RN Targeted Medical Surgical Neurosensory and Musculoskeletal Online Practice 2019 questions and answers well illustrated.

RN Targeted Medical Surgical Neurosensory and Musculoskeletal Online Practice 2019 questions and answers well illustrated. A nurse is planning care for a client who has. closed traumatic brain injury from a fall and is receiving mechanical ventilation. Which of the following interventions is the nurses priority? - correct ain a PaCO2 of approximately 35 mmHg The greatest risk to this client is injury from increased intracranial pressure. Therefore, the nurse's priority intervention is to maintain the PaCO2 at 35 to 38 mm Hg to prevent hypercarbia and subsequent vasodilation that can lead to an increase in intracranial pressure. A nurse is caring for a client who has a retinal detachment. Which of the following findings should the nurse expect? - correct es of bright light The nurse should expect a client who has a retinal detachment to see flashes of bright light or floating dark spots in the affected eye as the retinal layers separate. a nurse is caring for a client who has a spastic bladder following a spinal cord injury. Which of the following actions should the nurse take to help stimulate micturition? - correct e the client's inner thigh The nurse should stimulate micturition by stroking the client's inner thigh. Other techniques include pinching the skin above the groin and providing digital anal stimulation. A nurse is caring for a client who has viral meningitis. Which of the following actions should the nurse take? - correct capillary refill at least every 4 hr The nurse should perform a complete vascular assessment at least every 4 hr to monitor for vascular compromise. A nurse is caring for a client who has a history of status epilepticus and requires seizure precautions. Which of the following actions should the nurse take? - correct lish IV access The nurse should plan to establish IV access with a large-bore catheter and administer 0.9% sodium chloride if seizures are imminent. If the client is stable, the nurse should initiate a saline lock. A nurse is teaching a client and her family about the diagnosis and treatment of Alzheimer's disease. Which of the following statements should the nurse identify as an indication that the family understands the teaching? - correct answers."The medications that treat Alzheimer's disease can help delay cognitive changes." Medications that treat Alzheimer's disease enhance the availability of acetylcholine, which can slow cognitive decline in some clients. A nurse is assessing a client who has a new diagnosis of osteoarthritis. Which of the following findings should the nurse expect? - correct answers.-Crepitus with joint movement -decreased range of motion of the affected joint -joint pain that resolves with rest -Crepitus with joint movement is correct. Osteoarthritis is a degenerative joint disease. Crepitus, a grating sound, is an expected finding with clients who have osteoarthritis as loosened bone and cartilage move around in the fluid inside the joint. -Decreased range of motion of the affected joint is correct. Decreased range of motion is an expected finding with clients who have osteoarthritis because the client's pain limits movement. -Joint pain that resolves with rest is correct. Joint pain that resolves with rest is an expected finding with clients who have osteoarthritis. A client who has osteoarthritis experiences increased pain with activity and decreased pain with rest. A nurse is teaching a client who has osteoporosis and has a new prescription for alendronate. Which of the following information should the nurse include in the teaching? - correct answers."Remain upright for 30 minutes after taking this medication." To prevent esophagitis or esophageal ulcers, which can result from alendronate therapy, the client should sit upright for 30 min after taking this medication. A nurse is planning care for a client following a lumbar puncture. Which of the following actions should the nurse plan to take? - correct e that the client lies flat for up to 12 hr The client should lie flat for up to 12 hr to prevent cerebrospinal fluid leakage from the puncture site, which can cause a headache.