A nurse conducting an eye examination notes that the client exhibits rapid, involuntary oscillating (quick back and forth) movements of the eyeball when looking at the nurse. The nurse documents this finding as:

The nurse is planning care for a client with hemiparesis of the right arm and leg. Where would the nurse plan to place objects needed by the client?

The nurse caring for the patient with dementia notices that the patient stays awake most of the night. What would be the nurse’s most appropriate action?

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 is taking alendronate?

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. Observation (instead of using diazepam) is often sufficient when the patient is having a seizure.

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 indicator of neurological function?

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?