ATI neurosensory and musculoskeletal

Reviewing postop instructions following cataract surgery. Which of the following statements should the nurse identify as indication that client understands instructions?

I should call my doctor if vision gets worse. There should be improvement in vision!

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?

Restlessness behavioral changes such as restlessness and irritability are early manifestations

Caring for a client who has a history of status epilepticus and requires seizure precautions. Which of the following actions should the nurse take?

Establish IV Access with large blre catheter and administer NS if seizures iminent. If stable, initiate a saline lock.

teaching a client who has parkinson's disease about taking carbidopa-levodopa. which of the following statements should the nurse identify as an indication that the client understands teaching?

I should expect my urine to be a darker color. Saliva, urine, and sweat can darken in color -- a harmless adverse effect.

Caring for a client who has multiple sclerosis. Which of the following finds should the nurse expect?

Intention tremors -- risk for motor dysfunction, also poor coordination, and loss of balance

Teaching AP care of client following total hip arthroplasty. Which of the following instructions should be included?

Place an abductor pillow between the client's legs when turning the client Want to maintain hip in abduction following surgery to reduce risk of dislocating surgical hip. Place abductor pillow between clients legs when turning the client to keep hips in abduction.

Planning to teach client who has epilepsy and is to start phenytoin. Which of the following instructions should the nurse include in the med teaching plan?

Take meds at a consistent time each day to maintain therapeutic blood levels and achieve maximum effect.

assessing a client with new diagnosis of osteoarthritis. which of the following findings should the nurse expect?

crepitus with joint movement (a grating sound) due to loosened bone and cartilage moving around in fluid inside the joint. decreased range of motion of the affected joint because pain limits movement. joint pain that resolves with rest and increased pain with activity.