The nurse prepares to conduct an hourly neurologic assessment on a patient in the intensive care unit. What is included in this assessment?

Question

Quizplus · Accepted Answer

1. An electrocardiogram is not a part of an hourly neurologic assessment.
2. On occasion, the nurse might be involved with assessing brainstem functioning; however, this is not a part of an hourly neurologic assessment.
3. Reflexes are not a part of an hourly neurologic assessment.
4. Components of an hourly neurologic assessment usually include, at least, the Glasgow Coma Scale or another assessment of level of consciousness, pupillary response to light, motor function, and vital signs. Assessment of cranial nerves, reflexes, and sensation may be added if indicated. On occasion, the nurse might be involved with assessing brainstem functioning.

The Nurse Prepares to Conduct an Hourly Neurologic Assessment on a Patient