PNH 301 Test 1 Practice Questions And All Correct Answers.

Client has meningitis, what should the nurse find during assessment? - Answer Flexion of the hip and knees with passive flexion of the neck. Priority actin for taking care of patient with seizure - Answer Protecting patient from injury. What do you do prior to a electorconvusive therapy? - Answer Spinal X-ray Priority action for a tonic-clonic seizure - Answer Note the first thing the client does; this provides information on which part in the brain the seizure began. Priority nursing intervention for closed head injury - Answer maintain adequate airway Most important risk factor for a stroke - Answer Hypertension Unstable spinal cord at T7. What is priority action during care? - Answer Place client on pressure reducing support surface; they are at risk for skin breakdown due to immobility Most helpful intervention with AD. - Answer Communication strategies A client with spinal cord injury is at risk for experiencing autonomic dysreflexia. The nurse will monitor this manifestations - Answer Sever throbbing headache How should a nurse care for a client with receptive and expressive aphasia, communicate with them? - Answer Use hands to communicate, use picture board and flash cards, and speak slowly. Nurse is caring for Epidermal Hematoma. What are the nursing interventions? - Answer -Ensure pulse oximeter is greater than 93% - Administer mild sedatives - Administer stool softeners daily Client is unconscious following a tonic-clonic seizure, what should the nurse do first? - Answer Place client on side-lying position