The nurse is using a penlight to check the patient’s pupils as part of the neurologic assessment/data collection. Arrange the actions and observations in the correct order that they should occur for testing accommodation. All options must be used:1. Pupils dilate. 2. Pupils constrict and converge. 3. Document findings. 4. Ask client to watch object as it moves to the nose. 5. Ask client to focus on object in the distance.
Which instruction will the nurse reinforce for a patient who…
Which instruction will the nurse reinforce for a patient who is taking alendronate?
An older gentleman is brought to the emergency department by…
An older gentleman is brought to the emergency department by a neighbor who heard him talking and wandering in the street at 3 am. What should the nurse first determine about the client?
Diazepam may be administered for treatment of seizures. Obse…
Diazepam may be administered for treatment of seizures. Observation (instead of using diazepam) is often sufficient when the patient is having a seizure.
An Orthodox Jewish patient has been pronounced dead. The unl…
An Orthodox Jewish patient has been pronounced dead. The unlicensed assistive personnel (UAP) respectfully asks family members to leave the room and go home as postmortem care is provided. Which statement from the nursing supervisor is best?
When assessing/collecting data on a patient what is the best…
When assessing/collecting data on a patient what is the best indicator of neurological function?
A 45-year-old patient who is alert and oriented has a blood…
A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm Hg, radial pulse of 59 beats/min (irregular), and respirations of 18 breaths/min (regular). What is the most appropriate nursing action?
The nurse is caring for a patient who has just passed away….
The nurse is caring for a patient who has just passed away. Which is the priority action of the nurse?
A nurse performing a neurological examination is testing the…
A nurse performing a neurological examination is testing the vestibulocochlear (acoustic) nerve. Which of the following actions does the nurse take to test this nerve?
The nurse determines that motor function of which cranial ne…
The nurse determines that motor function of which cranial nerve is intact if the client can perform this action? Refer to figure.