when assessing a patient's neurologic status upon arrival to the emergency room, which reliable indicator would the nurse utilize first?

Dim vision.

Papilledema

Body temperature

Level of consciousness

Answer and Explanation

The Correct Answer is D

A.   Dim vision could be a sign of many conditions but is not the first indicator the nurse should assess for neurologic status.

B.   Papilledema (swelling of the optic disc) is a late sign of increased intracranial pressure and is not immediately available on assessment.
C.   Body temperature is important but not as directly related to the neurological status as LOC.
D.   The level of consciousness (LOC) is one of the most important initial indicators of a patient's neurologic status, as it helps assess brain function and the severity of potential neurological injury. A decrease in LOC can indicate significant brain injury or dysfunction.

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Correct Answer is A

Explanation

A. Decorticate posturing indicates severe brain injury, characterized by flexion of the arms and adduction of the upper extremities.
B. Epileptic is not a term used to describe posturing related to head injury.
C. Stroke does not describe posturing.
D. Decerebrate posturing is characterized by extension and pronation of the arms, not flexion.

A. Blepharitis B. Retinal detachment C. Allergic conjunctivitis D. Cataract

Correct Answer is A

Explanation

A. Blepharitis is an inflammation of the eyelid margin causing symptoms such as itching, irritation, light intolerance, and crusting.
B. Retinal detachment involves sudden visual disturbances such as flashes of light or a curtain-like shadow, not itching or crusting.
C. Allergic conjunctivitis involves redness, itching, and watery discharge, not crusty debris on the lid margins.
D. Cataracts lead to blurred vision and glare, not irritation or crusting.

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when assessing a patient's neurologic status upon arrival to the emergency room, which reliable indicator would the nurse utilize first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which term would the nurse use to document a patient who is comatose from a head injury and display flexion of the arms, wrists, and fingers, as well as adduction of the upper extremities?

Correct Answer is A

Explanation

Which visual disorder would the nurse associate with the patient's clinical manifestations of itching, irritation, intolerance of light, and crusty debris of the lid margins and lashes?

Correct Answer is A

Explanation

Which medical condition places a patient at a higher risk for an embolic stroke?

A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate?

Which intervention would the nurse implement as the priority when providing care for a patient with a ventriculostomy to measure increased intra-cranial pressure (ICP) caused by a brain tumor?

A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?

A nurse is teaching the partner of a client who had a stroke about dysphagia. Which of the following statements by the client's partner should indicate to the nurse that the teaching was effective?

A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility?

Which intervention would the nurse implement to provide relief of the patient's discomfort when presenting to the clinic with a red, swollen, circumscribed, acutely, tender area near the eye and in the lid margin?

A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?