which statement about the glasgow coma scale
-it establishes a baseline for eye-opening, and motor and verbal response
signs of increased intracranial pressure is scheduled for the following tests. which
diagnostic test should
-lumbar puncture
A patient is admitted with bacterial meningitis. The nurse is completing an admission
history and will ask about a recent history of Select one:
a. URI (Upper Respiratory infection ) .
When caring for a patient who has had a head injury, which assessment is of most
concern to the nurse?
-the patient is more d ifficult to arouse
A patient is diagnosed with meningococcal meningitis. what preventive measure would
the nurse expect the health care provider to order for those who live in close contact with
the patient
-prophylactic antibiotics
the patient with multiple sclerosis has been experiencing episodes of urinary
incontinence. which intervention will the nurse use to deal with the incontinence?
-establish a regular voiding schedule
A patient suspected of having multiple sclerosis is admitted for a diagnostic work-up.
The patient asks the nurse how the diagnosis is primarily made. Which response by the
nurse is appropriate
-Review of your history and symptoms
The nurse is assessing the mental status of a patient in the emergency department.
which finding is an early and reliable indication of an increased intracranial pressure and
a decline in neurologic function?
-Decrease in level of consciousness
A patient with multiple sclerosis has slurred speech. For what possible complication
should the nurse assess the patient?
-trouble swallowing
A patient comes to the Emergency Department (ED) with complaints of neck stiffness,
fever, and a headache. The patient reports discomfort when the neck is flexed. The
nurse plans to prepare the patient or which diagnostic test?
-lumbar puncture
The public health nurse is giving a lecture on potential outbreaks of infectious meningitis.
Which population is most at risk for an outbreak?
-students at a college dormitory
17. The nurse is caring for a patient with an exacerbation of her MS and has altered
balance and decreased coordination. which of the following initial interventions should
the nurse include in the patient's plan of care? (4 side rail up 빼고 전부)
-Instruct the pt to move slowly when changing position
-position pt belonging
18. A client has meningitis following brain surgery. what comfort measures may the nurse
delegate to the unlicensed assistive personnel(UAP)? (C 빼고 전부)
-Assisting the client to a position of comfort
-Keeping Voices soft and soothing
-Applying a cool washcloth to the head
A. Applying a cool washcloth to the head
B. Assisting the client to a position of comfort
C. Keeping voices soft and soothing
D. Maintaining low lighting in the room
5. A patient who is unconsicous has ineffective cerebral tissue perfusion and cerebral
tissue swelling. Which nursing intervention will be included in the plan of care?
-Keep the head of the bead elevated to 30 degrees
20. While completing an assessment of a patient with a possible neurological disorder,
the nurse finds the patient has a staggering gait and abnormal arm swing. What is the
priority action the nurse should take?
-Protect the patient from injury caused by falls
14. The nurse has administered prescribed IV mannitol (Osmitrol) to an unconscious
patient. Which parameter should the nurse monitor to determine the medication's
effectiveness?
-Intracranial pressure
13. the nursing student asks the purpose of the blood brain barrier. The best description
for the blood-brain barrier is?
-It protects the brain from harmful blood-borne agents
A male patient who has possible cerebral edema has a serum sodium level of 116meq.l
and a decrease level of consciousness (loc). he is now complaining of headache. which
prescribed interventions should the nurse implement first?
-administer iv 5% hypertonic sailne
