The nurse in the rehabilitation unit is caring for a patient with a chronic head injury. During the assessment, the nurse holds up a pen and asks the patient to identify the object. The patient replies, "It's a key." When considering the patient's response, which part of the brain is involved? The:

occipital lobe.

frontal lobe.

parietal lobe.

temporal lobe.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is B

Explanation

A. The low blood pressure (90/64) may indicate hypovolemia or shock but is not specific for ICP concerns.

B. This set of vital signs is concerning due to the extremely high blood pressure (220/46) combined with a very low heart rate (30) and low respiratory rate (6), which can indicate an autonomic response to increased ICP, potentially leading to Cushing's triad (hypertension, bradycardia, and irregular respirations).

C. Although the blood pressure is high (200/94), the heart rate is normal and the respiratory rate is stable, making this less alarming compared to option B.

D. The elevated temperature and abnormal heart rate (132) indicate potential fever and tachycardia, but the blood pressure (82/50) is low and does not directly indicate increased ICP.

A. “appetite changes." B. “severe abdominal pain." C. “mild indigestion." D. “weight gain."

Correct Answer is B

Explanation

A. Appetite changes are a possible side effect but are not as critical to report immediately.

B. Severe abdominal pain may indicate pancreatitis or liver issues, both serious side effects of valproic acid that require prompt medical attention.

C. Mild indigestion can be a common, non-serious side effect of valproic acid and does not typically require urgent attention.

D. Weight gain is another common side effect of valproic acid but does not necessitate immediate reporting unless it becomes significant.

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The nurse in the rehabilitation unit is caring for a patient with a chronic head injury. During the assessment, the nurse holds up a pen and asks the patient to identify the object. The patient replies, "It's a key." When considering the patient's response, which part of the brain is involved? The:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with an acute brain injury. Which of the following sets of vital signs would concern the nurse about increasing intracranial pressure (ICP)?

Correct Answer is B

Explanation

The nurse is teaching a patient who is prescribed valproic acid for seizures. The nurse would identify that the patient understands the teaching for the medication when they state, "I will notify my healthcare provider if I experience:

Correct Answer is B

Explanation

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