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chapter 41 book

exam 7 alterations

The nursing student is preparing to do a clinical rotation on a neuro-medicine floor. Which of the following statements demonstrates a good understanding of the content on the nervous system? The nervous system is divided into two regions: the central nervous system and the peripheral nervous system
The patient presents with flaccid paralysis, sensitivity to pain, temperature, and crude touch. The patient also tests positive for fine touch and vibration. Which of the following could contribute to the patient's symptoms? The patient has suffered damage to the anterior root of the spinal nerve pairs.
The nurse is assessing a patient who has been admitted to rule out a stroke. Which of the following symptoms could be indicative of a stroke? Dysphonia, abnormal gait, and decreased level of consciousness
While escorting a patient to the exam room, the patient displays a swaying gait. Which of the following assessments should the nurse perform? Ask the patient to describe the position of his finger or toe.
The patient's neck is extended, with the jaw clenched. The patient's arms are pronated, extended, and close to the sides. The patient's legs are extended straight out, and the feet are plantar-flexed. The patient is exhibiting decerebrate posturing.
A patient is being examined by the nurse. As part of the neurological examination, the patient's reflexes are tested. The nurse determines that the patient's reflexes are scored a 2. Of what is this assessment indicative in this patient? Normal reflexes1, hypo 2, normal 3, stronger than normal 4, hyperactive
Instruct the other person to squeeze your hands, push their feet against the resistance of your hands, observe the lab partner at rest, and have them reach for a glass of water. what are they checking? Tremors, muscle strength, and movement
The patient presents with tremor, muscular stiffness, and difficulty with balance and walking. what might they have? Parkinson's disease
A patient is newly diagnosed with amyotrophic lateral sclerosis (ALS). Which of the following statements, if made by the patient, would demonstrate a correct understanding of ALS? ALS is a neurologic disease that causes progressive degeneration of motor neurons in the brain and spinal cord.
The nurse is caring for a comatose patient whose computerized tomography (CT) scan revealed lesions of the midbrain. Which of the following nursing assessment findings is associated specifically with this type lesion of the brain? Decerebrate posturing
Eyes closed, does not open eyes to vocal commands, opens eyes after painful stimuli, withdraws from the painful stimuli, and responds with garbled speech. Based on these finding, which of the following would be the most appropriate nursing action? Notify the health care provider.
Nursing assessment of the patient diagnosed with Parkinson's disease is most likely to reveal which of the following signs/symptoms? Tremors that occur at rest
Created by: bkgrota