f f f f f f f
f
A fnurse fis fcaring ffor fa fclient fwho fexperienced fa ftraumatic fhead finjury fand fhas fan
fintraventricular fcatheter f(Ventriculostomy) ffor fICP fmonitoring. fThe fnurse fshould fmonitor
fthe fclient ffor fwhich fof fthe ffollowing fcomplications frelated fto fthe fventriculostomy?: f
f
a. Headache f
b. Infection f
c. Aphasia f
d. Hypertension f- fb. fInfection f
Monitor ffor finfection fand fuse fstrict fasepsis fto favoid flife-threatening fmeningitis. f
f
A fnurse fis fproviding feducation fto fa fclient fwho fis fto fundergo fan fEEG fthe fnext fday. fWhich
fof f
f
the ffollowing finfo fshould fthe fnurse finclude fin fthe
fteaching?
f
a. "Do fnot fwash fyour fhair fthe fmorning fof fthe fprocedure." f
b. "Try fand fstay fawake fmost fof fthe fnight fprior fto fthe fprocedure." f
c. "The fprocedure fwill ftake fapproximately f15 fmins." f
d. "You fwill fneed fto flie fflat ffor f4 fhours fafter fthe fprocedure." f- fb. f"Try fand fstay fawake
fmost fof fthe fnight fprior fto fthe fprocedure." f
f
Tell fthe fclient fto fremain fawake fto fprovide fcranial fstress fand fincrease fthe fpossibility
fof f
f
abnormal felectrical
factivity
f
A fnurse fis fcaring ffor fa fclient fwho fis fpostprocedural ffollowing fa flumbar fpuncture fand freports
fa f
f
throbbing fheadache fwhen fsitting fupright. fWhich fof fthe ffollowing factions fshould fthe
fnurse
f
take? fSATA.
f
f
a. fUse fthe fGCS fscale fto fassess fthe f
fclient
b. fAssist fthe fclient finto fa fsupine
fposition
f
c. fAdminister fan fopioid
fanalgesic
f
d. fEncourage fthe fclient fto fincrease fPO ffluid
fintake
e. fInstruct fthe fclient fto fperform fcoughing fand fdeep fbreathing f- fB,
fD
f
A fnurse fis fcaring ffor fa fclient fwho fhas fcontinuous fbladder firrigation ffollowing fa
ftransurethral f
resection fof fthe fprostate f(TURP). fWhich fof fthe ffollowing ffindings fshould fthe fnurse freport
fto f
, f
the
fprovider?
f
a fOutput fequal fto fthe finstilled firrigate
fb. fClient freports fbladder fspasms f
c. Viscous furinary foutput fwith fclots f
d. Reports fof fstrong furge fto furinate f- fc. fViscous furinary foutput fwith fclots f
f
Urine fthat fis fbright fred fwith fclots fis fan findication fof farterial fbleeding. f
f
A fnurse fis fmonitoring fthe fECG fof fa fclient fwho fhas fhypocalcemia. fWhich fof fthe
ffollowing f
f
findings fshould fthe fnurse
fexpect?
f
a. Flattened fT fwaves f
b. Prolonged fQT fintervals f
c. Shortened fQT fintervals fd fWidened fQRS fcomplexes f- fb. fProlonged fQT fintervals f
Manifestations fof fhypocalcemia finclude ftingling, fnumbness, ftetany, fseizures, fprolonged fQT
fintervals, fand flaryngospasm. f
f
A fnurse fis fpreparing fa fclient fwho fhas fa fbrain ftumor ffor fa fCT fscan. fWhich fof fthe
ffollowing f
f
factors faffects fthe fmanner fin fwhich fthe fnurse fwill fprepare fthe fclient ffor fthe
fscan?
f
f
a. fNo ffood for ffluids fconsumed ffor f4
fhours
f
b. fDifficulty frecalling frecent
fevents
f
c. fDevelopment fof fhives fwhile feating
fshrimp
f
d. fParesthesia fin fboth fhands f- fc. fDevelopment fof fhives fwhile feating
fshrimp
Shellfish fallergy fis fcontraindication fof fuse fof fcontrast fmedia fduring fa fCT
fscan.
f
A fnurse fis fpreparing fan fin-service fprogram fabout fthe fstages fof facute fkidney finjury. fWhich
fof f
f
the ffollowing fpieces fof finfo fshould fthe fnurse finclude fabout fprerenal
fazotemia?
f
a. Prerenal fazotemia fbegins fprior fto fthe fonset fof fsymptoms f
b. Interference fwith frenal fperfusion fcauses frenal fazotemia f
c. Prerenal fazotemia fis firreversible, feven fin fearly fstages f
d. Infections fand ftumors fcause fprerenal fazotemia f- fb. fInterference fwith frenal fperfusion
fcauses fprerenal fazotemia. f
Prerenal f= finterference fwith frenal fperfusion, fsuch fas ffrom fheart ffailure for fhypovolemic
fshock. f
f
, A fnurse fis fteaching fa fclient fwho fhas fCAD fabout fthe fdifference fbetween fangina fpectoris
fand f
f
MI. fWhich fof fthe ffollowing fshould fthe fnurse fidentify fas findications fof fMI?
fSATA.
f
a. N/V f
b. Diaphoresis fand fdizziness f
c. Chest fand fleft farm fpain fthat fsubsides fwith frest f
d. Anxiety fand ffeelings fof fdoom f
e. Bounding fpulse fand fbradypnea f- fA, fB, fD f
f
A fnurse fis freviewing fthe flab fresults fof fa flumbar fpuncture ffor fa fclient fwho fhas
fmanifestations f
f
of fbacterial fmeningitis. fWhich fof fthe ffollowing ffindings fshould fthe fnurse
fexpect?
f
a. Elevated fglucose f
b. Elevated fprotein f
c. Presence fof fRBCs f
d. Presence fof fD-dimer f- fb. fElevated fprotein f
f
Manifestations fof fbacterial fmeningitis finclude fincrease fprotein fin fthe fCSF, fdecreased
fglucose. f
f
RBCs fcan findicate fbleeding, fhowever, fWBCs fare fwhat findicates fbacterial
fmeningitis.
f
A fnurse fis fproviding fteaching fto fa fclient fwho fhas fa fnew fdiagnosis fof fmyasthenia fgravis
f(MG). f
f
Which fof fthe ffollowing fpieces fof finformation fshould fthe fnurse
finclude?
f
A. fUse fenemas fto ftreat fconstipation fcaused fby fdaily
fmedications
f
B. fTake fa fhot fbath fwhen fmuscles
fache
C. Eat fa flow-calorie fdiet f
D. Set fan falarm fto fensure fmedication fdosages fare ftaken fon ftime f- fD. fSet fan falarm fto
fensure fmedication fdosages fare ftaken fon ftime f
f
The fnurse fshould finstruct fthe fclient fto ftake fmedication fdosages fon ftime fto fmaintain fa
ftherapeutic fblood flevel. fDosages f should fnot fbe f missed for fpostponed fbecause fthis fcan
fcause fan fexacerbation fof fthe fdisease. f
f
A fnurse fis fteaching fa fclient fwho fhas fa fnew fdiagnosis fof fprimary fopen-angle
fglaucoma
(POAG). fWhich fof fthe ffollowing fpieces fof finformation fshould fthe fnurse finclude fin
fthe f
f
teaching? f(Select fall fthat
fapply.)
f
A. Lost fvision fcan fimprove fwith feye fdrops. f