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 C

Explanation

A. An ICP of 10 mm HG is within normal limits.
B. An ICP of 15 mm HG is within normal limits.
C. An ICP of 20 mm Hg is elevated and should be reported immediately as it can indicate worsening conditions like brain swelling or herniation. Normal ICP is typically 5 to 15 mm Hg.
D. An ICP of 5 mm HG is also normal and would not require immediate reporting.

A. Paresthesia of the right lower extremity B. Delayed capillary refill time C. Pallor of the right toes D. Hot, tender edematous area

Correct Answer is D

Explanation

A. Paresthesia (numbness or tingling) is not a typical finding in cellulitis and may suggest nerve involvement or other conditions.
B. Delayed capillary refill time would indicate poor circulation or possible shock but is not a direct sign of cellulitis.
C. Pallor of the right toes could suggest circulatory issues but is not associated with cellulitis.
D. Cellulitis is an infection of the skin and underlying tissues, usually presenting with warmth (hot), tenderness, redness, and swelling (edema) at the site of infection.

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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?

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Naxlex Comprehensive Predictor Exams

For the patient after a craniotomy, which intracranial pressure (ICP) reading would the nurse report immediately to the healthcare provider?

Correct Answer is C

Explanation

Cellulitis of the right lower extremity may present with which assessment finding?

Correct Answer is D

Explanation

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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?