ATI RN Targeted Med Surg Neurosensory and Musculoskeletal Online Practice 2019

Restlessness

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?

Ulnar deviation

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

"Move your head slowly to decrease vertigo."

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

Flashes of bright light

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

Stroke the client's inner thigh

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?

*Fragmented into several pieces

A nurse in an emergency department is caring for a client who has sustained a fracture of the femur following a motor-vehicle crash. Which of the following images should the nurse recognize as a comminuted fracture?

Tissue plasminogen activator

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

Impulsive behavior

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

Elevate the head of the client's bed

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 mmHg. Which of the following actions should the nurse take first?

Clear drainage from the nose

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?

Establish IV access

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?

Monitor pulse oximetry findings

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

Intention tremors

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

Check the capillary refill at least every 4 hr.

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

Request a prescription for gabapentin for the client

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

Check the position of the weights and ropes

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?

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

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?

Client's report of pain on a pain scale

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?

Ensure that the client lies flat for up to 12 hr.

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

Maintain a PaCO2 of approximately 35 mmHg

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

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

A nurse is planning to teach a client who has epilepsy and a new prescription for phenytoin. Which of the following instructions should the nurse plan to include?

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

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

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

A nurse is teaching a client and her 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?

"I should expect that this medication can cause me to be drowsy."

A nurse is teaching a client who has Parkinson's disease and is prescribed carbidopa-levodopa. Which of the following client statements indicates an understanding of the teaching?

"I will avoid going to the store when it is crowded."

A nurse is teaching a client who has multiple sclerosis and has a new prescription for glatiramer acetate. Which of the following statements indicates that the client understands the teaching?

"Remain upright for 30 minutes after taking this medication."

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

**Sit with hips at a 90 degree angle with knees slightly lower than the hips

A nurse is teaching a client who is postoperative 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?

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

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

Osmotic diuretics via IV bolus

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