exam 2 practice pool

which client would the nurse suspect may have Parkinson's

"client A" festinating gait. trunk and knee flexes when the body is rigid

when a client has difficulty swallowing after a stroke which action by the nurse would be most important in preventing pneumonia

having section available during meals

which condition can cause a client severe pain after cataract extraction

hemorrhage into the eye

after cataract surgery the nurse teaches a client how to self administer eye drops. the nurse would reinfource the use of which technique

holding a dropper tip above the conjunctival sac

which intervention with the nurse include in a plan of care for a client with moderate Alzheimer's disease?

maintain a daily routine of living

which term would the nurse use to document observing the clients gate associated with Parkinson's disease

shuffling

which strategy would the nurse include in a plan of care for a client with Alzheimer's

structure the environment for safety

which condition may cause a foreign body sensation in the eye

superficial corneal erosion

a client reports feeling nauseated and immediately after cataract surgery which action would the nurse take?

administered the prescribed antiemetic.

which explanation would the nurse provide a client who asked what a cataracts is?

an opacity of the lens

which statement will the nurse include in the instruction for a client learning to self administer eye drops

apply pressure to the nasolacrimal duct after installation

which intervention were the nurse include in the nursing home plan of care for an older adults with Alzheimer's disease who has nighttime wondering

assign the client to a room near the nurses station for closer supervision at night

a client admitted to the hospital with a diagnosis of a right-sided brain attack (stroke) is right handed which task will be the most difficult for the patient

dressing every morning

what action will the nurse take to support cognitive ability and clients who have Alzheimer's disease select all that apply

encourage caregivers to support safe Independence using calendars clocks and pictures to support memory providing a limited number of choices to support decision making

a client has a partial loss of peripheral vision. the clients eye examination report shows an intraocular pressure of 24 mmhg. which condition when the nurse suspect is causing these findings?

excess production of aqueous humor

which findings would the nurse expect when completing an administration physical for a client with the diagnosis of Parkinson's disease select all that apply

muscle rigidity, blank facial expression

which finding would support the client's diagnosis of Parkinson's disease? select all that apply

non-intentional tremord mask like facial expression rigidity to passive

which clinical indicators would the nurse expect to find when assessing a clients with Parkinson's disease? select all that apply

resting tremors, flattening effect, slow voluntary movements

an older client with Alzheimer's type dementia constantly sleeps in a semi-fowler position in bed which area of the client's body would the nurse consider a high risk of developing a pressure injury

sacrum

which action would the nurse take for an order client with Alzheimer's disease who has intermittent episodes of urinary incontinence

take the client to the bathroom and regular intervals

which level of care is the nurse providing when preparing to discharge a client who is learning to walk again after a stroke to a rehabilitation center

tertiary care

well my mother is inspecting her newborn, she expresses concern that her baby's eyes are crossed which response by the nurse is appropriate?

this is expected. your baby is trying to focus

which client statement indicates that the discharge teaching after a cataract extraction and an intraocular lens and plant is effective?

I will call my doctor if my eye begins to hurt a lot

the nurse is educating a caregiver of an elderly adult with advanced Parkinson's disease about continuing care which information would the nurse provide? select all that apply

adult Day Care centers are ideal for clients whose caregivers have to be away from home during the day. hospice Care is a continuing care service that allows clients to live at home with comfort Independence and dignity. nursing centers provide 24-hour custodial care to help residents achieve and maintain their highest level of functioning

the nurse is planning care for an immobilized patient who had a stroke with right-sided hemiparesis. which activity would the nurse include and the plan of care?

assist the client to perform a range of motion exercises every 1 to 2 hours

which instruction is important for the nurse to provide to the client after cataract surgery

avoid bending from the waist

when assisting a client with Parkinson's disease to ambulate which instruction would the nurse provide the client?

avoid leaning forward

a client has a brain attack (stroke) that involves the right cerebral cortex and cranial nerves. which areas of paralysis would the nurse expect to find upon assessment? select all that apply

left leg, left arm, left side of face

which interventions will the nurse include in a care plan for a client with Alzheimer's disease? select all that apply

limit choices toilet every 2 hours encourage participation and self care

which action would be included in the plan of care for a client with a history of Parkinsonism who has recently developed rigidity, tremors and signs of pneumonia?

passive range of motion exercises at least every 8 hours

which immediate nursing intervention is most appropriate for the client with an eye injury from exposure to a chemical blast?

performing ocular irrigation

to best address the functional and behavioral changes associated with a client's early Alzheimer's disease which action would the nurse encourage the daughter to do?

post to schedule of the client's daily activities

a 15-year-old adolescent went down syndrome and scheduled for surgery. the parents inform the nurse that their child has a mental age of 8 years old at which age level when the nurse prepare the child's preoperative teaching plan?

school age, because the child's developmental age

the nurse assisted a client who experienced a recent Brain attack (strike) and has a residual right sided hemiplegia. which rationale explains the importance of the nurse identifying mobile restrictions or neuromuscular abnormalities when assessing the client

shortening and eventually atrophy of the affected muscle will occur

which conclusion would the home care nurse make regarding an older client with mild Alzheimer's disease

should be allowed to function independently if therapeutically possible

which nursing intervention would be helpful in meeting the needs of an older adults with Alzheimer's disease

simplifying the environment as much as possible by limiting the need for decisions

punctal occlusion is performed after the administration of eye drops to prevent which of the occurring

systemic absorption

the mother of a neonate with down syndrome visits the clinic one week after delivery with concerns of problems feeding her baby. which is the probable cause of the feeding difficulties?

tongue thrust

the nurse is teaching a client how to care for an eye infection which statement by the client reflects understanding of the teaching?

wash your hands before and after treating the eye

the nurses instructor and client with an eye disorder who is receiving prednisolone acety I dropped regularly the precautions to be followed. what statement made by the client indicates effective learning?

I should shake the bottle vigorously before I use the eye drops

which statement given by the client indicates the need for further teaching about the post-surgical care that needs to be taken after eye surgery?

I will wait for more obvious signs of infection before reporting to my primary healthcare provider