Exam 4: NUR242/ NUR 242 | Question and Answers|
Latest Update | Medical – Surgical Nursing Concepts
| 100% Correct | Download to score an A +
Question:
The nurse is planning care for an immobilized client who had a stroke with right-
sided hemiparesis. Which activity would the nurse include in the plan of care?
Answer:
Assist the client to perform range-of-motion (ROM) exercises every 1 to 2 hours
Question:
Which is the priority nursing action for a client admitted to the hospital in a coma
after having a stroke?
Answer:
Maintain an open airway.
Question:
Which position would the nurse plan to use for the client who is having a
hypertensive crisis and evolving stroke?
Answer:
Side-lying
,Question:
Which nursing action is essential when a client experiences hemianopsia as the
result of a left ischemic stroke?
Answer:
Place objects within the visual field
Question:
Initially after a stroke, a client's pupils are equal and reactive to light. Later, the
nurse assesses that the right pupil is reacting more slowly than the left and that the
systolic blood pressure is rising. Which complication would the nurse plan to
address?
Answer:
Increased intracranial pressure
Question:
The registered nurse (RN) is caring for a client who is currently hospitalized for a
stroke. Which professional management strategy will be most effective for the RN
to improve the safety and quality of client care?
Answer:
Delegation
Question:
The client taking intravenous coagulant medications for a bleeding disorder
suddenly develops an embolic stroke as a result of medication overdose. Which
, actions by the hospital management does the Leapfrog Group suggest? Select all
that apply. One, some, or all responses may be correct.
Answer:
Apologize to the client and family.
Waive all costs directly related to the adverse effect.
Report the adverse event to The Joint Commission.
Question:
Which action will the nurse complete when preparing a stroke client for cerebral
imaging with iodine-based contrast dye?
Answer:
Ensure a recent creatinine level has been assessed.
Question:
Which behaviors would the nurse include when teaching a family what to expect
from a client who experienced a stroke on the left side of the brain? Select all that
apply. One, some, or all responses may be correct.
Answer:
Slow performance and caution
Impaired speech/language aphasias
Awareness of deficits with depression and anxiety
Question:
Latest Update | Medical – Surgical Nursing Concepts
| 100% Correct | Download to score an A +
Question:
The nurse is planning care for an immobilized client who had a stroke with right-
sided hemiparesis. Which activity would the nurse include in the plan of care?
Answer:
Assist the client to perform range-of-motion (ROM) exercises every 1 to 2 hours
Question:
Which is the priority nursing action for a client admitted to the hospital in a coma
after having a stroke?
Answer:
Maintain an open airway.
Question:
Which position would the nurse plan to use for the client who is having a
hypertensive crisis and evolving stroke?
Answer:
Side-lying
,Question:
Which nursing action is essential when a client experiences hemianopsia as the
result of a left ischemic stroke?
Answer:
Place objects within the visual field
Question:
Initially after a stroke, a client's pupils are equal and reactive to light. Later, the
nurse assesses that the right pupil is reacting more slowly than the left and that the
systolic blood pressure is rising. Which complication would the nurse plan to
address?
Answer:
Increased intracranial pressure
Question:
The registered nurse (RN) is caring for a client who is currently hospitalized for a
stroke. Which professional management strategy will be most effective for the RN
to improve the safety and quality of client care?
Answer:
Delegation
Question:
The client taking intravenous coagulant medications for a bleeding disorder
suddenly develops an embolic stroke as a result of medication overdose. Which
, actions by the hospital management does the Leapfrog Group suggest? Select all
that apply. One, some, or all responses may be correct.
Answer:
Apologize to the client and family.
Waive all costs directly related to the adverse effect.
Report the adverse event to The Joint Commission.
Question:
Which action will the nurse complete when preparing a stroke client for cerebral
imaging with iodine-based contrast dye?
Answer:
Ensure a recent creatinine level has been assessed.
Question:
Which behaviors would the nurse include when teaching a family what to expect
from a client who experienced a stroke on the left side of the brain? Select all that
apply. One, some, or all responses may be correct.
Answer:
Slow performance and caution
Impaired speech/language aphasias
Awareness of deficits with depression and anxiety
Question:
