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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hyperopia (farsightedness) causes difficulty seeing close objects.
B. Myopia, or nearsightedness, causes difficulty seeing distant objects clearly while nearby objects remain clear.
C. Astigmatism results in blurred vision at all distances due to an irregularly shaped cornea.
D. Presbyopia is age-related difficulty in focusing on near objects due to lens rigidity.
Correct Answer is B
Explanation
A. Glucose level, BP, and brain tissue: Glucose level is not a key component of ICP balance.
B. BP, brain tissue, and cerebrospinal fluid: These are the primary components that contribute to ICP balance. Changes in any of these can affect pressure inside the skull.
C. BP, brain tissue, body mass index: BMI is not directly related to ICP balance.
D. BP, brain tissue, and ventricles of the brain: The ventricles are involved in cerebrospinal fluid production but are not one of the primary components of ICP balance as a whole.
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