Neurological Rehabilitation Flashcards
6 cards from real CRRN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Neurological Rehabilitation flashcards as text
A patient with Guillain-Barré syndrome is in the recovery phase. Which nursing priority is MOST important during early mobilization?
Answer: Monitoring for orthostatic hypotension
Autonomic instability in GBS can cause significant orthostatic hypotension during position changes, making hemodynamic monitoring essential during mobilization.
Which outcome is EXPECTED for a patient with a complete C6 spinal cord injury regarding self-care?
Answer: Ability to perform upper body dressing independently with adaptive equipment
A patient with C6 complete injury retains wrist extension, enabling use of adaptive equipment for upper body dressing but requiring assistance for lower body care.
A rehabilitation nurse is teaching a patient with epilepsy about seizure precautions. Which instruction is MOST important?
Answer: Never drive until seizure-free per state law guidelines
State laws govern driving restrictions after a seizure, and patients must understand these legal and safety requirements as a priority safety teaching point.
When assessing a patient with amyotrophic lateral sclerosis (ALS) for aspiration risk, which finding is MOST concerning?
Answer: Weak cough and wet vocal quality after swallowing
A wet or gurgling vocal quality after swallowing combined with a weak cough indicates laryngeal penetration and significantly elevated aspiration risk.
A patient with TBI at Rancho Level IV is agitated and pulling at tubes. Which nursing intervention is MOST appropriate?
Answer: Use a calm, consistent approach and minimize stimulation
Rancho Level IV (confused-agitated) requires a calm, structured, low-stimulation environment with consistent nursing care rather than restraints or heavy sedation.
Which intervention BEST prevents heterotopic ossification (HO) in a patient with severe TBI?
Answer: Administer prophylactic indomethacin and maintain gentle ROM
NSAIDs such as indomethacin help prevent HO formation, and gentle ROM preserves joint mobility without the trauma that can trigger HO progression.
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