-Ask the patient to stand with feet together and then close his or her eyes. Show
-Ask the patient the position of the big toe after moving it up and down with the patient's eyes closed. Proprioception is the individual's ability to perceive the position of a body part with his or her eyes closed. The individual should be able to replicate the position of the body part accurately with the opposite extremity or describe the position verbally. A Romberg test is the test for proprioception. The patient is asked to stand with the feet together and then close his or her eyes. If the patient is able to maintain balance with the eyes open but sways or falls with the eyes closed (i.e., a positive Romberg test), vestibulocochlear dysfunction or disease in the posterior columns of the spinal cord may be indicated. Test-Taking Tip: Key words or phrases in the stem of the question such as first, primary, early, or best are important. Similarly, words such as only, always, never, and all in the alternatives are frequently evidence of a wrong response. As in life, no real absolutes exist in nursing; however, every rule has its exceptions, so answer with care. -Ask the patient to stand with feet together and then close his or her eyes -Ask the patient the position of the big toe after moving it up and down with the patient's eyes closed Proprioception is the individual's ability to perceive the position of a body part with his or her eyes closed. The individual should be able to replicate the position of the body part accurately with the opposite extremity or describe the position verbally. A Romberg test is the test for proprioception. The patient is asked to stand with the feet together and then close his or her eyes. If the patient is able to maintain balance with the eyes open but sways or falls with the eyes closed (i.e., a positive Romberg test), vestibulocochlear dysfunction or disease in the posterior columns of the spinal cord may be indicated. Test-Taking Tip: Key words or phrases in the stem of the question such as first, primary, early, or best are important. Similarly, words such as only, always, never, and all in the alternatives are frequently evidence of a wrong response. As in life, no real absolutes exist in nursing; however, every rule has its exceptions, so answer with care. Which part of the cerebrum would the nurse recognize as affected by a recent stroke when the patient is unable to understand spoken words?Effects of a left hemisphere stroke in the cerebrum
The effects of a left hemisphere stroke may include: Right-sided weakness or paralysis and sensory impairment. Problems with speech and understanding language (aphasia)
Which instructions with the nurse provide the patient when assessing the accessory nerve?The accessory nerve controls the sternocleidomastoid and trapezius muscles that aid in head rotation, shoulder elevation, and abduction of the arm. Therefore, while assessing the patient's accessory nerve, the nurse should ask the patient to shrug the shoulders and turn the head to either side against resistance.
Which finding would the nurse expect to identify in the geriatric patient experiencing changes in the reticular activating system RAS )?Which is an expected finding in the geriatric patient resulting from a change in the reticular activating system (RAS)? Decreases in stage 4 sleep are a result of age-related changes in the RAS. The RAS is responsible for regulating arousal and sleep-wake transitions.
Which cranial nerve CN would the nurse associate with a patient's sense of hearing during a neurologic examination?CN VIII (vestibulocochlear) is an auditory sensory nerve and is involved in equilibrium. CN I (olfactory) is responsible for the sense of smell. CN V (trigeminal) is responsible for chewing and many sensory nerves from the forehead to the lower jaw.
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Which clinical manifestation would the nurse identify when admitting a patient suspected of having lesions in Broca area?
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