisions of the nervous system?
- A. Somatic and the autonomic
- B. Cerebellum and the brainstem
- C. Medulla oblongata and the diencephalon
- D. Central and the peripheral
Correct Answer: D
Rationale: The central and the peripheral are the two divisions of the nervous system. The autonomic and the somatic are the division of the peripheral nervous system.
The nurse is aware that when assessing a patient by the FOUR score coma scale, the patient is assessed in four categories: eye response, brainstem reflexes, motor response, and respiration. In which manner are these results reported?
- A. As a sum of the scores of the four categories
- B. As part of the Glasgow Coma Scale
- C. As individual scores in each category
- D. As progressive scores during a 24-hour period
Correct Answer: C
Rationale: The FOUR score coma scale assesses the patient in four categories: eye response, brainstem reflexes, motor response, and respiration. The scores are reported as individual scores in each category. It is frequently done in conjunction with or as an alternative to the Glasgow Coma Scale, not part of it.
Which action will the nurse take when caring for a child recently diagnosed with bacterial meningitis?
- A. Arrange for humidified oxygen per mask.
- B. Place the child in respiratory isolation.
- C. Inquire about drug allergy.
- D. Hold NPO until orders arrive.
Correct Answer: B
Rationale: Persons with bacterial meningitis are placed in respiratory isolation until the pathogen can no longer be cultured, usually 24 hours.
Which benefit do the drugs neostigmine and pyridostigmine have for the person with myasthenia gravis?
- A. Improves speech.
- B. Improves visual disturbances.
- C. Reduces pain.
- D. Promotes nerve impulse transmission.
Correct Answer: D
Rationale: Prostigmine and Mestinon improve the nerve impulses and alleviate the symptoms.
As the result of a stroke, a patient has difficulty discerning the position of his body without looking at it. In the nurse's documentation, which term would best describe the patient's inability to assess spatial position of his body?
- A. Agnosia
- B. Loss of proprioception
- C. Apraxia
- D. Sensation
Correct Answer: B
Rationale: Patients may experience a loss of proprioception with a stroke. This may include apraxia and agnosia (a total or partial loss of the ability to recognize familiar objects or people).