Exam 23: Neurologic System

The nurse is reviewing a patient's medical record and notes that he is in a coma.Using the Glasgow Coma Scale,which number indicates that the patient is in a coma?

A patient with lack of oxygen to his heart will have pain in his chest and possibly the shoulder,arms,or jaw.The nurse knows that the statement that best explains why this occurs is which of these?

A 59-year-old patient has a herniated intervertebral disk.Which of the following findings should the nurse expect to see on physical assessment of this individual?

The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand.He also cries and becomes angry very easily.The nurse recalls that the cerebral lobe responsible for these behaviors is the _____ lobe.

The nurse is testing superficial reflexes on an adult patient.When stroking up the lateral side of the sole and across the ball of the foot,the nurse notices the plantar flexion of the toes.How should the nurse document this finding?

During the history of a 78-year-old man,his wife states that he occasionally has problems with short-term memory loss and confusion: "He can't even remember how to button his shirt." In doing the assessment of his sensory system,which action by the nurse is most appropriate?

During the neurologic assessment of a "healthy" 35-year-old patient,the nurse asks him to relax his muscles completely.The nurse then moves each extremity through full range of motion.Which of these results would the nurse expect to find?

When the nurse asks a 68-year-old patient to stand with feet together and arms at his side with his eyes closed,he starts to sway and moves his feet farther apart.The nurse would document this finding as a(n):

While the nurse is taking the history of a 68-year-old patient who sustained a head injury 3 days earlier,he tells the nurse that he is on a cruise ship and is 30 years old.The nurse knows that this finding is indicative of:

The nurse places a key in the hand of a patient and he identifies it as a penny.What term would the nurse use to describe this finding?

In the assessment of a 1-month-old infant,the nurse notices a lack of response to noise or stimulation.The mother reports that in the last week he has been sleeping all the time,and when he is awake all he does is cry.The nurse hears that the infant's cries are very high pitched and shrill.What should be the nurse's appropriate response to these findings?

Which of these statements about the peripheral nervous system is correct?

When the nurse is testing the triceps reflex,what is the expected response?

A patient is not able to perform rapid alternating movements such as patting her knees rapidly.The nurse should document this as:

The nurse is doing an assessment on a 29-year-old woman who visits the clinic complaining of "always dropping things and falling down." While testing rapid alternating movements,the nurse notices that the woman is unable to pat both her knees.Her response is very slow and she misses frequently.What should the nurse suspect?

In a person with an upper motor neuron lesion such as a cerebrovascular accident,which of these physical assessment findings should the nurse expect to see?