A client required endotracheal intubation with sedation due to being in status epilepticus.
An electroencephalogram (EEG) monitor is prescribed by the physician.
The client's family member asks, "if he's resting now, why does he need that monitor too?" The nurse instructs the family member that the EEG:

Helps determine if there has been bleeding to brain tissue.

Checks for adequate oxygen intake by cerebral tissue.

Will assess brain waves to see if seizure activity is still occurring.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While bleeding could indicate trauma, EEG does not detect blood presence or volume but instead evaluates electrical brain activity indicative of neuronal function.

Choice B rationale

Cerebral oxygen intake assessment requires pulse oximetry or arterial blood gas analysis rather than EEG, which monitors electrical signals, not oxygenation status.

Choice C rationale

EEG identifies abnormal brain wave patterns suggesting ongoing seizure activity, even in sedated patients, aiding in targeted interventions and preventing potential complications.

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Correct Answer is A

Explanation

Choice A rationale

Brown-Sequard injury results in ipsilateral motor function loss due to corticospinal tract damage and contralateral pain/temperature loss from spinothalamic tract disruption, characteristic of this hemisection spinal cord injury.

Choice B rationale

Central cord injury affects cervical spine and hand function but does not exhibit hemisection symptoms like ipsilateral motor loss or contralateral sensory loss. Symptoms vary and commonly include upper limb weakness.

Choice C rationale

Posterior cord injury primarily impacts dorsal column function, resulting in loss of proprioception and vibration sense. Motor and pain/temperature functions are preserved, unlike in Brown-Sequard injury.

Choice D rationale

Anterior cord injury involves ischemic damage to the anterior spinal artery, leading to motor paralysis and pain/temperature loss bilaterally, not ipsilateral and contralateral as described in the question.

A. Administer 40 ounces of fruit juice. B. Administer 15 grams of simple carbohydrates in the form of hard candy. C. Administer 50 mL of Dextrose 50% IV push. D. Repeat the blood glucose test after 15 minutes.

Correct Answer is C

Explanation

Choice A rationale

Administering 40 ounces of fruit juice would result in excessive carbohydrate intake and is inappropriate for treating hypoglycemia. Standard treatment includes 15 grams of carbohydrates or intravenous glucose for severe symptoms.

Choice B rationale

Hard candy provides 15 grams of carbohydrates, suitable for a patient who is alert and able to safely swallow. However, this client exhibits confusion and lethargy, necessitating a quicker, safer IV intervention.

Choice C rationale

Administering Dextrose 50% IV push rapidly raises blood glucose levels, effectively treating hypoglycemia in symptomatic, confused, or unconscious patients. This intervention bypasses the gastrointestinal tract for immediate action.

Choice D rationale

Rechecking glucose after 15 minutes is essential after treatment but does not address acute hypoglycemia. Delaying treatment risks prolonged hypoglycemia, increasing the risk of neuronal injury or further clinical deterioration. .

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is assessing a previously alert client who has now become confused, lethargic, and does not follow commands appropriately.The blood glucose measures 48 mg/dL. What is the appropriate nursing intervention?

Correct Answer is C

Explanation

When considering the pharmacologic management of a patient who has sustained a traumatic head injury, the nurse can anticipate an order for which of the following medications to manage increases in intracranial pressure (ICP)?

The nurse is caring for a patient with a spinal cord injury who has a flaccid or atonic bladder.The nurse would provide discharge education to the patient and family regarding which bladder management technique?

The nurse is developing a teaching plan for the client with glaucoma.Which of the following instructions would the nurse include in the plan of care?

A patient is prescribed metoprolol in the treatment of stable angina.What is the best outcome measure of decreased cardiac workload due to metoprolol for the nurse to evaluate?

A 64-year-old client is prescribed bifocals to correct myopia and presbyopia.To evaluate the effectiveness of the lenses, the nurse will assess the client for:

The nurse recognizes that teaching a client to wash the hands after using the bathroom is an attempt to break the chain of infection between the:

A nurse is caring for a patient with a spinal cord injury who is about to be transferred to a wheelchair for physical therapy.The patient complains of feeling dizzy and is diaphoretic.What would be the priority nursing action?