Which assessment findings would alert the nurse to the presence of a cerebellar brain attack?

Vertigo and bilateral loss of the pupillary light reflex

Nuchal rigidity and positive Kernig's sign.

Report of falling down, nausea and vomiting.

Difficulty speaking and loss of coordination.

Answer and Explanation

The Correct Answer is D

A. Vertigo and bilateral loss of the pupillary light reflex: Vertigo can occur with cerebellar involvement, but loss of the pupillary light reflex is more associated with brainstem damage.

B. Nuchal rigidity and positive Kernig's sign: These are signs of meningitis, not a cerebellar stroke.

C. Report of falling down, nausea, and vomiting: These symptoms can occur with cerebellar strokes, but they are nonspecific and can be seen in other conditions as well.

D. Difficulty speaking and loss of coordination: The cerebellum is responsible for coordination, and a cerebellar stroke can lead to ataxia (loss of coordination) and dysarthria (difficulty speaking).

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Correct Answer is B

Explanation

A. Elevating the head of the bed promotes venous return and helps increase the ICP: This is incorrect. Elevation of the head of the bed helps to decrease intracranial pressure (ICP) by promoting venous drainage rather than increasing it.

B. Elevation of the head of the bed aids in maintaining cerebral perfusion: Elevating the head of the bed helps to decrease ICP, which in turn aids in maintaining adequate cerebral perfusion pressure.

C. Elevation of the head of the bed will increase intracranial pressure (ICP): This is incorrect. Elevation of the head of the bed is intended to reduce ICP, not increase it.

D. The nurse should keep the head of the bed flat to ensure adequate arterial circulation: This is incorrect. Keeping the head of the bed flat can increase ICP, which is counterproductive in managing intracranial pressure.

A. low T4, High TSH. B. low T4, high calcitonin C. high PSA and estrogen levels. D. HighT4, low TSH.

Correct Answer is D

Explanation

A. Low T4, High TSH: This pattern is seen in primary hypothyroidism, where the thyroid gland is underactive.

B. Low T4, high calcitonin: This choice is unrelated to the typical lab findings in Graves' disease. Calcitonin levels are not commonly assessed in thyroid disorders like Graves' disease.

C. High PSA and estrogen levels: PSA (Prostate-Specific Antigen) and estrogen levels are unrelated to Graves' disease, which is an autoimmune hyperthyroid condition.

D. High T4, low TSH: Graves' disease is characterized by hyperthyroidism, where T4 (thyroxine) levels are elevated, and TSH (Thyroid-Stimulating Hormone) levels are suppressed due to the negative feedback mechanism.

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Which assessment findings would alert the nurse to the presence of a cerebellar brain attack?

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Naxlex Comprehensive Predictor Exams

A patient is admitted to the ED (emergency department) with an intracranial problem. Upon arrival the RN (registered nurse) immediately ensures that the head of the bed is elevated at 35 degrees. Identify the pathophysiological rational for this intervention?

Correct Answer is B

Explanation

When analyzing laboratory values, for a patient diagnosed with Graves' disease, the nurse would expect to find a

Correct Answer is D

Explanation

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Which assessment findings would alert the nurse to the presence of a cerebellar brain attack?

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