The nurse is testing Mrs. M’s visual acuity with the Snellen chart. Mrs. M’s distant vision is noted as 20/40. This value means:

In completing a neurologic assessment of a one-month-old infant, the nurse notes a lack of response to noise or stimulation. The mother reports that in the last few days, “the baby has been sleeping all day and when he does awake-all he does is cry!” The nurse hears that the infant’s cry is high pitched and shrill. When asked, the mother says this “cry is different from the baby’s general cries and she has a hard time getting him to stop crying.” What is the most appropriate action by the nurse?

A nurse is monitoring a 4-month-old infant for signs and symptoms of increased intracranial pressure after the infant fell onto a hard wood floor. Upon palpation of the fontanels, the nurse notes that the anterior fontanel is soft and flat at this time. Based on this assessment finding, which nursing action is appropriate?

The nurse is assessing the neurologic status of a patient who has a documented upper motor neuron lesion (UMN). With the reflex hammer, the nurse draws a light stroke up the lateral side of the sole of the foot and inward, across the ball of the foot. In response, the patient’s toes fan out, and the big toe shows dorsiflexion. The nurse interprets this result as:

A 72-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been having trouble reading the newspaper, sewing, and even seeing the faces of her grandchildren. On examination, the nurse notes that she has loss of central vision but her peripheral vision is normal. These findings suggest?

During an assessment of a 62-year-old female patient, the nurse notices the patient has a stooped posture, a shuffling walk with short steps, a flat facial expression, and “pill-rolling” finger movements. These findings would be consistent with:

The nurse elicits a positive Romberg’s sign on a patient with suspected alcohol intoxication. The nurse makes this determination based upon inspection of?

When assessing a client’s muscle strength, the nurse observes the patient has complete range of motion (ROM) with full resistance against opposing force. What grade of muscle strength should the nurse record in the electronic medical record using a 0-5 point scale?

A nurse is caring for a patient in the recovery room post surgery. What would the nurse include in the “Quick Neurological Recheck” after anesthesia postoperatively?

Correct instructions to a client prior to a Pap Smear would include which of the following?