Musculoskeletal

A nurse is assessing a client who had a right hemispheric stroke. Which of the following neurologic deficits should the nurse expect?

Impulsive behavior.

A nurse is caring for a client who has a history of status epilepticus and requires seizure precautions. Which of the following actions should the nurse take?

Establish IV access.

A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect?

Intention tremors.

A nurse is reviewing postop instructions with a client following cataract surgery. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I should call my doctor if my vision gets worse."

A nurse is teaching a client who has Parkinson's disease about taking carbidopa-levodopa. Which of the following statement should the nurse identify as an indication that the client understands the teaching?

"I should expect my urine to be a darker color."

A nurse is developing a teaching plan for a client who has Meniere's disease. Which of the following instructions should the nurse include?

"Move your head slowly to decrease vertigo."

A nurse is caring for a client who is 72 hours postop following an above-the-knee amputation and reports phantom limb pain. Which of the following actions should the nurse take?

Administer a dose of gabapentin to the client. (nonopioid medication to help minimize phantom limb pain)

A nurse is caring for a client who has viral meningitis. Which of the following actions should the nurse take?

Check capillary refill at least every 4 hours. (monitor for vascular compromise)

A nurse is caring for a client who has a full arm cast and reports a pain severity of 8 on a scale from 0-10 that pain medication does not relieve. Which of the following actions should the nurse plan to take first?

Check the circulation of the affected extremity.

A nurse is caring for a client who is in balanced suspension skeletal traction and reports intermittent muscle spasms. Which of the following actions should the nurse take first?

Check the position of the weights and ropes.

A nurse is caring for a client who has a basilar skull fracture following a fall from a ladder. Which of the following assessment findings should the nurse report to the provider?

Clear drainage from the nose.

A nurse is caring for a client who has a retinal detachment. Which of the following client reports about the affected eye should the nurse expect?

Flashes of bright light.

A nurse is planning care for a client who has a closed head injury from a fall and is receiving mechanical ventilation. Which of the following interventions is the nurse's priority?

Maintain a PaCO2 of approximately 35 mm Hg.

A nurse is caring for a client who had advancing amyotrophic lateral sclerosis. Which of the following interventions is the nurse's priority?

Monitor pulse oximetry findings.

A nurse in an emergency department is assessing a client who reports sudden, sever eye pain with blurry vision. The provider determines that the client has primary angle-closure glaucoma. Which of the following medications should the nurse administer?

Osmotic diuretics via IV bolus. (reduced intraocular pressure and prevent damage to the eye)

A nurse is assessing a client who has a head injury following a motor-vehicle crash. The nurse should identify that which of the following findings indicates increasing intracranial pressure?

Restlessness.

A nurse in an emergency department is assessing a client who has myasthenia gravis. The client reports recent increasing muscle weakness and the nurse suspects the client is having a myasthenic crisis. Which of the following actions is the nurse's priority?

Assist with a Tensilon test. (test will determine whether the client is having a myasthenic crisis or a cholinergic crisis)

A nurse is performing a pain assessment for a client who is postoperative. Which of the following findings should the nurse use to determine the severity of the client's pain?

Client's report of pain on a pain scale.

A nurse is caring for a client who has a spastic bladder following a spinal cord injury. Which of the following actions should the nurse take to help stimulate micturition?

Stroke the client's inner thigh.

A nurse is teaching a client who has osteoporosis and a new prescription for alendronate. Which of the following information should the nurse include in the teaching?

"Remain upright for 30 min after taking this medication." (prevent esophagitis or esophageal ulcers that can result from alendronate therapy)

A nurse is teaching a client and his family about the diagnosis and treatment of Alzheimer's disease. Which of the following statements should the nurse identify as an indication that the family understands the teaching?

"The medications that treat Alzheimer's disease can help delay cognitive changes."

A nurse is assessing a client who has a new diagnosis of osteoarthritis. Which of the following findings should the nurse expect?

1) Crepitus with joint movement, 2) Decreased range of motion of the affected joint, 3) Joint pain that resolves with rest.

A nurse is planning to teach a client who has epilepsy and is to start therapy with phenytoin. Which of the following instructions should the nurse include in the client's medication teaching plan?

Take medications at a consistent time each day to maintain therapeutic blood levels.

A nurse in an emergency department is caring for a client who suddenly lost consciousness and fell in her home. The provider determines that the client had an embolic stroke. Which of the following medications should the nurse administer?

Tissue plasminogen activator. (thrombolytic agent that should dissolve the blood clot)

A nurse is assessing a client who has rheumatoid arthritis. Which of the following assessment findings should the nurse expect?

Ulnar deviation.

A nurse is caring for a client who is recovering from a stroke and has right-sided homonymous hemianopsia. To help the client adapt to the hemianopsia, the nurse should take which of the following actions?

Remind the client to look consciously at both sides of his meal tray.

A nurse is assessing a client who is quadriplegic following a cervical fracture at vertebral level C5. The client reports a throbbing headache and nausea. The nurse notes facial flushing and a blood pressure of 220/110 mm Hg. Which of the following actions should the nurse take first?

Elevate the head of the client's bed.

A nurse is teaching an assistive personnel (AP) about care of a client following a total hip arthroplasty. Which of the following instructions should the nurse include?

Place an abductor pillow between the client's legs when turning the client.