NEURO TEST 2 CVA/ MS/ ALS/ PD APPROVED QUESTIONS
AND 100% CORRECT ANSWERS |WITH COMPLETE
SOLUTION
The nurse has provided discharge instructions to a client with an application of a
halo device. The nurse determines that the client needs further teaching if which
statement is made?
1.
"I will use a straw for drinking."
2.
"I will drive only during the daytime."
3.
"I will use caution because the device alters balance."
4.
"I will wash the skin daily under the lamb's-wool liner of the vest." - ANS -2
The client should not drive because the device impairs the range of vision. The
halo device alters balance and can cause fatigue because of its weight. The client
should cleanse the skin daily under the vest or the device to protect the skin from
ulceration and should use powder or lotions sparingly or not at all.
,The client with spinal cord injury is prone to experiencing autonomic dysreflexia.
The least appropriate measure to minimize the risk of autonomic dysreflexia is
which action?
1.
Strictly adhering to a bowel retraining program
2.
Keeping the linen wrinkle-free under the client
3.
Avoiding unnecessary pressure on the lower limbs
4.
Limiting bladder catheterization to once every 12 hours - ANS -4
The most frequent cause of autonomic dysreflexia is a distended bladder. Straight
catheterization should be performed every 4 to 6 hours, and indwelling bladder
catheters should be checked frequently for kinks in the tubing. It is not
appropriate to catheterize the client every 12 hours. Constipation and fecal
impaction are other causes, so maintaining bowel regularity is important.
The nurse is assigned to care for an adult client who had a stroke and is aphasic.
Which interventions should the nurse use for communicating with the client?
Select all that apply.
1.
Face the client when talking.
,2.
Speak slowly and maintain eye contact.
3.
Use gestures when talking to enhance words.
4.
Avoid the use of body language when talking to the client.
5.
Give the client directions using short phrases and simple terms.
6.
Phrase what was said differently the second time, if there is a need to repeat it. -
ANS -1235
The nurse is planning care for the client with hemiparesis of the right arm and leg.
Where should the nurse plan to place objects needed by the client?
1.
Within the client's reach, on the left side
2.
Within the client's reach, on the right side
, 3.
Just out of the client's reach, on the left side
4.
Just out of the client's reach, on the right side - ANS -1
The nurse is reinforcing instructions to the family of a stroke client who has
homonymous hemianopsia about measures to help the client overcome the
deficit. The nurse determines that the family understands the measures to use if
they state that they will do which?
1.
Place objects in the client's impaired field of vision.
2.
Approach the client from the impaired field of vision.
3.
Discourage the client from wearing his or her own eyeglasses.
4.
Remind the client to turn the head to scan the lost visual field. - ANS -4
Homonymous hemianopsia is loss of half of the visual field. The client with
homonymous hemianopsia should have objects placed in the intact field of vision,
and the nurse should approach the client from the intact side. The nurse instructs
AND 100% CORRECT ANSWERS |WITH COMPLETE
SOLUTION
The nurse has provided discharge instructions to a client with an application of a
halo device. The nurse determines that the client needs further teaching if which
statement is made?
1.
"I will use a straw for drinking."
2.
"I will drive only during the daytime."
3.
"I will use caution because the device alters balance."
4.
"I will wash the skin daily under the lamb's-wool liner of the vest." - ANS -2
The client should not drive because the device impairs the range of vision. The
halo device alters balance and can cause fatigue because of its weight. The client
should cleanse the skin daily under the vest or the device to protect the skin from
ulceration and should use powder or lotions sparingly or not at all.
,The client with spinal cord injury is prone to experiencing autonomic dysreflexia.
The least appropriate measure to minimize the risk of autonomic dysreflexia is
which action?
1.
Strictly adhering to a bowel retraining program
2.
Keeping the linen wrinkle-free under the client
3.
Avoiding unnecessary pressure on the lower limbs
4.
Limiting bladder catheterization to once every 12 hours - ANS -4
The most frequent cause of autonomic dysreflexia is a distended bladder. Straight
catheterization should be performed every 4 to 6 hours, and indwelling bladder
catheters should be checked frequently for kinks in the tubing. It is not
appropriate to catheterize the client every 12 hours. Constipation and fecal
impaction are other causes, so maintaining bowel regularity is important.
The nurse is assigned to care for an adult client who had a stroke and is aphasic.
Which interventions should the nurse use for communicating with the client?
Select all that apply.
1.
Face the client when talking.
,2.
Speak slowly and maintain eye contact.
3.
Use gestures when talking to enhance words.
4.
Avoid the use of body language when talking to the client.
5.
Give the client directions using short phrases and simple terms.
6.
Phrase what was said differently the second time, if there is a need to repeat it. -
ANS -1235
The nurse is planning care for the client with hemiparesis of the right arm and leg.
Where should the nurse plan to place objects needed by the client?
1.
Within the client's reach, on the left side
2.
Within the client's reach, on the right side
, 3.
Just out of the client's reach, on the left side
4.
Just out of the client's reach, on the right side - ANS -1
The nurse is reinforcing instructions to the family of a stroke client who has
homonymous hemianopsia about measures to help the client overcome the
deficit. The nurse determines that the family understands the measures to use if
they state that they will do which?
1.
Place objects in the client's impaired field of vision.
2.
Approach the client from the impaired field of vision.
3.
Discourage the client from wearing his or her own eyeglasses.
4.
Remind the client to turn the head to scan the lost visual field. - ANS -4
Homonymous hemianopsia is loss of half of the visual field. The client with
homonymous hemianopsia should have objects placed in the intact field of vision,
and the nurse should approach the client from the intact side. The nurse instructs
