The nurse is assessing the client with a neurological complication.  Which of the following actions will the nurse ask the client to perform to assess the function of cranial nerve XI?

The client who is admitted with a decreased level of consciousness had the following assessment: Pupils are equal, round, reactive to light Blood pressure = 150/90 Respiratory rate = 20 breaths/min Pulse = 60 beats/min Absent gag reflex Which of the following interventions will the nurse prioritize?

Please hand in any scrap paper prior to leaving the room.

The nurse is caring for a client who has had a cerebrovascular accident (CVA).  Which assessment finding indicates an early sign of increased intracranial pressure?

Case study questions #42-46 The 32-year-old female client is being admitted for new onset seizures.  The client has had two witnessed seizures lasting 30-40 seconds each.  The client has no other pertinent medical history and denies any recent changes in medications or lifestyle.  Question 43: The client arrives, she is alert, agitated and supervised assist from stretcher to bed.  The client complains of a headache 6/10 on the numerical scale and changes in peripheral vision.  What would be the nurses priority action at this time?

The client is scheduled for an electroencephalography (EEG).  Their breakfast tray arrives and the client asks, “Am I allowed to eat breakfast before my test?”.  What is the best response by the nurse?

Case study questions #42-46 The 32-year-old female client is being admitted for new onset seizures.  The client has had two witnessed seizures lasting 30-40 seconds each.  The client has no other pertinent medical history and denies any recent changes in medications or lifestyle.  Postictal state, the client presents as the following; B/P 144/96 mmHg Pulse 112 beats/min. RR 20 breaths/min. SPO2 87% on room air Neuro: alert to person and place only Question #45: Which medication would be most appropriate to administer at this time?

The nurse is caring for the client with a brain tumor in the cerebellar region.  Which of the following assessment findings would the nurse expect?

The nurse is teaching the client with Myasthenia Gravis about myasthenic and cholinergic crises.  The nurse knows the teaching has been effective when the client states which of the following?

The nurse is caring for the client who has had a stroke and is experiencing dysphagia.  In planning care for the client, the nurse reviews the client’s diet.  Which of the following interventions by the nurse are most appropriate?  Select all that apply.