The nurse is assessing a patient with a cochlear implant and notices that there is drainage, swelling, and tenderness behind the ear with the implant. What is the priority nursing intervention?

Anticipate a medical prescription for a hearing test

Obtain a culture of the drainage

Remove any foreign body from the ear canal

Obtain a medical prescription for a CT of the skull

Answer and Explanation

The Correct Answer is B

A. A hearing test does not address the infection symptoms and would not be the priority.

B. Obtaining a culture of the drainage is necessary to identify any infection and guide appropriate antibiotic treatment.

C. Removing a foreign body may not be relevant and could worsen infection symptoms if not necessary.

D. A CT scan may be needed if further complications are suspected, but it is not the priority for infection symptoms.

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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.

A. occipital lobe. B. frontal lobe. C. parietal lobe. D. temporal lobe.

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.

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ABG Value	Normal Range
pH	7.35- 7.45
PaCO2	35-45 mm Hg
HCO3	22-25 mEq/L
Base excess	-2 to +2
PaO2	80-95 mm Hg
SaO2	>95%

The nurse is assessing a patient with a cochlear implant and notices that there is drainage, swelling, and tenderness behind the ear with the implant. What is the priority nursing intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

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:

Correct Answer is C

Explanation

The nurse is educating on the placement of a ventriculostomy (intraventricular catheter) to the patient diagnosed with a brain injury and their family. The nurse states, "The ventriculostomy is placed:

The nurse is caring for a patient who has sustained eye trauma as a result of a motor vehicle crash (MVC). Which intervention should the nurse provide regarding a foreign body?

The nurse is caring for a patient diagnosed with unstable angina who is prescribed metoprolol. The patient asks the nurse, "Why do I have to take this medication?" What response by the nurse is most accurate?

The patient diagnosed with acquired immunodeficiency syndrome (AIDS) states that they have developed purple, brown spots on their body. Which opportunistic infection does the nurse suspect?

The nurse is caring for a patient diagnosed with a brain injury to the cerebellum. Which nursing intervention is priority?

The healthcare provider has prescribed intravenous (IV) lorazepam for the patient in status epilepticus. During administration, which is the priority assessment by the nurse?

The nurse is caring for a patient immediately after a spinal cord injury between T7-T8 vertebrae. The patient displays the following symptoms: absent reflexes, flaccidity, loss of sensation below the level of injury, bradycardia, and hypotension. These are signs of which condition?