Targeted Musculoskeletal/Neuro

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

Ulnar deviation

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 the position of the weights and ropes

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?

Flashes of bright light

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 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 working in the 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 indicates a comminuted fracture.

Injury that cause the bone to fragment into several pieces.

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

Intention tremors

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

Intention tremors

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 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

When caring for a client who has multiple sclerosis, the nurse should recognize that this disorder is characterized by:

Remissions and exacerbations

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 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 a spastic bladder following a spinal cord injury. Which of the following actions should the nurse take to help stimulate micturition

Stroke the client's inner thigh

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 teaching 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?

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

A nurse is providing teaching for 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?

The nurse should teach the client to sit with the hips at a 90 degree angle or less with the knees slightly lower than the hips to avoid hip dislocation.

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 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?

Client's report of pain on a standardized pain scale

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?

Elevate the head of the client's bed

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 to 8 hours

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

Move head slowly to decrease vertigo

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

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?

Recombinant tissue plasminogen activator

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 instructing an assistive personnel on proper care of a client who has had a total hip arthroplasty. Which of the following instructions should the nurse include?

Use an abductor pillow between the clients legs if the client becomes restless

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?

Administer an oral does of gabapentin to the client

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 -This is to help minimize phantom limb pain

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 -First action should be assessment to investigate cause of the muscle spasms

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 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 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 a full arm cast and reports pain of an 8 on a scale from 0 to 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 a 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 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 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 -Pt is experiencing autonomic dysreflexia and is at greatest risk for possible rupture of a cerebral vessel or increased intracranial pressure. Change to an upright position will result in rapid postural hypotension

A nurse is caring for a client who is postoperative following a craniotomy. Which of the following interventions is the priority action for the nurse to take?

Elevate the head of the bed 30 degrees

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 --To monitor for vascular compromise

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?

Osmotic diuretics via IV bolus

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 -Such as mannitol to reduce intraocular pressure and prevent damage to the eye

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

One hour after application of a cast for an ulnar fracture, a client reports a pain level of 8 on a scale from 0-10 that is unrelieved by analgesics and the application of a cold pack. The client's fingers are pale and numb. Based on the client's report which of the following actions should the nurse take first?

Report the findings to the primary care provider

A nurse is caring for a client who is 8 hours postoperative following a craniotomy. Which of the following actions should the nurse take?

Report wound drainage greater than 50 mL/8hrs

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 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

Tissue plasminogen activator

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

Monitor pulse oximetry findings -The greatest risk to the client is respiratory compromise due to progressive paralysis of respiratory muscles. Therefore, the priority intervention is to monitor the client's oxygen saturation to identify respiratory compromise as soon as possible

A nurse is caring for a client who is admitted with ascending guillain-barre syndrome. The nurse should give priority to which of the following assessment findings?

Presence of adventitious breath sounds

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

Restlessness

A nurse is reviewing postoperative 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 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 should expect that this medication can cause me to be drowsy."

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 assessing a client who has a new diagnosis of osteoarthritis. Which of the following findings should the nurse expect? (Select all that apply)

1. Crepitus with joint movement 2. Decreased range of motion of the affected joint 3. Involvement of smaller joints of the body 4. Joint pain that resolves with rest

A nurse in the emergency department is assessing a client who has myasthenia gravis. 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 nurse's prority?

Assist with Tensilon test

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 caring for a client who has advancing ALS. Which of the following interventions is the nurses priority

Monitor pulse oximetry findings

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

Monitor pulse oximetry findings

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 by the family indicates an understanding of the teaching?

"The drugs used to treat Alzheimer's disease can help delay cognitive changes"

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 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?

Maintain a PaCO2 of approximately 35 mmHg

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 nurse's priority?

Maintain a PaCO2 of approximately 35mm Hg

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

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

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

This medication should be taken before breakfast and in an upright position maintained for 30 minutes

A nurse is providing teaching regarding a new prescription for carbidopa-levodopa for a client who has Parkinson's disease. Which of the following client statements indicates an understanding of the teaching?

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