Targeted Neuro/Musculo

A nurse working in the ED is caring for a client who has sustained a fracture of the femur following a motor vehicle crash. Which of the following images indicates a commuted fracture

-Picture answer. 1st pictures, bone has fragmented into several pieces

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

Administer an oral dose of gabapentin

A nurse in the Ed is assessing a client who has myasthenia graves. The client reports recent increasing muscle weakness and the nurse suspects the client is experiencing a myasthenic crisis. Which of the following actions is the nurses priority

Assist with tensilon test

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

Check position of the weights and ropes

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

Crepitus with joint movement, decreased range of motion of the affected joint, joint pain that resolves with rest

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

Elevate the HOB

A nurse is planning care for a client following a lumbar puncture. Which of the following actions should the nurse plan to include

Ensure the client lies flat for 4-8 hours

A nurse is caring for a client who has admitted for status epilepticus and is on seizure precautions. Which of the following actions should the nurse plan to take

Establish IV access

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

Flashes of bright light

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 MS. Which of the following findings should the nurse expect

Intention tremors

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 nurses priority

Maintain a PaCO2 of approximately 35 mm hg

A nurse in the ED is caring for a client after suddenly losing consciousness and falling in her home. The provider determines the client had an embolic stroke. Which of the following medications should the nurse administer

Recombinant tissue plasminogen activator

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

Restlessness

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

Stroke the clients inner thigh

A nurse is teaching a client who has epilepsy and is to start therapy with phenytoin. Which of the following instructions should the nurse indicates in the clients education teaching plan

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

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 providing teaching for a client who is postop following a right hip arthroplasty. Which of the following images indicates the position the nurse should teach the client to take when sitting in a chair

-Picture answer. Back against chair, legs 90 degree angle

A nurse is caring for a client who has a full arm cast and reports pain of 8 out of 10 that is unrelieved by pain medication. 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 has 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 viral meningitis. Which of the following actions should the nurse take

Monitor capillary refill at least every 4 hours

A nurse in the ED is assessing a client who reports sudden, severe eye pain with blurred vision. The provider determines the client has primary angle-closure glaucoma. Which of the following medications should the nurse administer

Osmotic diuretics via IV bolus

A nurse is caring for a client who is 8hr postop following a craniotomy. Which of the following actions should the nurse take

Report wound drainage greater than 50 ml/8hr

A nurse is providing teaching for a client and his family about the diagnosis and treatment of Alzhemiers disease. Which of the following statements by the family indicates an understanding of the teaching

The drugs used to treat Alzheimers disease can help delay cognitive changes

A nurse is reviewing postop instructions with a client following cataract surgery. Which of the following client statements indicates an understanding of instructions

I should call my doctor if I experience a decrease in my vision

A nurses providing teaching regarding a new prescription for carbidopa-levodopa for a client who has parkinson disease. which of the following client statements indicates an understanding of the treatment

I should expect my urine to be a darker color

A nurse is providing teaching for a client who is prescribed alendronate for osteoporosis. Which of the following information should the nurse include in the teaching

Remain upright for 30 minutes after taking this medication

A nurse is caring for a client who is recovering from a stroke and has right sided homonymous hemianopsia. To help the client adapt, 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 caring for a client who has advancing ALS. Which of the following interventions is the nurses priority

Monitor pulse oximetry findings

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

Move head slowly to decrease vertigo