An adult female patient presents with new-onset diplopia (double vision), altered balance, numbness on one side of the face, and urinary and bowel incontinence. Which finding is consistent with the suspected diagnosis?

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Neurological System Assessment Questions Questions

Question 1 of 5

An adult female patient presents with new-onset diplopia (double vision), altered balance, numbness on one side of the face, and urinary and bowel incontinence. Which finding is consistent with the suspected diagnosis?

Correct Answer: A

Rationale: The correct answer is A: Lhermitte sign. Lhermitte sign is characterized by an electric shock-like sensation that radiates down the spine and limbs upon neck flexion, indicating a lesion in the cervical spinal cord. In this case, the patient's symptoms of diplopia, altered balance, facial numbness, and incontinence suggest a neurological issue, possibly multiple sclerosis (MS), which commonly presents with Lhermitte sign. Choice B: Stereognosis involves the ability to recognize objects by touch, not relevant to the patient's symptoms. Choice C: Gel phenomenon is unrelated to the neurological symptoms described. Choice D: Kernig sign is typically associated with meningitis, which does not align with the patient's presentation of neurological deficits suggestive of MS.

Question 2 of 5

A patient with Parkinson's disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The patient who had a stroke needs to be fed. What instruction should you give to the nursing assistant who will feed the patient?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The primary factor in determining choice of anticonvulsant medication is

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

While Susan's medication is being adjusted, the priority goal for her care would be

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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