Neuro

What should the nurse take into consideration when planning nursing care for a client experiencing an acute episode of rheumatoid arthritis? 1.Inflammation of the synovial membrane rarely occurs. 2.Bony ankylosis of a joint is irreversible and causes immobility. 3.Complete immobility is desired during the acute phase of inflammation. 4.Redness and swelling of a joint signify that irreversible damage has occurred

2.Bony ankylosis of a joint is irreversible and causes immobility.

A client, admitted to the hospital with a fractured hip, is scheduled for surgery for a total hip replacement. In which position should the nurse place the client's affected limb after surgery? 1.Adduction and flexion 2.Abduction and extension 3.Adduction and internal rotation 4.Abduction and external rotation

2.Abduction and extension

A health care provider recently made the diagnosis that a client has glaucoma. The nurse is preparing to administer eye drops to the client. Which ophthalmic solution is contraindicated for this client? 1.Timolol 2.Atropine 3.Pilocarpine 4.Epinephrine

2.Atropine

A nurse is caring for an anxious, fearful client. Which client response indicates sympathetic nervous system control? 1.Dry skin 2.Skin pallor 3.Constriction of pupils 4.Pulse rate of 60 beats/min

2.Skin pallor

A client is admitted to the hospital for surgery for an extracapsular cataract extraction with an intraocular lens implantation. What is most important to include in the teaching program regarding postoperative activities? 1.Remain in bed for 24 hours 2.Cough and deep breathe 3.Avoid bending from the waist 4.Limit fluid intake for 12 hours

3.Avoid bending from the waist

A client who has been immobile for a prolonged time develops hypercalcemia. Which findings are consistent with this condition? (Select all that apply.) 1.Convulsions 2.Muscle spasms 3.Deep bone pain 4.Tingling of extremities 5.Depressed deep tendon reflexes

3.Deep bone pain 5.Depressed deep tendon reflexes

A nurse is caring for a client who is hospitalized because of injuries sustained in a major automobile collision. As the client is describing the accident to a friend, the client becomes very restless, and his pulse and respirations increase sharply. Which factor probably is related to the client's physical responses? 1.Client's method of seeking sympathy 2.Bleeding from an undiscovered injury 3.Delayed psychological response to trauma 4.Parasympathetic nervous system response to anxiety

3.Delayed psychological response to trauma

A nurse is caring for two clients. One has Parkinson disease and the other has myasthenia gravis. For what common complication associated with both disorders, should the nurse assess these clients? 1.Cogwheel gait 2.Impaired cognition 3.Difficulty swallowing 4.Non-intention tremors

3.Difficulty swallowing

A client with pain and paresthesia of the left leg is scheduled for an electromyogram. What should the nurse discuss with the client before the test is performed? 1.Bed rest must be maintained after the procedure. 2.The involved area will be shaved before the procedure. 3.Needles will be inserted into the affected muscles during the test. 4.Monitoring of the heart rate and rhythm will be done throughout the test

3.Needles will be inserted into the affected muscles during the test.

A client taking levodopa (L-dopa) is taught about the signs of levodopa toxicity. The nurse instructs the client to contact the primary health care provider if the client develops: 1.Nausea 2.Dizziness 3.Twitching 4.Constipation

3.Twitching

What clinical indicator does the nurse expect to identify when assessing a client with a brain tumor in the occipital lobe? 1.Hemiparesis 2.Receptive aphasia 3.Personality changes 4.Visual hallucinations

4.Visual hallucinations

A client with cancer is scheduled for a bone scan to determine the presence of metastasis. The nurse evaluates that the teaching before the scheduled bone scan is effective when the client states: 1."X-rays will be taken to identify where I may have lost calcium from my bones." 2."Portions of my bone marrow will be removed and examined for cell composition." 3."A radioactive chemical will be injected into my vein that will destroy cancer cells present in my bones." 4."A substance of low radioactivity will be injected into my vein and my body inspected by an instrument to detect where it is deposited."

4."A substance of low radioactivity will be injected into my vein and my body inspected by an instrument to detect where it is deposited."

A client with rheumatoid arthritis is scheduled to participate in an exercise program that is established at the extended care facility where the client resides. The nurse evaluates that the client understands the purpose of the program when the client states: 1."I know the exercises are important, so I do them whenever I can." 2."I do my exercises when I go to physical therapy in the morning and afternoon." 3."Because I'm stiff in the morning, I do most of my exercises then, so I'm done for the day." 4."After I eat breakfast, I do one set of exercises slowly, and then I space the rest of them throughout the day.

4."After I eat breakfast, I do one set of exercises slowly, and then I space the rest of them throughout the day.

A client is being prepared for discharge from an ambulatory surgical clinic after a cataract extraction and an intraocular lens implant. Which statement indicates to the nurse that the discharge teaching was effective? 1."I should call the clinic if my eye begins to hurt." 2."I am so glad that I can take a shower tomorrow." 3."There will be bright flashes of light for a few days." 4."My vision should show some improvement by tomorrow."

1."I should call the clinic if my eye begins to hurt."

A client has a diagnosis of myasthenia gravis. The nurse recalls that associated clinical manifestations include: 1.Blurred vision along with episodes of vertigo 2.Tremors of the hands when attempting to lift objects 3.Partial improvement of muscle strength with mild exercise 4.Involvement of the distal muscles rather than the proximal muscles

1.Blurred vision along with episodes of vertigo

When caring for a client with a head injury that may have involved the medulla, the nurse bases assessments on the knowledge that the medulla controls a variety of functions. (Select all that apply.). 1.Breathing 2.Pulse rate 3.Fat metabolism 4.Blood vessel diameter 5.Temperature regulation

1.Breathing 2.Pulse rate 4.Blood vessel diameter

What instructions should the nurse provide to a client after a long leg cast is removed? 1.Elevate the extremity when sitting. 2.Report discomfort or stiffness of the ankle. 3.Perform full range of motion of the leg once daily. 4.Cleanse the leg by scrubbing with long, brisk motions

1.Elevate the extremity when sitting.

A client diagnosed with bone cancer of the leg will receive radiation therapy as part of the treatment plan. The client has voiced concern about the side effects of the radiation treatments. The nurse will prepare the patient for which major side effects of radiation therapy? (Select all that apply.) 1.Fatigue 2.Alopecia 3.Vomiting 4.Leukopenia 5.Altered taste sensations

1.Fatigue 5.Altered taste sensations

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

Which medication should the nurse anticipate will be prescribed to relieve anxiety and apprehension in a client with pulmonary edema? 1.Morphine 2.Phenobarbital 3.Hydroxyzine (Atarax) 4.Chloral hydrate

1.Morphine

The nurse supports cognitive ability in clients with Alzheimer dementia, by: (Select all that apply.) 1.Using calendars, clocks, and pictures to support memory 2.Encouraging caregivers to support protected independence 3.Providing a limited number of choices to support decision making 4.Quizzing the client regularly to assess orientation to person, place, and time 5.Administering prescribed rivastigmine (Exelon) to the client with severe Alzheimer's dementia

1.Using calendars, clocks, and pictures to support memory 2.Encouraging caregivers to support protected independence 3.Providing a limited number of choices to support decision making

The nurse is caring for a client who was just admitted to the hospital with the diagnosis of head trauma. Which clinical indicators should the nurse consider as evidence of increasing intracranial pressure? Select all that apply. 1.Vomiting 2.Anorexia 3.Irritability 4.Hypotension 5.Decreased level of consciousness

1.Vomiting 2.Anorexia 3.Irritability 5.Decreased level of consciousness

A client is receiving phenytoin (Dilantin) for a seizure disorder and heparin for a deep vein thrombosis. Warfarin (Coumadin) is added in preparation for discontinuing the heparin. Why must the nurse observe the client closely during the initial days of treatment with warfarin? 1.Warfarin affects the metabolism of phenytoin. 2.Phenytoin decreases warfarin's anticoagulant effect. 3.Warfarin's action is greater in clients with seizure disorders. 4.Seizures increase the metabolic degradation rate of warfarin

1.Warfarin affects the metabolism of phenytoin.

Clients who have casts applied to the lower extremities must be monitored for complications. Which finding during assessment of the extremities of these clients is indicative of a complication? (Select all that apply.) 1.Warmth 2.Numbness 3.Skin desquamation 4.Generalized discomfort 5.Prolonged capillary refill

2.Numbness 5.Prolonged capillary refill

A nurse provides discharge teaching for a client who had a total hip replacement. Which statements made by the client indicate an understanding of the education? (Select all that apply.) 1.I should not climb any stairs. 2.I should not cross my legs. 3.I should avoid stretching exercises. 4.I should not sit in a low chair. 5.I should avoid lying prone for longer than 30 minutes

2.I should not cross my legs. 4.I should not sit in a low chair.

The nurse is caring for a client who has undergone a total hip replacement. The nurse recognizes which clinical manifestations indicate a pulmonary embolism. (Select all that apply.) 1.Flushing of the face 2.Unilateral chest pain 3.Elevation of temperature 4.Sudden onset of shortness of breath 5.Pain rating increase from 2 to 8 in the hip

2.Unilateral chest pain 4.Sudden onset of shortness of breath

A client arrives at the nursing unit with neurological deficits after a motor vehicle accident. Using the Glasgow Coma Scale, the nurse assesses what client responses? (Select all that apply.) 1.Pupil response to light 2.Verbal response to speech 3.Eye opening in response to speech 4.Deep tendon reflexes in response to percussion 5.Motor activity in response to a verbal command

2.Verbal response to speech 3.Eye opening in response to speech 5.Motor activity in response to a verbal command

A nurse is caring for a client with a spinal cord injury. Which is the specific reason why fluid intake should be increased for this client? 1.Prevent dehydration 2.Maintain electrolyte balance 3.Prevent a urinary tract infection 4.Limit an increase in temperature

3.Prevent a urinary tract infection

An older client with macular degeneration comes to the eye clinic. Which response reported by the client does the nurse identify as consistent with the diagnosis? 1.Sees best in dim light. 2.Sees halos around lights. 3.Cannot see objects in the periphery. 4.Cannot see an object in the center of the visual field

4.Cannot see an object in the center of the visual field

A client with myasthenia gravis is receiving pyridostigmine bromide (Mestinon) to control symptoms. Recently, the client has begun experiencing increased difficulty in swallowing. What nursing action is most effective in preventing aspiration of food? 1.Place a tracheostomy set in the client's room 2.Assess respiratory status after meals 3.Request for the diet to be changed from soft to clear liquids 4.Coordinate meal times with the peak effect of the medication

4.Coordinate meal times with the peak effect of the medication

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

A client with myasthenia gravis who is taking a cholinesterase inhibitor is admitted to the emergency department in crisis. To distinguish between myasthenic crisis and cholinergic crisis, the nurse expects the health care provider to prescribe: 1.Atropine sulfate 2.Protamine sulfate 3.Naloxone (Narcan) 4.Edrophonium chloride (Tensilon)

4.Edrophonium chloride (Tensilon)

Which assessment finding supports the nurse's conclusion that a prosthesis for a client with an above-the-knee amputation fits correctly? 1.Skin that is cool to the touch 2.Shrinking of the residual limb 3.Absence of phantom limb pain 4.Evenly darkened skin of the residual limb

4.Evenly darkened skin of the residual limb

A client expresses concern about insomnia and asks, "What I can do to get better sleep?" What activities should the nurse recommend? (Select all that apply.) 1.Drink a glass of wine 2.Engage in mild exercise before bedtime 3.Eat foods containing lysine 4.Follow the same bedtime ritual each night 5.Perform deep-breathing exercises

4.Follow the same bedtime ritual each night 5.Perform deep-breathing exercises

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

Pyridostigmine (Mestinon) is prescribed for a client with myasthenia gravis. The primary reason that the nurse instructs the client to take pyridostigmine about one hour before meals is to: 1.Limit the appetite 2.Promote absorption 3.Prevent gastric irritation 4.Increase chewing strength

4.Increase chewing strength