
Adv. MedSurg Final Love P.4
Quiz by Darwin
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The nurse is caring for a patient admitted with a transient ischemic attack (TIA). A carotid ultrasound reveals a 10% obstruction. The nurse anticipates that the treatment will likely consist of which factors? Select all that apply
To help prevent aspiration while feeding a patient who has a right sided paralysis, the nurse should implement which interventions? Select all that apply
The nurse is completing the care plan for a stroke patient who is at risk for impaired physical mobility. Which interventions should the nurse include in the care plan. Select all that apply
A client is admitted to the neurologic ICU with a spinal cord injury. When assessing the client the nurse notes there is a sudden depression of reflex activity in the spinal cord below the level of injury. What should the nurse expect?
Following a spinal cord injury a client is placed in a halo traction. While performing pin site care, the nurse notes that one of the traction pins has become detached. The nurse would be correct in implementing what priority nursing action?
The staff educator is precepting a nurse new to the critical care unit when a client with a T2 spinal cord injury is admitted. The client is soon exhibiting manifestations of neurogenic shock. In addition to monitoring the client closely, what would be the nurse’s most appropriate action?
A client with a spinal cord injury is ready to be discharged home. A family member asks the nurse to review potential long term complications one more time. What are the potential complications that should be monitored for this client? Select all that apply
A client who experiences spastic bowel elimination pattern. Which action does the nurse implement to assist in relieving the client’s constipation. Select all that apply
After teaching a male client with a spinal cord injury at the T4 level about sexual dysfunction, the nurse assesses the client's understanding. Which client statement indicates the correct understanding of the teaching related effects of his injury? Select all that apply
A patient with Alzheimer's disease who is being admitted to a long-term care facility has had several episodes of wandering away from home. Which action will the nurse include in the plan of care? Select all that apply
Which intervention will the nurse include in the plan of care for a patient with multiple sclerosis? Select all that apply
A student nurse is assisting with the care of a 50-year-old-man who is being treated in the emergency department for hypothermia. The student asks the charge nurse why the patient is having his heart monitored. How should the nurse best respond?
The emergency department nurse is attempting to revive an unconscious, shivering person with extreme hypothermia (rectal temperature of 94 F). The nurse should be most alarmed with which change?
The first responder to an automobile accident finds a victim with a sucking chest wound. What action should the responder take first?
Which of the following statements is true about biological warfare agents? Select all that apply
The nurse counsels a group of young track athletes about heat stroke prevention. Which information should the nurse include? Select all that apply
An emergency department nurse moves to a new city, where heat related illnesses are common. Which clients should anticipate as at higher risk for heat related illness? Select all that apply
The nurse caring for hospitalized clients includes which action on their care plans to reduce the possibility of the clients developing shock? Select all that apply
A wing of a hospital is on fire. Which actions by the nurse promotes safe evacuation of the clients? Select all that apply
The nurse is participating in an educational program concerning nuclear disasters. Which factor(s) determine(s) a victims level of exposure to radiation? Select all that apply
In the memory prompt for emergency care, ABCDE, What does the “E” represent?
The nurse is preparing a presentation that highlights the benefits of annual influenza vaccination. The nurse correctly targets which groups? Select all that apply
The nurse is teaching community members about precautions related to a pandemic occurrence. Which information is most important for the nurse to include in the teaching plan?