The nurse is completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA).

Which of the following findings should the nurse report to the practitioner immediately?

ability to swallow pureed foods

client reports mild headache

Weakness

Glasgow coma scale of 5

Answer and Explanation

The Correct Answer is D

A.   Ability to swallow pureed foods suggests some functional capacity and is not an immediate concern requiring immediate reporting.
B.   A mild headache reported by the client might not indicate a critical issue requiring immediate reporting.
C.   Weakness can be a concerning symptom, but the severity or extent of weakness needs further clarification before urgent reporting.
D.   A Glasgow Coma Scale (GCS) score of 5 is indicative of severe impairment of consciousness, requiring immediate attention and further evaluation by the healthcare provider.

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Correct Answer is B

Explanation

A. The vertebral column refers to the series of vertebrae forming the backbone, not specifically the shock absorbers.
B. Intervertebral disks are the fibrocartilage pads between vertebrae that act as shock absorbers, allowing movement and cushioning the spine.
C. The vertebral foramen is the opening in the vertebrae through which the spinal cord passes.
D. The nucleus pulposus is the gel-like inner core of the intervertebral disk, contributing to its flexibility and shock-absorbing properties.

A. Client reports taking an iron supplement B. Client has dry heaves C. The client reports eating red meat prior to the assessment D. Client reports loss of appetite

Correct Answer is C

Explanation

A. Iron supplements typically lead to darker stools but may not necessarily present as a non-tarry black stool.
B. Dry heaves or vomiting could potentially indicate upper gastrointestinal bleeding but not specifically correlate with non-tarry black stool.
C. Consuming red meat can cause black stools due to its breakdown products, which is a normal finding.
D. Loss of appetite doesn't directly relate to stool color or consistency.

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The nurse is completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA). Which of the following findings should the nurse report to the practitioner immediately?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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The nurse is completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA).

Which of the following findings should the nurse report to the practitioner immediately?