Neuro

Carbidopa-levodopa (Sinemet) is prescribed for a client with Parkinson disease. The nurse assesses for which adverse responses that are associated with this medication? (Select all that apply.) 1.Nausea 2.Lethargy 3.Bradycardia 4.Polycythemia 5.Emotional changes

1.Nausea 5.Emotional changes

A nurse is planning to transfer a client who is experiencing pain from the bed to a chair. Place the following steps in the order in which they should be implemented. 1.Explain the steps of the transfer. 2.Verify the client's activity prescription. 3.Position the client in functional body alignment before transferring. 4.Identify factors that may impact the ability to transfer. 5.Ensure that the wheels on the bed are locked.

1.Verify the client's activity prescription. 2.Identify factors that may impact the ability to transfer. 3.Explain the steps of the transfer. 4.Ensure that the wheels on the bed are locked. 5.Position the client in functional body alignment before transferring.

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

When a client has gluteal edema, why should the nurse avoid using the gluteus maximus muscle for administration of intramuscular medications? 1.Deposition of an injected drug causes pain. 2.Blood supply is insufficient for adequate absorption. 3.Fluid leaks from the site for a long time after the injection. 4.Tissue fluid dilutes the drug before it enters the circulation

2.Blood supply is insufficient for adequate absorption.

To reduce the risk of recurrent painful gout attacks, the nurse teaches the client to avoid which foods? (Select all that apply.) 1.Eggs 2.Liver 3.Cheese 4.Salmon 5.Shellfish

2.Liver 5.Shellfish

A client is admitted with post-traumatic brain injury and multiple fractures. The client's eyes remain closed, and there is no evidence of verbalization or movement when the nurse changes the client's position. What score on the Glasgow Coma Scale (GCS) should the nurse document? Record your answer using a whole number. _______

3

A client has a compound fracture of the femur. The nurse should assess the client for the typical signs and symptoms of a fat embolus. In comparison to thromboembolism, which clinical indicator is unique to a fat embolus? 1.Anxiety 2.Restlessness 3.Pinpoint red spots on the chest 4.Decreased arterial oxygen level

3.Pinpoint red spots on the chest

A client is diagnosed with Parkinson disease and receives a prescription for levodopa (L-dopa) therapy. The nurse concludes that the medication is appropriate for this client because it: 1.Blocks the effects of acetylcholine 2.Increases the production of dopamine 3.Restores the dopamine levels in the brain 4.Promotes the production of acetylcholine

3.Restores the dopamine levels in the brain

A client newly diagnosed with rheumatoid arthritis is admitted to the hospital with bilateral painful knee and wrist joints. The nurse identifies impaired physical mobility related to painful, swollen joints. What should the nurse teach the client to do during the acute phase of the disease? 1.Avoid exercises to the involved joints 2.Engage in passive exercises to the involved joints 3.Increase isometric exercises to the involved joints slowly 4.Participate in progressive, resistive exercises to the involved joints

1.Avoid exercises to the involved joints

A client returns from surgery after a total hip arthroplasty. A pillow to maintain abduction is in place. Under what conditions should the nurse remove this pillow? 1.During the client's bed bath 2.When the client is sitting in a chair 3.When the client needs a change of position 4.Once the client's operative pain has ceased

1.During the client's bed bath

After a short hospitalization for an episode of a transient ischemic attack (TIA) related to hypertension, a client is discharged on a regimen that includes chlorothiazide (Diuril). What should the nurse instruct the client to do regarding nutrition? (Select all that apply.) 1.Eat more citrus fruits 2.Take protein supplements 3.Return to previous eating habits 4.Increase intake of dairy products 5.Increase intake of dried cooked beans

1.Eat more citrus fruits 5.Increase intake of dried cooked beans

A client has a brain attack (cerebrovascular accident [CVA]) that involves the right cerebral cortex and cranial nerves. What areas of paralysis should the nurse expect the client to exhibit? (Select all that apply.) 1.Left leg 2.Left arm 3.Right leg 4.Right arm 5.Left side of face

1.Left leg 2.Left arm

A client is admitted to the hospital with a diagnosis of Parkinson disease. Which common signs of Parkinson disease does the nurse expect to identify when completing a nursing admission history and physical? (Select all that apply.) 1.Muscle rigidity 2.Blank facial expression 3.Leaning toward the affected side 4.Intention tremors with movement 5.Hyperextension of the affected extremity

1.Muscle rigidity 2.Blank facial expression

Carbidopa/levodopa (Sinemet) is prescribed for a client with Parkinson disease. Which side effects does the nurse expect? (Select all that apply.) 1.Nausea 2.Anorexia 3.Bradycardia 4.Hypertension 5.Mental changes

1.Nausea 2.Anorexia 5.Mental changes

Carbidopa-levodopa (Sinemet) is prescribed for a client with Parkinson's disease. The nurse monitors the client for which side effects of the medication? (Select all that apply.) 1.Vomiting 2.Anorexia 3.Slow heart rate 4.Changes in mood 5.Peripheral edema

1.Vomiting 2.Anorexia 4.Changes in mood

A client's leg is placed in Buck's extension to immobilize a fracture until surgery can be performed. When caring for this client, the nurse understands that Buck's extension is a type of: 1.Skeletal traction 2.Cutaneous traction 3.Halter transfixation 4.Balanced suspension

2.Cutaneous traction

A client is receiving furosemide (Lasix). For which sign of hypokalemia should the nurse monitor the client? 1.Chvostek sign 2.Flabby muscles 3.Anxious behavior 4.Abdominal cramping

2.Flabby muscles

A client has surgery to repair a fractured right hip. Where should the nurse stand when assisting the client to ambulate? 1.Behind the client 2.In front of the client 3.On the client's left side 4.On the client's right side

3.On the client's left side

A client is to have a computed tomography (CT) scan with contrast to assess a potential brain tumor. The nurse should teach the client what common expected responses to the contrast material? (Select all that apply.) 1.Visual disturbances 2.Flushing of the face 3.Sensation of warmth 4.Lemony taste in the mouth 5.Small petechiae on the arms

2.Flushing of the face 3.Sensation of warmth

The nurse has provided teaching to a client with impaired balance who uses a walker when ambulating. The nurse observes the client transferring from a sitting to a standing position and using the walker. The nurse evaluates that further teaching is required when the client: 1.Slides toward the edge of the seat before standing 2.Holds both handles of the walker while rising to the standing position 3.Moves forward into the walker after transferring from sitting to standing 4.Stands in place holding on to the walker for at least 30 seconds before walking

2.Holds both handles of the walker while rising to the standing position

How should a nurse assess a client's trigeminal nerve function? 1.Observing facial movements. 2.Identifying corneal sensation. 3.Watching ocular muscle movement. 4.Determining the ability to shrug the shoulders

2.Identifying corneal sensation.

The nurse teaches a premenopausal obese client about strategies to prevent osteoporosis. Which strategy identified by the client indicates that the teaching is effective? 1.Starts a rapid, strict weight reduction diet. 2.Joins a tennis league and practices every day. 3.Takes 1200 IU of vitamin D a day. 4.Signs up for a swimming class three times a week

2.Joins a tennis league and practices every day.

Which information should be included in the teaching plan for the client diagnosed with epilepsy? 1.Antiseizure medication must be taken for life. 2.People taking phenytoin (Dilantin) must floss regularly. 3.People with epilepsy can never be issued a driver's license. 4.Loss of consciousness during a seizure requires emergency evaluation

2.People taking phenytoin (Dilantin) must floss regularly

A client has rotator cuff surgery. What should be included when the nurse performs a neurovascular assessment of the affected extremity immediately after surgery? (Select all that apply.) 1.Pulse rate 2.Skin color 3.Presence of edema 4.Movement of the hand 5.Sensations in the extremity

2.Skin color 4.Movement of the hand 5.Sensations in the extremity

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 health care provider prescribes mannitol (Osmitrol) for a client with a head injury. The nurse concludes that the purpose of the medication is to relieve cerebral edema by: 1.Decreasing the production of cerebrospinal fluid 2.Limiting the metabolic requirements of the brain 3.Drawing fluid from brain cells into the bloodstream 4.Preventing uncontrolled electrical discharges in the brain

3.Drawing fluid from brain cells into the bloodstream

A nurse admits a client with a diagnosis of cholelithiasis for surgery. The client asks many questions about the postoperative course after laparoscopic surgery. What is most important for the nurse to include in the teaching plan? 1.Need for long-term dietary restrictions 2.Type of surgical incisions and wound care 3.Explanation of abdominal and scapular pain 4.Encouragement to perform abdominal exercises

3.Explanation of abdominal and scapular pain

A client who is to have a total hip arthroplasty with an uncemented prosthesis asks, "When will I be able to get up and walk?" On what information should the nurse base an answer? 1.Full weight-bearing is permitted after two weeks. 2.Partial weight-bearing begins the day after surgery. 3.Full weight-bearing may begin the day after surgery. 4.Partial weight-bearing progresses to full weight-bearing after two weeks

3.Full weight-bearing may begin the day after surgery.

A jogger sustains multiple fractures of the femur after being hit by a motor vehicle. A nurse responds to the scene of the accident to assist with care. The nurse recalls that, for this type of fracture, immediate life-threatening systemic complications can be minimized by: 1.Elevating the affected limb 2.Encouraging deep breathing and coughing 3.Handling and transporting the client gently 4.Maintaining anatomic alignment of the client's limb

3.Handling and transporting the client gently

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 client with the diagnosis of multiple sclerosis (MS) develops increased visual problems, progressive muscular weakness, and frequent episodes of emotional lability. The difficulties experienced are very distressing to the client. The client bursts into tears for no apparent reason while having a discussion with the nurse. What is the nurse's best response? 1.Tell the client that there is no reason to cry 2.Ascertain why the client is upset and crying 3.Assure the client that it is normal to be upset 4.Let the client cry and then resume the discussion

4.Let the client cry and then resume the discussion

The nurse is caring for a client two days after the client had a brain attack (CVA). To prevent the development of plantar flexion, the nurse should: 1.Place a pillow under the thighs 2.Elevate the knee gatch of the bed 3.Encourage active range of motion 4.Maintain the feet at right angles to the legs

4.Maintain the feet at right angles to the legs

A client is scheduled for a labyrinthectomy to treat Ménière syndrome. What expected outcome of the procedure should be included in preoperative teaching? 1.Absence of pain 2.Decreased cerumen 3.Loss of sense of smell 4.Permanent irreversible deafness

4.Permanent irreversible deafness

A client has a shoulder immobilizer after surgical repair of a fractured humerus. What should be included in the nurse's instruction to the client about the appropriate use of the immobilizer? 1.Place the elbow on a pillow when sitting in a chair. 2.Adjust the upper arm and wristbands so they are slack. 3.Loosen the chest band to exercise the shoulder periodically. 4.Release the wristband to exercise the forearm and hand routinely

4.Release the wristband to exercise the forearm and hand routinely