---> Nursing Neurological Exam 26-30
21. The nurse is caring for a client who requires intracranial pressure (ICP) monitoring. The nurse should be alert for what major complication of ICP monitoring?
c. High blood pressure
22. After a plane crash, a client is brought to the emergency department with severe burns and respiratory difficulty. The nurse helps to secure a patent airway and attends to the client's immediate needs, then prepares to perform a neurologic assessment. Because the client is unstable and in critical condition, this examination must be brief but should include:
a. evaluation of the corneal reflex response.
b. examination of the fundus of the eye.
c. assessment of the client's gait.
d. evaluation of bowel and bladder functions.
23. A client who recently experienced a cerebrovascular accident (CVA) tells the nurse that he has double vision. Which nursing intervention is the most appropriate?
a. Encourage the client to close his eyes.
b. Alternatively patch one eye every 2 hours.
c. Turn out the lights in the room.
d. Instill artificial tears.
24. A client complains of vertigo. The nurse anticipates that the client may have a problem with which portion of the ear?
a. External ear
b. Middle ear
c. Inner ear
d. Tympanic membrane
25. The nurse is assessing a geriatric client with senile dementia. Which neurotransmitter condition is most likely to contribute to this client's cognitive changes?
a. Decreased acetylcholine level
b. Increased acetylcholine level
c. Increased norepinephrine level
d. Decreased norepinephrine level
---> Answers and Rationale
---> Nursing Neurological Exam 16-20