A 40-year-old man comes to the clinic reporting extreme pain in his right “big” toe. The pain is new in onset and “so painful I cannot walk on it”. The nurse notes the right toe is swollen, reddened and warm to the touch. The client cannot tolerate any touch to the metatarsal joint. What does the nurse suspect?

The role and responsibilities of the electronic health record is ? Choose all that apply?

A nurse is beginning their clinical shift in a Neurological ICU unit. The Glasgow Coma Scale (GCS) is used daily as part of the neurological physical exam. The nurse understands the following assessments are included in the GCS scale: Choose all that apply?

Be alert to symptoms that may constitute an eye emergency. Which symptom should be referred to a doctor immediately?

A nurse suspects that a client has carpal tunnel syndrome and asks her to perform the Phalen’s test. To perform this test, the client would:

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?