Neuro

A client has primary open-angle glaucoma. The nurse expects that the client will receive a prescription for which eye drops? 1.Tetracaine (Pontocaine) 2.Cyclopentolate (Cyclogyl) 3.Timolol maleate (Timoptic) 4.Atropine sulfate (Atropisol Ophthalmic)

3.Timolol maleate (Timoptic)

A nurse explains to a client that stimulation of calcium deposition in the bone after a distal femoral fracture is achieved best by: 1.Resting the extremity 2.Weight-bearing activity 3.Normal aging processes 4.Ingesting foods high in calcium

2.Weight-bearing activity

A nurse is caring for a client who will have a below-the-knee amputation with an immediate postoperative prosthesis. The client asks the nurse the advantage of having an immediate prosthesis. What should the nurse explain is the advantage? 1.Decreases phantom limb sensations. 2.Encourages a normal walking pattern. 3.Reduces the incidence of wound infection. 4.Allows for fitting of the prosthesis before discharge.

2.Encourages a normal walking pattern

The nurse is caring for a client who has sustained blunt trauma to the forearm. The nurse assesses the client for which early sign of compartment syndrome? 1.Warm skin at site of injury 2.Escalating pain in the fingers 3.Rapid capillary refill in affected hand 4.Bounding radial pulse in the injured arm

2.Escalating pain in the fingers

The nurse is providing postoperative care to a client that had surgery in which a hip prosthesis was inserted. An abductor splint is in place. The nurse should remove the splint: 1.When the client gets up in a chair 2.If the client needs a change of position 3.Once the client's edema and pain have ceased 4.During the client's skin care and physical therapy

4.During the client's skin care and physical therapy

Following a motor vehicle accident a client reports seeing frequent flashes of light. Which condition should the nurse suspect? 1.Glaucoma 2.Scleroderma 3.Detached retina 4.Cerebral concussion

3.Detached retina

A client is admitted to the hospital with a diagnosis of myasthenia gravis. For which common early clinical finding should the nurse assess the client? 1.Tearing 2.Blurring 3.Diplopia 4.Nystagmus

3.Diplopia

An older client experiences a cerebral vascular accident (CVA) and has right-sided hemiplegia and expressive aphasia. The client's children ask the nurse which functions will be impaired. The nurse explains that the abilities that will be affected include: 1.Stating wishes verbally 2.Recognizing familiar objects 3.Comprehending written words 4.Understanding verbal communication

1.Stating wishes verbally

A nursing assistant assigned to provide hygiene to a client who has a history of transient ischemic attacks (TIAs) asks the nurse what a TIA is. What explanation should the nurse provide? 1.Temporary episodes of neurological dysfunction. 2.Transient attacks caused by multiple small emboli. 3.Periods of alternating exacerbations and remissions. 4.Ischemic attacks that result in progressive neurological deterioration

1.Temporary episodes of neurological dysfunction.

A client is fitted for and receives a prosthesis after an above-the-knee amputation. A week later the client states, "I feel so much better." What is the reason why most clients report an improved self-image after using a prosthesis? 1.Their improved functional abilities 2.Their belief that they look more whole 3.The acceptance they receive from others 4.The fact that something is being done to help

1.Their improved functional abilities

A nurse assesses a client who is suspected of being in myasthenic crisis. Which assessment finding is most definitive in support of this conclusion? 1.Difficulty breathing 2.Decline in physical mobility 3.Disturbed sensory perception 4.Decreased tolerance to activity

1.Difficulty breathing

A nurse is providing instructions for a client who is receiving phenytoin (Dilantin) but has limited access to health care. What side effect is the basis for the nurse's emphasis on meticulous oral hygiene? 1.Hyperplasia of the gums 2.Alkalinity of the oral secretions 3.Irritation of the gingiva and destruction of tooth enamel 4.Promotion of plaque and bacterial growth at the gum lines

1.Hyperplasia of the gums

A nurse is providing postoperative teaching to a client who is scheduled to have an above-the-knee amputation. The client will use crutches during the postoperative period. Which activity will prepare the client for crutch walking? 1.Lifting weights 2.Changing bed positions 3.Caring for the residual limb 4.Performing phantom limb exercises

1.Lifting weights

A client is taking phenytoin (Dilantin) to treat clonic-tonic seizures. The client's phenytoin level is 16 mg/L. Which action should the nurse take? 1.Hold the medication and notify the health care provider. 2.Administer the next dose of the medication as prescribed. 3.Hold the next dose and then resume administration as prescribed. 4.Call the health care provider to obtain a prescription with an increased dose

2.Administer the next dose of the medication as prescribed.

The nurse is caring for a client four hours after the client's hip replacement surgery. When assisting the client out of bed, the nurse should: 1.Tell the client that both legs must have equal weight bearing 2.Advise the client that the legs must continually be kept wide apart 3.Sit the client in a straight-back chair so that the hips are kept flexed 4.Transfer the client using a mechanical lift because weight bearing on the leg is not allowed

2.Advise the client that the legs must continually be kept wide apart

A client has a tonic-clonic seizure that involves all extremities. The nurse anticipates that the health care provider will prescribe the intravenous administration of: 1.Naloxone (Narcan) 2.Diazepam (Valium) 3.Epinephrine HCl (Adrenalin) 4.Atropine sulfate (Atropine)

2.Diazepam (Valium)

A client had spinal anesthesia for surgery. On the second day after surgery the client complains of a headache. The nurse should: 1.Begin an early ambulation program 2.Encourage the client to drink at least 2 L of fluids in 24 hours 3.Remove antiembolic stockings being worn 4.Assist the client to sit at the bedside with the feet dangling

2.Encourage the client to drink at least 2 L of fluids in 24 hours

Nursing care of a client with a fractured hip should include the assessment of pedal pulses. The nurse should assess for which important characteristics of the pedal pulses? 1.Contractility and rate 2.Color of skin and rhythm 3.Amplitude and symmetry 4.Local temperature and visible pulsations

3.Amplitude and symmetry

What should the nurse consider as the goal of therapy when administering allopurinol (Zyloprim) to a client with gout? 1.Increase bone density 2.Decrease synovial swelling 3.Decrease uric acid production 4.Prevent crystallization of uric acid

3.Decrease uric acid production

A client just has been diagnosed with multiple sclerosis. The client is upset and asks the nurse, "Am I going to die?" What is the nurse's best response? 1."Most individuals with your disorder have a normal life span." 2."I would like to explain your disorder to both you and your family." 3."There is a variable prognosis, with most individuals experiencing remissions and exacerbations." 4."I think you should speak with your health care provider, who can give you more details about your prognosis.

3."There is a variable prognosis, with most individuals experiencing remissions and exacerbations."

A client is admitted for the repair and revision of a residual limb after a traumatic amputation of the hand. A week after surgery the client complains of constant throbbing in the affected limb. Which is the most appropriate nursing intervention? 1.Apply cool compresses to the limb 2.Secure a prescription for pain medication 3.Elevate the extremity on two pillows 4.Loosen the bandage around the limb

3.Elevate the extremity on two pillows

Which information should be included in the teaching plan for the client who is prescribed sumatriptan (Imitrex) for migraine headache? 1.Should be administered when headache is at its peak 2.Should be administered by deep intramuscular injection 3.Is contraindicated in people with coronary artery disease 4.Injectable sumatriptan may be administered every six hours as needed

3.Is contraindicated in people with coronary artery disease

A client has an open reduction and internal fixation for a fractured hip. Postoperatively the nurse should place the client's affected extremity in what position? 1.External rotation 2.Slight hip flexion 3.Moderate abduction 4.Anatomical body alignment

3.Moderate abduction

A nurse is assisting a client with a full leg cast to use crutches. Which clinical manifestations alert the nurse that the client can no longer tolerate the physical exertion of crutch walking? 1.Pulse of 100 and deep respirations 2.Flushed skin and slowed respirations 3.Profuse diaphoresis and rapid respirations 4.Blood pressure of 150/88 mm Hg and shallow respirations

3.Profuse diaphoresis and rapid respirations

A client who has been diagnosed with a bipolar disorder has been admitted to the psychiatric unit. The nurse recognizes that providing adequate nutrition during the manic phase may be a challenge. Why would adequate nutritional intake be a challenge? 1.The client is too depressed to eat. 2.The client lacks the energy to eat. 3.The client is too busy keeping active to eat. 4.The client is on a restricted diet limiting cheese and other favorite foods

3.The client is too busy keeping active to eat.

After a painful exacerbation of rheumatoid arthritis, a client is scheduled to begin a walking and exercise program. What is an expected outcome for this client? 1.Only when pain free, begin exercising as part of a formal activity program. 2.Avoid exercising when there is a moderate amount of discomfort. 3.Walk and exercise even when the pain is severe. 4.Exercise and be active unless the discomfort becomes too great.

4.Exercise and be active unless the discomfort becomes too great.

A hospice client who has severe pain asks for another dose of oxycodone (OxyContin). The nurse's primary consideration when responding to the client's request is to: 1.Prevent addiction 2.Determine why the drug is needed 3.Provide alternate comfort measures 4.Help reduce the client's pain immediately

4.Help reduce the client's pain immediately

A client who has been taking diuretics is admitted to the hospital with hypokalemia. For which clinical findings should the nurse assess the client? 1.Hyperactive reflexes 2.Bounding, irregular pulse 3.Nausea, vomiting, and diarrhea 4.Leg weakness and muscle cramps

4.Leg weakness and muscle cramps

A nurse obtains the nursing history from a client who has open-angle (chronic) glaucoma. The nurse anticipates that the client will report: 1.Flashes of light 2.Sensitivity to light 3.Seeing floating specks 4.Loss of peripheral vision

4.Loss of peripheral vision

On the second day after surgery, a client reports pain in the right calf. What should the nurse do first? 1.Apply a warm soak. 2.Document the symptom. 3.Elevate the leg above the heart. 4.Notify the health care provider.

4.Notify the health care provider.

After surgery for a fractured hip, a client states, "I don't remember when I have ever been so uncomfortable." The nurse should: 1.Notify the health care provider 2.Use distraction techniques 3.Medicate the client as prescribed 4.Perform a complete pain assessment

4.Perform a complete pain assessment

After an amputation, a client's residual limb is bandaged snugly throughout the postoperative period. The nurse teaches the client that the primary purpose of the rigid bandaging of the residual limb is to: 1.Prevent suture line infection 2.Promote drainage of secretions 3.Prevent injury to the residual limb 4.Promote shrinkage of the distal end of the residual limb

4.Promote shrinkage of the distal end of the residual limb

A client is experiencing diplopia, ptosis, and mild dysphagia. Myasthenia gravis is diagnosed and an anticholinergic medication is prescribed. The nurse is planning care with the client and spouse. What instruction is the priority? 1.Eat foods that are pureed 2.Perform range-of-motion exercises 3.Recommend taking a stool softener daily 4.Take the medication according to a specific schedule

4.Take the medication according to a specific schedule