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1. A nurse is assessing a client who has a head injury following a motor-ve- hicle
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crash.The nurse should identify that which of the following findings indicates
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increasing intracranial pressure?
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a. restlessness
b. dizziness
c. hypotension
d. fever
Ans :a nhft nh
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2. Anurse is planning care for a clientfollowing a lumbar puncture.Which of the
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following actions should the nurse plan to include?
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a. apply a pressure dressing to the site for 8 hr
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b. restrict the client's fluid intake for 24 hr nhft nhft nhft nhft nhft nhft nhft
c. ensure that the client lies flat for up to 12 hr nhft nhft nhft nhft nhft nhft nhft nhft nhft nhft
d. informthe client that neck stiffnessis an expectedoutcome of the proce- dure
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, Ans: c nhft
3. A nurse is teaching an assistive personnel about care of a client who has had a
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total hip arthroplasty.Which of the following instructions should the nurse
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include?
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a. avoidapplying antiembolism stockings to the affected leg nhft nhft nhft nhft nhft nhft nhft
b. havethe client leanforward whenmovingfrom a sittingtoa standing
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position
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c. discourage the client from sitting in a wheelchair with the back reclined nhft nhft nhft nhft nhft nhft nhft nhft nhft nhft nhft
d. placeanabductorpillowbetweentheclient'slegswhenturningtheclient ft
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Ans :d nhft ft
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4. Anurseisplanningcareforaclientwhohasaclosedtraumaticbraininjury from a
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fall and is receiving mechanical ventilation.Which of the following
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interventions is the nurse's priority?
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a. maintain a PaCO2 of approx 35 mmHg nhft nhft nhft nhft nhft nhft
b. providesmall doses of fentanyl via IV bolus for pain management nhft nhft nhft nhft nhft nhft nhft nhft nhft nhft
c. measure body temp every 1-2 hr nhft nhft nhft nhft nhft
d. reposition the client every 2 hr nhft nhft nhft nhft nhft
Ans:a ft
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5. A nurse is teaching a client who has parkinson's disease about taking
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carbidopa-levodopa.Whichofthefollowingclientstatementsindicatesan
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understanding of the teaching?
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a. "I should expect an increase in my BP while taking this med"
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b. "I should take this med 2 hours after meals to increase absorption"
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c. "I should expect that this med can cause me to be drowsy"
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d. "I should expect this med to be effective within 48 hr"
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Ans:c ft
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