6.What is the earliest and most sensitive indication of altered cerebral function?a.Unequal pupilsb.Loss of deep tendon reflexesc.Paralysis on one side of the bodyd.Change in level of consciousnessANS: DMaintaining consciousness represents the functions of and communication between the frontallobe and reticular activating system. Pupillary function represents function of the oculomotorcranial nerve and the midbrain. Deep tendon reflexes represent function of the spinal cord andreflex arcs. Movement represents function of the spinal cord and posterior frontal lobe. Show
DIF:Cognitive Level: RememberREF:p. 318TOP:Nursing Process: AssessmentMSC:NCLEX Patient Needs: Physiologic Integrity: Physiologic Adaptation: Alteration in BodySystems7.A patient reports having difficulty swallowing. Based on this information, how does the nurseassess the cranial nerve related to swallowing?  We have textbook solutions for you!The document you are viewing contains questions related to this textbook. Abnormal Psychology and Life: A Dimensional Approach Kearney/Trull Expert Verified Option B tests the glossopharyngeal cranial nerve (CN IX), which is involved in swallowing.The nurse must correlate difficulty swallowing with the cranial nerves involved with thatfunction and how to test it. The cranial nerves involved are IX, X, and XII. Option A tests thesensory function of the trigeminal cranial nerve (CN V). Option C tests the motor function ofthe facial cranial nerve (CN VII). Option D tests the sensory portion of the facial cranial nerve(CN VII).DIF:Cognitive Level: AnalyzeREF:p. 319 | p. 322TOP:Nursing Process: AssessmentMSC:NCLEX Patient Needs: Health Promotion and Maintenance: Techniques of PhysicalAssessment8.A patient reports having difficulty swallowing. Based on this information, how does the nurseassess the appropriate cranial nerve? DIF:Cognitive Level: AnalyzeREF:p. 323TOP:Nursing Process: AssessmentMSC:NCLEX Patient Needs: Health Promotion and Maintenance: Techniques of PhysicalAssessment How does the nurse perform a Rinne test of hearing function? Places a vibrating tuning fork in the middle of the head and asks the patient if the sound is heard the same in both ears or if it is louder in one ear than the other. Whispers several words to the patient and requests that the patient repeat the words heard. Places a vibrating tuning fork on the mastoid process until the patient no longer hears it, and then moves it in front of the ear until the patient no longer hears it. Places a set of headphones over both ears, plays several tones, and asks the patient to identify the sounds ANS: B Feedback Recommended textbook solutions
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Edge Reading, Writing and Language: Level CDavid W. Moore, Deborah Short, Michael W. Smith 304 solutions Technical Writing for Success3rd EditionDarlene Smith-Worthington, Sue Jefferson 468 solutions What is the earliest and most sensitive indication of altered cerebral function?Clinical Pearl: Consciousness is the earliest and the most sensitive indicator of neurological change, and is usually the first sign to be noted in neurological signs when the brain is compromised.
Which patient behavior indicates to the nurse that the patients facial cranial nerve CN VII is intact?Which patient behavior indicates to the nurse that the patient's facial cranial nerve (CN VII) is intact? The sides of the mouth are symmetric when the patient smiles.
How does a nurse test the Brachioradial deep tendon reflex quizlet?The nurse holds the patient's relaxed arm with elbow flexed at a 90-degree angle, places a thumb over a tendon in the antecubital fossa, and strikes the thumb with the pointed end of the reflex hammer.
When testing the Achilles reflex the nurse expects which finding is a normal response?D Plantar flexion is the expected response of the Achilles deep tendon reflex. 18. The nurse moves a wisp of cotton lightly across the anterior scalp, paranasal sinuses, and lower jaw to test the function of which cranial nerve?
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What is the earliest and most sensitive indication of altered cerebral function quizlet?
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