Which assessment findings would alert the nurse to the presence of a cerebellar brain attack?

Vertigo and bilateral loss of the pupillary light reflex

Nuchal rigidity and positive Kernig's sign.

Report of falling down, nausea and vomiting.

Difficulty speaking and loss of coordination.

Answer and Explanation

The Correct Answer is D

A. Vertigo and bilateral loss of the pupillary light reflex: Vertigo can occur with cerebellar involvement, but loss of the pupillary light reflex is more associated with brainstem damage.

B. Nuchal rigidity and positive Kernig's sign: These are signs of meningitis, not a cerebellar stroke.

C. Report of falling down, nausea, and vomiting: These symptoms can occur with cerebellar strokes, but they are nonspecific and can be seen in other conditions as well.

D. Difficulty speaking and loss of coordination: The cerebellum is responsible for coordination, and a cerebellar stroke can lead to ataxia (loss of coordination) and dysarthria (difficulty speaking).

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Correct Answer is A

Explanation

A. Status epilepticus: Status epilepticus is a life-threatening condition where seizure activity is continuous or occurs in rapid succession without recovery between seizures.

B. Anticonvulsant syndrome: This term is not a recognized medical condition.

C. Syphilitic posturing: This term is not associated with seizure disorders and is not a recognized condition.

D. Positive Babinski reflex: This indicates an upper motor neuron lesion but is not related to continuous seizure activity.

A. Moon face, buffalo hump, and hyperglycemia B. Hirsutism, fever, and irritability C. Anorexia, fatigue and hypotension D. Tachycardia, exophthalmos, and goiter

Correct Answer is C

Explanation

A. Moon face, buffalo hump, and hyperglycemia: These manifestations are associated with Cushing's disease, not Addison's disease.

B. Hirsutism, fever, and irritability: These symptoms are not characteristic of Addison's disease.

C. Anorexia, fatigue, and hypotension: Addison's disease often presents with symptoms like anorexia, fatigue, hypotension, and hyperpigmentation of the skin.

D. Tachycardia, exophthalmos, and goiter: These symptoms are associated with hyperthyroidism, not Addison's disease.

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Which assessment findings would alert the nurse to the presence of a cerebellar brain attack?

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