Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
What is the most appropriate nursing action for a client experiencing muscle spasms after a
spinal cord injury?
✔✔ Administer prescribed muscle relaxants and apply warm compresses.
What is the primary goal in early rehabilitation for a client with a stroke affecting the right
hemisphere?
✔✔ Improve safety awareness and reduce fall risk due to left-sided neglect.
What is an expected finding in a client with Parkinson’s disease?
✔✔ Shuffling gait and resting tremors.
Which nursing intervention helps prevent aspiration in a client with myasthenia gravis?
✔✔ Provide small, frequent meals and have the client sit upright during meals.
What is a key assessment finding in a client with increased intracranial pressure?
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,✔✔ Widened pulse pressure and decreased level of consciousness.
What intervention helps prevent disuse syndrome in a client with a lower limb fracture?
✔✔ Encourage isometric exercises and range of motion activities.
What is a priority intervention for a client experiencing a seizure?
✔✔ Turn the client to the side and protect the head from injury.
Which finding indicates autonomic dysreflexia in a client with a spinal cord injury?
✔✔ Sudden hypertension, headache, and flushed face.
How should a nurse respond to a client newly diagnosed with multiple sclerosis who is feeling
hopeless?
✔✔ Provide emotional support and refer to counseling services if needed.
What is the most important action when a client with a cast complains of a tight feeling and
tingling in the fingers?
✔✔ Assess circulation and notify the provider immediately.
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, What instruction should the nurse give a client with osteoporosis to reduce fracture risk at home?
✔✔ Use non-slip footwear and remove throw rugs from walkways.
What is the best way to prevent pressure injuries in a client with paraplegia?
✔✔ Reposition every 2 hours and use pressure-relieving cushions.
What is an appropriate nursing action during a lumbar puncture?
✔✔ Position the client in a side-lying, knees-to-chest position.
What sign is typical of Bell’s palsy?
✔✔ Sudden facial droop on one side and inability to close the eye.
Which dietary recommendation should be made for a client taking phenytoin long-term?
✔✔ Increase intake of vitamin D and calcium.
What should a nurse monitor for in a client taking carbidopa-levodopa for Parkinson’s disease?
✔✔ Involuntary movements or dyskinesias.
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