The Nurse Is Caring for a Patient Who Has Just

question 23

Multiple Choice

The nurse is caring for a patient who has just had neurosurgery.To assess for increased intracranial pressure,what would the nurse include in the assessment?

• A) Cranial nerves, motor function, and sensory function
• B) Deep tendon reflexes, vital signs, and coordinated movements
• C) Level of consciousness, motor function, pupillary response, and vital signs
• D) Mental status, deep tendon reflexes, sensory function, and pupillary response

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Definitions:

Light Sensitive

Having a sensitivity to light levels, often referring to materials or mechanisms that react or change in the presence of light.

Fovea

A small depression in the retina of the eye where visual acuity is highest due to a high concentration of cones.

Color Perception

The ability of the eye to distinguish objects based on the wavelengths of the light they reflect, emit, or transmit.

Receptor Cells

Specialized cells located in the sensory systems of the body, capable of responding to environmental stimuli and converting them into neural signals.