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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. The constriction and dilation of blood vessels in the brain helps maintain appropriate cerebral blood flow and cerebral perfusion pressure (CPP) despite fluctuations in blood pressure.
B. Catecholamines regulate other systemic body functions, but they do not directly impact cerebral perfusion pressure.
C. Carbon dioxide exhalation can affect blood flow, but the primary regulation of CPP is through blood vessel constriction and dilation.
D. The amount of blood pumped from the heart can impact overall blood pressure but does not directly regulate cerebral perfusion pressure.

A. Decreases in lymphocytes B. Decrease in protein level C. Decreased in neutrophils D. Decrease in glucose level

Correct Answer is D

Explanation

A. Lymphocytes typically increase in viral meningitis, not bacterial.
B. In bacterial meningitis, protein levels are typically elevated due to the inflammatory process.
C. Neutrophils would be elevated in bacterial meningitis, as they are the body's primary defense against bacterial infections.
D. A decrease in glucose levels is characteristic of bacterial meningitis due to the consumption of glucose by the bacteria and the inflammatory response.

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when assessing a patient's neurologic status upon arrival to the emergency room, which reliable indicator would the nurse utilize first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is taking care of a client who has sustained a neurologic injury with increased intracranial pressure and decreased cerebral perfusion. Which of the following will keep cerebral perfusion pressure constant?

Correct Answer is A

Explanation

Which laboratory result would the nurse anticipate when reviewing the cerebrospinal fluid analysis of a patient with bacterial meningitis?

Correct Answer is D

Explanation

Which term would the nurse use to document a patient who is comatose from a head injury and display flexion of the arms, wrists, and fingers, as well as adduction of the upper extremities?

A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include?

When the patient's initial vital signs after a brain injury were a BP of 132/72 mm Hg, pulse 100 beats/min, respirations 24 breaths/min, which subsequent vital signs would the nurse report immediately to the health care provider?

A nurse admits a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse expect to administer to decrease ICP?

A nurse is caring for a client who had a stroke involving the left cerebral hemisphere. The nurse should monitor for which of the following findings?

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A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion?