The nurse is caring for a patient diagnosed with a brain injury to the cerebellum. Which nursing intervention is priority?
Clarify misinformation and reorient when confused
Turn patient every 2 hours
Ensure bed alarm is on when leaving the patient's room
Vary schedule to prevent memorization and boredom
The Correct Answer is C
A. Reorienting confused patients is important but is not directly related to cerebellar injury.
B. While turning every 2 hours is important to prevent pressure injuries, it does not address the specific fall risk associated with cerebellar damage.
C. The cerebellum is responsible for balance and coordination, so injuries in this area increase the risk of falls. Ensuring the bed alarm is on provides immediate alerts if the patient attempts to get out of bed, helping to prevent falls.
D. Varying the schedule to prevent boredom is not a priority in the care of patients with cerebellar injury.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The occipital lobe primarily processes visual information and is less involved in object identification errors.
B. The frontal lobe governs behavior, personality, and decision-making rather than object identification.
C. The parietal lobe is involved in processing sensory information and object recognition. Misidentifying objects can indicate damage to this area of the brain.
D. The temporal lobe is associated with auditory processing and memory, not typically object recognition errors.
Correct Answer is D
Explanation
A. Posterior cord injury usually affects proprioception rather than causing a distinctive pattern of motor and sensory loss.
B. Anterior cord injury generally impacts motor function and temperature and pain sensation bilaterally, not in a hemisection pattern.
C. Central cord injury primarily affects motor function in the upper extremities and is not characterized by ipsilateral motor and contralateral sensory loss.
D. Brown-Sequard syndrome typically presents with motor function loss on the same (ipsilateral) side of the injury and loss of pain and temperature sensation on the opposite (contralateral) side, making this the most likely diagnosis.
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