217 Neuro/Integumentary

A client is recovering from an injury to the frontal lobe of the brain. The nurse realizes that which of the following will be affected by this injury?

• Higher intellectual functioning
• Visual perception
• Coordination
• Respiratory rate

A client is recovering from a cerebral bleed which is placing pressure on the hypothalamus. Which of the following will the nurse most likely assess in this client?

• Variations in body temperature
• Blindness
• Alteration in speech
• Uncoordinated body movements

A client recovering from a cerebral vascular accident is having difficulty remembering how to chew food. The nurse realizes that which of the following cranial nerves could be affected in this client?

• IX
• X
• XI
• V

A client is scheduled for a diagnostic test to assess the amount of electrical activity within each of the cerebral hemispheres. The nurse realizes that the diagnostic test this client will be having is a(n):

• myelogram.
• electroencephalogram.
• transcranial Doppler sonogram.
• electromyogram.

For the client who is at risk for stroke, the most important guideline the nurse should teach is to:

• increase drinks with caffeine.
• monitor blood pressure.
• increase amounts of sodium in the diet.
• monitor weight and activity.

The nurse is planning care for a client diagnosed with increased intracranial pressure after a head injury. Which of the following interventions can be used to reduce increased intracranial pressure?

• Administer antibiotics as prescribed.
• Keep the head of the bed in the flat position.
• Administer corticosteroids and osmotic diuretics as prescribed.
• Perform range-of-motion exercises every hour.

Which of the following should be avoided when caring for a client diagnosed with increased intracranial pressure?

• Starting an intravenous access line
• Administering oxygen
• Placing the bed in Trendelenburg
• Placing the client on bed rest

A client being treated for a spinal cord injury needs immediate ventilatory support. The nurse realizes that this client’s level of injury is most likely:

• C3
• C6
• T3
• L3

A client receiving care for a spinal cord injury complains of a pounding headache, blurred vision, and has a blood pressure of 200/100 mmHg. What is the first action the nurse should take?

• Administer pain medication.
• Position the client on the left side.
• Turn off the lights and decrease the noise in the room.
• Check the bladder for distension.

A client is diagnosed with Guillain-Barré syndrome. The nurse would assess that signs and symptoms of the disorder would appear in which of the following order?

• In the hands and arms, progressing to the shoulders and head
• At the top of the spine, progressing to the brain
• In the legs, progressing up the body
• In the face, spreading over the entire facial muscles