A client has a head injury and is presenting with s/s of increased ICP. Which nursing
intervention would be helpful in reducing the pressure?
A) Place the neck in a neutral position to promote venous drainage
B) suction hourly to stimulate the cough reflex
C) add blankets to keep the client warm
D) turn the client frequently to prevent skin breakdown
Give this one a try later!
A) Place the neck in a neutral position to promote venous drainage
a client presents to the ER with complaints of bilateral lower extremity loss of
sensation that started in the feet but has now progressed to the knees and hips. The
nurse interprets these symptoms to indicate an immediate workup for which of the
following diseases?
A) myasthenia gravis
B) simple, partial seizure
, C) Guillain-Barre syndrome
D) CVA
Give this one a try later!
C) Guillain-Barre syndrome
A client arrives in the ED with an ischemic stroke. Because the healthcare team is
considering tissue plasminogen activator (TPA) what should the nurse do FIRST?
A) Ask what medications the client is taking
B) Complete the history and health assessment
C) Identify the time of onset of the stroke
D) Determine if the client is scheduled for any surgical procedures
Give this one a try later!
C) Identify the time of onset of the stroke
A client with multiple sclerosis is receiving baclofen. The nurse determines that the
drug is effective when it causes which action?
A) Induces sleep
B) Stimulates the client's appetite
C) Relieves muscular spasticity
D) Reduces the urine bacterial count
Give this one a try later!
C) Relieves muscular spasticity and
intervention would be helpful in reducing the pressure?
A) Place the neck in a neutral position to promote venous drainage
B) suction hourly to stimulate the cough reflex
C) add blankets to keep the client warm
D) turn the client frequently to prevent skin breakdown
Give this one a try later!
A) Place the neck in a neutral position to promote venous drainage
a client presents to the ER with complaints of bilateral lower extremity loss of
sensation that started in the feet but has now progressed to the knees and hips. The
nurse interprets these symptoms to indicate an immediate workup for which of the
following diseases?
A) myasthenia gravis
B) simple, partial seizure
, C) Guillain-Barre syndrome
D) CVA
Give this one a try later!
C) Guillain-Barre syndrome
A client arrives in the ED with an ischemic stroke. Because the healthcare team is
considering tissue plasminogen activator (TPA) what should the nurse do FIRST?
A) Ask what medications the client is taking
B) Complete the history and health assessment
C) Identify the time of onset of the stroke
D) Determine if the client is scheduled for any surgical procedures
Give this one a try later!
C) Identify the time of onset of the stroke
A client with multiple sclerosis is receiving baclofen. The nurse determines that the
drug is effective when it causes which action?
A) Induces sleep
B) Stimulates the client's appetite
C) Relieves muscular spasticity
D) Reduces the urine bacterial count
Give this one a try later!
C) Relieves muscular spasticity and
