Exam 2 Review Questions
A hospitalized patient weights 70 kg. The nurse calculates approximately how much of this weight as intracellular fluid?
28 L
For seizure disorders that do not respond to anticonvulsant medications, the option for surgical treatment exists. What is removed in the most common surgery for seizure disorders?
Amygdala
The ophthalmologist is performing a client's annual eye exam and notes an increase in intraocular pressure. The condition most likely is the result of:
Imbalance between aqueous production and outflow
A patient discharged from the hospital 5 days ago following a stroke has come to the emergency department with facial droop that progressed with hemiplegia and aphasia. The patient's spouse is extremely upset because the physician stated that the patient cannot receive thrombolytic medications to reestablish cerebral circulation and the spouse asks the nurse why. Which of the following is the nurse's most accurate response?
"Thrombolytics may cause cerebral hemorrhage."
The nurse suspects a spinal cord injury client is developing autonomic dysreflexia. Which assessment findings would confirm the development of this complication? Select all that apply
BP 180/98. Pulse rate 49. Complains of a pounding headache.
Manifestations of brain tumors are focal disturbances in brain function and increased ICP. What causes the focal disturbances manifested by brain tumors?
Brain edema and disturbances in blood flow
The nurse expects that loss of respiratory effort occurs with a spinal injury at which of the following levels?
C1-3
A client is admitted to hospital with signs of acidosis. Compensation takes place in the kidney as well as in the lungs. Which action takes place specifically at the respiratory membrane?
CO2 is eliminated
The nurse is conducting a community education program on concussions. The nurse evaluates that the participants are understanding the education when they state that which of the following offers the brain protection from external forces?
Cerebrospinal Fluid
A nurse on an oncology floor is treating a client who is anemic following chemotherapy. The drugs being administered are designed to increase the number of red blood cells in circulation. These drugs are likely agonists of:
Cytokines
The nurse is conducting a staff in-service program on non-Hodgkin's lymphomas. The nurse should include that essentially all people with Burkitt lymphoma have evidence of infection with which of the following?
EBV
A nurse practitioner is providing care for a client with low levels of the plasma protein gamma globulin. The nurse would recognize that the client is at risk of developing which health problem?
Infections
The nurse is caring for a client who has excessive diarrhea. Which of these acid base disturbances does the nurse anticipate uncovering during evaluation of the arterial blood gas?
Metabolic acidosis
The nurse is caring for a client with renal failure experiencing shortness of breath and increased respiratory rate. The arterial blood gas reflects a pH of 7.10 and a HCO3 level of 18 mEq/L. How does the nurse interpret these findings?
Metabolic acidosis
Antibiotics such as gentamicin can produce a disturbance in the body that is similar to botulism by preventing the release of acetylcholine from nerve endings. In persons with preexisting neuromuscular transmission disturbances, these drugs can be dangerous. What disease falls into this category?
Myasthenia gravis
The brain stem contains gray matter that is made up of which of the following?
Neurons
A 38-year-old client who has begun to develop hearing loss is being evaluated by the nurse practitioner. The client tells the nurse that hearing improves when she is on the telephone and that chewing sounds very loud. What does the nurse practitioner suspect?
Otosclerosis
The nurse is caring for a client who has been diagnosed with Meniere disease. The nurse expects which of the following medications will be prescribed to manage the symptoms?
Promethazine (Phenergan)
A client with a history of epilepsy is brought to the emergency department due to seizure activity. What information about the client is most important for the nurse to collect?
Recent medication history
The nurse is assessing a client and notes the client is now displaying decerebrate posturing. The position would be documented as:
Rigidity of the arms with palms of the hands turned away from the body and with stiffly extended legs and plantar flexion of the feet
Which of the following is the name of the fluid that remains after blood clots?
Serum
A patient is diagnosed with acute leukemia. Which of the following treatment therapies can be used to correct bone marrow failure and treat malignancies?
Stem cell transplant
The nurse is assessing a client with an abnormal blood gas values. Which of these interpretations does the nurse make regarding the client's physiologic status?
The nurse is assessing a client with an abnormal blood gas values. Which of these interpretations does the nurse make regarding the client's physiologic status?
A 70 year-old male has been diagnosed with a stroke that resulted in an infarct to his cerebellum. Which of the following clinical findings would be most closely associated with cerebellar insult?
Unsteady gait and difficulty speaking and swallowing
The nurse is preparing a client for a surgical procedure to create an endolymphatic shunt. The nurse understands that this procedure aims to relieve which of the following symptoms?
Vertigo
