Neurosensory Ati Study Guide Graded A+

A nurse is assessing a client who has a new diagnosis of mastoiditis. What manifestation should the nurse expect? a. swelling behind the affected ear b. facial drooping on the affected side c. nystagmus on the affected side d. pearly gray color of the affected eardrum {Ans: a. swelling behind the affected ear}A nurse is assessing a client who has sustained a recent head injury. What finding should the nurse recognize as a manifestation of increased intracranial pressure? a. widened pulse pressure b. tachycardia c. periorbital edema d. decreased in urine output {Ans: a. widened pulse pressure}A nurse is caring for a client who has a traumatic brain injury and assumes a decerebrate posture in response to noxious stimuli. What reaction should the nurse anticipate when drawing a blood sample? a. rigidly extends arms b. internally flexes wrists c. curls into fetal position d. internally rotates his legs {Ans: a. rigidly extends arms}A nurse is providing discharge teaching to a client who is postop following cataract surgery and has an intraocular lens implant. What statement by the client indicates an understanding of the instructions? a. I will sleep on the affected side b. I will avoid bending