The client, who had a stroke, follows the nurse’s instructions without problems, but an attempt to verbally respond to the nurse’s question was garbled. The nurse should identify that the client has which type of aphasia?

The nurse assessed the client newly diagnosed with G. Which finding should the nurse recognize as being unrelated to the diagnosis?

The client with muscle weakness asks the nurse during the initial assessment if the symptoms suggest “Lou Gehrig’s” disease. Which is the nurse’s most appropriate response?

An older adult with PD is prescribed levodopa and carbidopa. What information should the nurse include when teaching the client and spouse?

The client with PD has a new surgically implanted DB S. After the stimulator is operational, which criterion should the nurse use to evaluate that the DBS is effective?

The nurse is monitoring clients for development of a brain abscess. Which client would be the nurse’s lowest priority for monitoring for a brain abscess?

The nurse is caring for the older adult client with normal pressure hydrocephalus (NPH). Which treatment measure should the nurse anticipate?

The nurse is caring for the client with a leaking cerebral aneurysm- What is the earliest sign that would indicate to the nurse that increased ICP may be developing?

The client has right homonymous hemianopia following an ischemic stroke. The nurse asks the NA to help the client with meals knowing that this problem may result in which client response?

The nurse is caring for the client who has limited intake due to dysphagia following an ischemic stroke. Which serum laboratory result should the nurse review to verify that the client is dehydrated?

The nurse is caring for the client who had a stroke affecting the right hemisphere of the brain. The nurse should assess for which problem initially?

The client who has expressive aphasia is having difficulty communicating with the nurse. Which action by the nurse would be most helpful?

The nurse is implementing interventions for the client who has increased ICP. The nurse knows that which result will occur if the increased ICP is left untreated?

Spinal precautions are ordered for the client. Who sustained a neck injury during an MVA. The client has yet to be cleared that there is no cervical fracture. Which action is the nurse’s priority when receiving the client in the ED?

The nurse is caring for the client experiencing Guillain-Barré syndrome (GBS). It is most important for the nurse to monitor the client for which complication?

The client diagnosed with Guillain-Barré syndrome is scheduled to receive plasmapheresis treatments. The client’s spouse asks the nurse about the purpose of plasmapheresis. Which explanation is correct?

The client, who has type I DM, is scheduled for an MRI of the brain after an MVA. Which intervention should the nurse implement to prepare the client for the test?

The nurse learns in report that the client admitted with a vertebral fracture has a halo external fixation device in place. Which intervention should the nurse plan?

The nurse is caring for the client who is having difficulty walking. Which procedure should the nurse procedure to test the cerebellar function of the client?

A hospitalized client diagnosed with seizures has a vagus nerve stimulation (VNS) device implanted. The nurse determines that the VNS is working properly when making which observation?

The nurse is assessing the client following a closed head injury. When applying nailbed pressure, the client‘s body suddenly stiffens, the eyes roll up- ward, and there is an increase in salivation and loss of swallowing reflex. Which observation should the nurse document?

The nurse is administering mannitol IV to decrease the client’s ICP following a craniotomy.Which laboratory test result should the nurse monitor during the client’s treatment with mannitol?

The nurse is caring for the client who has severe craniocerebral trauma. Which finding indicates that the client is developing D1?

The client, diagnosed with an ischemic stroke, is being evaluated for thrombolytic therapy. Which assessment finding should prompt the nurse to withhold thrombolytic therapy?

The nurse assesses the client, who was injured in a diving accident 2 hours earlier. The client is breathing independently but has no movement or muscle tone from below the area of injury. A CT scan reveals a fracture of the C4 cervical vertebra. The nurse should plan interventions for which problem?

An unconscious client has left-sided paralysis. Which intervention should the muse implement to best prevent foot drop?

The client is at risk for septic emboli after being diagnosed with meningococcal meningitis. Which action by the nurse directly addresses this risk?

The client, who has a deteriorating status after having a stroke, has a rectal temperature of l 02-3°F (3 9.1°C). Which should be the nurse’s rationale for initiating interventions to bring the temperature to a normal level?

The client has had recurrent episodes of low back pain. Which statement indicates that the client has incorporated positive lifestyle changes to decrease the incidence of future back problems?

The nurse is teaching the client who is scheduled For an outpatient EEG. Which instruction should the nurse include?

the client underwent a lumbar laminectomy with spinal fusion 12 hours earlier. Which nursing assessment finding indicates that the client has a leakage of CSF?