neurology ATI

A nurse is developing a teaching plan for a client who has Meniere's disease. Which of the following instructions should the nurse include? a. "move your head slowly to decrease vertigo" b. "apply warm packs to the affected ear during acute attacks" c. "increase your intake of foods and fluids high in salt" d. "take corticosteroids during acute attacks"

a

A nurse is reviewing postoperative instructions with a client following cataract surgery. Which of the following client statements indicates an understanding of instructions? a. "I should call my doctor if my vision gets worse" b. "I will take aspirin for eye discomfort" c. "I can blow my nose to clear out any drainage" d. "I can lift objects up to 20 lbs"

a

A nurse in the emergency department 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? a. tissue plasminogen activator b. recombinant factor VIII c. nitroglycerin d. lidocaine

a

A nurse is assessing a client who had a right hemispheric stroke. Which of the following neurologic deficits should the nurse expect? a. aphasia b. right-sided neglect c. impulsive behavior d. inability to read

c

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? a. glasgow coma scale score of 15 b. intracranial pressure reading of 15 mmHg c. ecchymosis at base of skull d. clear drainage from nose

d

A nurse is caring for a client who has a retinal detachment. Which of the following reports about the affected eye should the nurse expect? a. photophobia b. complete vision loss c. flashes of bright light d. cloudiness of the lens

c

A nurse is caring for a client who has advancing amyotrophc lateral sclerosis. Which of the following interventions is the nurse's priority? a. provide frequent rest periods throughout the day b. administer pain med on a regular schedule c. monitor pulse ox findings d. administer baclofen for spasticity

c

A nurse in the emergency department 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? a. osmotic diuretics via IV bolus b. mydriatic ophthalmic drops c. corticosteroid ophthalmic drops d. epinephrine via IV bolus

a

A nurse is caring for a client who has viral meningitis. Which of the following actions should the nurse take? a. assess the client's neurologic status every 8 hr b. initiate droplet precautions c. check cap refill at least every 4 hr d. place the client in a well-lit environment

c

A nurse is caring for a client who is 72 hours postoperative following an above-the-knee amputation and reports phantom limb pain. Which of the following actions should the nurse take? a. remind the client that the surgery removed the limb b. change the dressing on the client's residual limb c. request a prescription for gabapentin for the client d. elevate the client's residual limb above heart level

c

A nurse is planning care for a client following a lumbar puncture. Which of the following actions should the nurse plan to include? a. apply a pressure dressing to the site for 8 hr b. restrict the client's fluid intake for 24 hr c. ensure that the client lies flat for up to 12 hr d. inform the client that neck stiffness is an expected outcome of the procedure

c

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? a. restlessness b. dizziness c. hypotension d. fever

a

A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect? a. hypoactive DTRs b. ascending paralysis c. intention tremors d. increased lacrimation

c

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? a. reposition the client b. check the position of the weights and ropes c. administer a muscle relaxant d. provide distraction

b

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? a. encourage the client to use the valsalva maneuver b. stroke the client's inner thigh c. perform the Crede maneuver d. administer a diuretic

b

A nurse is teaching a client who has MS and has a new prescription for glatiramer acetate. Which of the following statements indicates that the client understands the teaching? a. "I will ask my partner to give the injection in the same spot each time" b. "I will avoid going to the store when it is crowded" c. "I will see relief of my symptoms in about 1 week" d. "I will exercise rigorously while taking this med"

b

A nurse is teaching a client who has osteoporosis and a new script for alendronate. Which of the following information should the nurse include in the teaching? a. "take this med with 8 oz of milk" b. "remain upright for 30 min after taking this med" c. "wait 1 hour after taking other meds to take alendronate" d. "take vit C to promote absorption of this med"

b

A nurse is assessing a client who is quadriplegic secondary to a cervical fracture at vertebral level CS. 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? a. administer hydralazine via IV bolus b. loosen the client's clothing c. empty the client's bladder d. elevate the head of the client's bed

d

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? a. assess hourly for a spike in BP b. keep the client on bed rest c. keep a padded tongue blade at the bedside d. establish IV access

d

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? a. check the client's cheek on the affected side after meals to be sure no food remains there b. encourage the client to sit upright with their head tilted slightly forward during meals c. provide the client with eating utensils that have large handles d. remind the client to look consciously at both sides of their meal tray

d

A nurse is performing a pain assessment on a postoperative client. Which of the following should the nurse use to determine the severity of the client's pain? a. client's vital sign changes b. client's report of the type of pain c. client's nonverbal communication d. client's report of pain on a pain scale

d

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 clients medication teaching plan? a. rinse with antiseptic mouthwash instead of using dental floss b. use an OTC antihistamine if a rash develops c. slowly taper the med after 6 consecutive months without seizure activity d. take meds at a consistent time each day to maintain therapeutic blood levels

d

A nurse is providing teaching for 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? a. "There is a test for Alzheimer's disease that can establish a reliable diagnosis" b. "The goal of med therapy is to reverse the degenerative changes that can occur in brain tissue" c. "early manifestations of Alzheimer's disease include mild tremors and muscular rigidity" d. "the meds that treat Alzheimer's disease can help delay cognitive changes"

d

A nurse is teaching an assistive personnel about care of a client who has had a total hip arthroplasty. Which of the following instructions should the nurse include? a. avoid applying antiembolism stockings to the affected leg b. have the client lean forward when moving from a sitting to a standing position c. discourage the client from sitting in a wheelchair with the back reclined d. place an abductor pillow between the client's legs when turning the client

d

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? a. maintain a PaCO2 of approx 35 mmHg b. provide small doses of fentanyl via IV bolus for pain management c. measure body temp every 1-2 hr d. reposition the client every 2 hr

a

A nurse is teaching a client who has parkinson's disease about taking carbidopa-levodopa. Which of the following client statements indicates an understanding of the teaching? a. "I should expect an increase in my BP while taking this med" b. "I should take this med 2 hours after meals to increase absorption" c. "I should expect that this med can cause me to be drowsy" d. "I should expect this med to be effective within 48 hr"

c

A nurse is assessing a client who has a new diagnosis of osteoarthritis. Which of the following findings should the nurse expect? (select all that apply) a. crepitus with joint mvt b. decreased ROM of the affected joint c. low grade fever d. spongy tissue over the joints e. joint pain that resolves with rest

a, b, e

A nurse is assessing a client who has rheumatoid arthritis. Which of the following assessment findings should the nurse expect? a. unilateral joint involvement b. ulnar deviation c. fractures of the spine d. decreased sedimentation rate

b