The nurse is planning care for a client diagnosed with increased intracranial pressure after a
head injury. Which of the following interventions can be used to reduce increased intracranial
pressure?
A.
Perform range-of-motion exercises every hour.
B.
Keep the head of the bed in the flat position.
C.
Administer antibiotics as prescribed.
D.
Administer corticosteroids and osmotic diuretics as prescribed. - Answers D.)
Administer corticosteroids and osmotic diuretics as prescribed.
A client has been wearing a splint for carpal tunnel syndrome for 7 weeks. The nurse realizes
that which of the following would be the next course of treatment for this client?
A.
Corticosteroid injection
B.
Casting
C.
Exercises
,D.
Surgery - Answers A.
Corticosteroid injection
The patient asks the nurse to explain the sinoatrial node in the heart. The nurse's best response
would be, "The sinoatrial node
A.
protects the heart from infection."
B.
provides the heart with oxygenated blood."
C.
provides the heart with the stimulation to beat in a normal rhythm."
D.
protects the heart from atherosclerotic changes." - Answers C.
provides the heart with the stimulation to beat in a normal rhythm."
A patient on a medical surgical unit has a platelet count of 90,000 per mm3. The nurse knows to
include which of the following precautions in discharge instructions?
A.
,Have aggressive dental care immediately to prevent dental caries.
B.
Use a soft bristle toothbrush.
C.
Do not eat fresh fruit.
D.
Use a standard safety razor for shaving. - Answers B.
Use a soft bristle toothbrush.
In caring for a patient following lobectomy for lung cancer, which of the following should the
nurse include in the plan of care?
A.
Position the patient on the operative side only.
B.
Instruct the patient to cough and deep breathe.
C.
Avoid administering narcotic pain medications.
D.
Keep the patient on strict bed rest. - Answers B.
Instruct the patient to cough and deep breathe.
, The nurse is instructing a client diagnosed with a brain tumor on symptoms to immediately
report to her physician. Which of the following should be included in these instructions? (Select
all that apply.)
A.
New onset of seizures
B.
Problems with vision
C.
One-sided weakness
D.
Loss of balance
E.
Loss of appetite
F.
Inability to talk - Answers All BUT E
The nurse, caring for a client recovering from the placement of a shunt to treat portal
hypertension, should assess the client for which of the following complications associated with
this surgery?
A.
Pulmonary edema