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Central Texas College NURSING 1115 Chapter 15 1)The nurse gives a key to a patient with a tumor in the cerebrum and asks the patient to close her eyes and identify the object

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Central Texas College

NURSING 1115

Chapter 15

1)The nurse gives a key to a patient with a tumor in the cerebrum and asks the patient to close her eyes and identify the object. The patient manipulates the key, but she cannot identify what it is. From this finding the nurse suspects that the patient’s tumor is located in which lobe of the cerebrum?

A.            Frontal lobe

B.            Parietal lobe      

C.            Temporal lobe

D.            Occipital lobe

 

2.            During a symptom analysis the patient reports a pain that radiates from the right lateral thigh, over the knee, and around to the right medial ankle. The nurse refers to the dermatome map(see fig. 15-7) to determine that the patient’s description of pain is consistent with dysfunction of which spinal nerve?

1. Second lumbar (L2) 2.Third lumbar (L3) 3.Fourth lumbar(L4) 4.Fifth lumbar (L5)

 

3.            The nurse is checking the deep tendon reflexes of a pt who has compression of the fifth and sixth cervical nerves on the right. Which deep tendon reflex is diminished? 1.Right biceps reflex

2.Left brachioradialis reflex 3.Right triceps reflex

                4.Left patellar reflex

 

4.            When assessing a pt with a tumor within the medulla oblongata, the nurse notes which abnormal finding?

1.            Absent gag reflex

2.            Inability to smile and raise eyebrows

 

3.            Loss of sensation to the face

4.            Hearing deficit with unsteady gait

 

5.            Which techniques does the nurse use to test the triceps reflex?

1.            Holds the knee in a slightly flexed position while he or she strokes the end of the foot with a dull object.

2.            Holds the pt’s relaxed forearm with the hand slightly pronated while striking the appropriate tendon with a flex hammer.

3.            Hold the pt’s relaxed arm with elbow flexed at a 90-degree angle, places a thumb over the appropriate tendon, strikes the thumb with the pointed end of the reflex hammer.

4.            Holds the pt’s relaxed arm with elbow flexed at a 90 degree angle in one hand and strikes the appropriate tendon just above the elbow with either end of the reflex hammer.

 

6.            Which technique is used to assess the cerebellum?

1.            Application of a pointed tip of a paper clip to lightly prick various areas of the upper and lower extremities to test for sensation.

2.            Having the pt walk on the heels and then on the toes to test for sensation.

3.            With the pt’s eyes closed, grasping his or her finger or toe and moving its position 1 cm up or down to determine if the pt perceives that the digit has moved.

4.            Having the pt lie supine and flex the hips and knees to test for mobility and range of motion.