Which cerebrospinal fluid analysis result will be most important for the nurse to communicate to the health care provider?
a. Specific gravity 1.007
b. Protein 65 mg/dL (0.65 g/L)
c. Glucose 45 mg/dL (1.7 mmol/L)
d. White blood cell (WBC) count 4 cells/L
Question 2Which information about a 76-year-old patient is most important for the admitting nurse to report to the patient's health care provider?
a. Triceps reflex response graded at 1/5
b. Unintended weight loss of 20 pounds
c. 10 mm Hg orthostatic drop in systolic blood pressure
d. Patient complaint of chronic difficulty in falling asleep
Question 3The charge nurse is observing a new staff nurse who is assessing a patient with a traumatic spinal cord injury for sensation. Which action indicates a need for further teaching of the new nurse about neurologic assessment?
a. The new nurse tests for light touch before testing for pain.
b. The new nurse has the patient close the eyes during testing.
c. The new nurse asks the patient if the instrument feels sharp.
d. The new nurse uses an irregular pattern to test for intact touch.
Question 4Which equipment will the nurse obtain to assess vibration sense in a diabetic patient who has peripheral nerve dysfunction?
a. Sharp pin
b. Tuning fork
c. Reflex hammer
d. Calibrated compass
Question 5Which nursing action will be included in the care for a patient who has had cerebral angiography?
a. Monitor for headache and photophobia.
b. Keep patient NPO until gag reflex returns.
c. Check pulse and blood pressure frequently.
d. Assess orientation to person, place, and time.
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