A 40-yr-old patient is diagnosed with early Huntington’s disease (HD). When teaching the patient, spouse, and adult children about this disorder, the nurse will provide information about the

A patient has a tumor in the cerebellum. The nurse will plan interventions to

A patient who has amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia. Which nursing action will be included in the plan of care?

Which prescribed intervention will the nurse implement first for a patient in the emergency department who is experiencing continuous tonic-clonic seizures?

18. A patient has been admitted with meningococcal meningitis. Which observation by the nurse requires action?

A patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available in the patient’s assigned room (select all that apply)? a. Side-rail pads b. Tongue blade c. Oxygen mask d. Suction tubing e. Urinary catheter f. Nasogastric tube

A patient is being treated with carbidopa/levodopa (Sinemet) for Parkinson’s disease. Which information indicates a need for change in the medication or dosage?

The nurse admitting a patient who has a right frontal lobe tumor would expect the patient may have

The nurse observes a patient ambulating in the hospital hall when the patient’s arms and legs suddenly jerk and the patient falls to the floor. The nurse will first

When obtaining a health history and physical assessment for a 36-yr-old female patient with possible multiple sclerosis (MS), the nurse should

The nurse is reinforcing teaching with a patient newly diagnosed with ALS. Which statement would be appropriate to include in the teaching ?

A patient with a head injury opens his eyes to verbal stimulation, curses when stimulated, and does not respond to a verbal command to move but attempts to push away a painful stimulus. The nurse records the patient’s Glasgow Coma Scale score as

While the nurse is transporting a patient on a stretcher to the radiology department, the patient begins having a tonic-clonic seizure. Which action should the nurse take?

A patient who has not had any prior surgeries tells the nurse doing the preoperative assessment about allergies to avocados and bananas. Which action is most important for the nurse to take?

Which nursing diagnosis is of highest priority for a patient with Parkinson’s disease who is unable to move the facial muscles?

When admitting an acutely confused patient with a head injury, which action should the nurse take?

A 38-yr-old woman is admitted for an elective surgical procedure. Which information obtained by the nurse during the preoperative assessment is most important to communicate to the anesthesiologist and surgeon before surgery?

Which actions could the nurse delegate to unlicensed assistive personnel (UAP) who are providing care for a patient who is at risk for venous thromboembolism?

The nurse facilitates student clinical experiences in the surgical suite. Which action, if performed by a student, would require the nurse to intervene?

A patient in the surgical holding area is being prepared for a spinal fusion. Which action by a member of the surgical team requires immediate intervention by the charge nurse?

A patient scheduled to undergo total knee replacement surgery under general anesthesia asks the nurse, “Will the doctor put me to sleep with a mask over my face?” Which response by the nurse is most appropriate?

The nurse is caring for a patient the first postoperative day following a laparotomy for a small bowel obstruction. The nurse notices new bright-red drainage about 5 cm in diameter on the dressing. Which action should the nurse take first?

A postoperative patient has not voided for 8 hours after return to the clinical unit. Which action should the nurse take first?

An older patient who had knee replacement surgery 2 days ago can only tolerate being out of bed with physical therapy twice a day. Which collaborative problem should the nurse identify as a priority for this patient?

In the postanesthesia care unit (PACU), a patient’s vital signs are blood pressure 116/72 mm Hg, pulse 74 beats/min, respirations 12 breaths/min, and SpO2 91%. The patient is sleepy but awakens easily. Which action should the nurse take first?

Which assessment is most important for the nurse to make regarding a patient with myasthenia gravis?

A patient arrives at the outpatient surgical center for a scheduled laparoscopy under general anesthesia. Which information requires the nurse’s preoperative intervention to maintain patient safety?

The nurse interviews a patient scheduled to undergo general anesthesia for a bilateral hernia repair. Which information is most important to communicate to the surgeon and anesthesiologist before surgery?

When caring for a patient the second postoperative day after abdominal surgery for removal of a large pancreatic cyst, the nurse obtains an oral temperature of 100.8° F (38.2° C). Which action should the nurse take next?

The nurse is assessing the muscle strength of an older adult patient. The nurse knows the findings cannot be compared with those of younger adults because

When grading muscle strength , the nurse records a score of 3/5 which indicates

a normal assessment finding of the musculoskeletal system is

proper attire for semi-restricted area of the surgery department is

When a patient is admitted to PACU, what are the priority interventions the nurse preforms?

The nurse notes crackling sounds and a grating sensation with palpation of an older patient’s elbow. How will this finding be documented?

Which discharge instruction will the emergency department nurse include for a patient with a sprained ankle?

A patient with a fracture of the left femoral neck has Buck’s traction in place while waiting for surgery. To assess for pressure areas on the patient’s back and sacral area and to provide skin care, the nurse should

A patient with a right lower leg fracture will be discharged home with an external fixation device in place. Which information will the nurse teach?

Which statement by a patient who has had an above-the-knee amputation indicates the nurse’s discharge teaching has been effective?

A patient arrived at the emergency department after tripping over a rug and falling at home. Which finding is most important for the nurse to communicate to the health care provider?

A pedestrian who was hit by a car is admitted to the emergency department with possible right lower leg fractures. The initial action by the nurse should be to

A young adult arrives in the emergency department with ankle swelling and severe pain after twisting an ankle playing basketball. Which of these prescribed interprofessional interventions will the nurse implement first?

The day after a 60-yr-old patient has open reduction and internal fixation (ORIF) for an open, displaced tibial fracture, the nurse identifies the priority nursing diagnosis as

A new clinic patient with joint swelling and pain is being tested for systemic lupus erythematosus. Which test will provide the most specific findings for the nurse to review?

Which action wWhich action will the nurse take when caring for a patient with osteomalacia?ill the nurse take when caring for a patient with osteomalacia?

Which statement by a patient with systemic lupus erythematosus (SLE) indicates the patient has understood the nurse’s teaching about the condition?

A 25-yr-old female patient with systemic lupus erythematosus (SLE) who has a facial rash and alopecia tells the nurse, “I never leave my house because I hate the way I look.” The nurse will plan interventions with the patient to address the nursing diagnosis of

A patient being seen in the clinic has rheumatoid nodules on the elbows. Which action will the nurse take?

Which action will the nurse include in the plan of care for a patient with a new diagnosis of rheumatoid arthritis (RA)?

Which information will the nurse include when preparing teaching materials for a patient with an exacerbation of rheumatoid arthritis?

Which laboratory result will the nurse monitor to determine if prednisone has been effective for a patient with an acute exacerbation of rheumatoid arthritis?

The nurse teaching a support group of women with rheumatoid arthritis (RA) about how to manage activities of daily living suggests they should