Adult Health 2 Final Exam Questions with 100% Correct Answers

Which nursing intervention is appropriate for a client with double vision in the right eye due to MS? a. Exercise the right eye twice a day. b. Place needed items on the right side. c. Apply an eye patch to the right eye. d. Administer eye drops as needed Correct Answer c. Apply an eye patch to the right eye. A nurse is planning discharge for a client who experienced right-sided weakness caused by a stroke. During his hospitalization, the client has been receiving physical therapy, occupational therapy, and speech therapy daily. The family voices concern about rehabilitation after discharge. How should the nurse intervene? a. Inform the case manager of the family's concern and provide information about the client's current clinical status so appropriate resources can be provided after discharge b. The nurse should do nothing because she is responsible only for inpatient care. c. Contact the appropriate agencies so that they can provide care after discharge. d. Suggest that the family members speak with the physician about their concerns. Correct Answer d. Suggest that the family members speak with the physician about their concerns. The nurse is developing a plan of care for a client newly diagnosed with Bell's palsy. The nurse's plan of care should address what characteristic manifestation of this disease? a. Diplopia b. Pain at the base of the tongue c. Tinnitus d. Facial paralysis Correct Answer d. Facial paralysis A client with a new diagnosis of ischemic stroke is deemed to be a candidate for treatment with tissue plasminogen activator (t-PA) and has been admitted to the ICU. In addition to closely monitoring the client's cardiac and neurologic status, the nurse monitors the client for signs of what complication? a. Acute pain b. Septicemia c. Seizures d. Bleeding Correct Answer d. Bleeding Which nursing intervention is the priority for a client in myasthenic crisis? a. Administering intravenous immunoglobin (IVIG) per orders b. Preparing for plasmapheresis c. Ensuring adequate nutritional support d. Assessing respiratory effort Correct Answer d. Assessing respiratory effort Which nursing intervention can prevent a client from experiencing autonomic dysreflexia? a. Administering zolpidem tartrate (Ambien) b. Placing the client in Trendelenburg's position c. Monitoring the patency of an indwelling urinary catheter d. Assessing laboratory test results as ordered Correct Answer c. Monitoring the patency of an indwelling urinary catheter The nurse is educating a client with myasthenia gravis about medications. The nurse is sure to include which of the following? a. Medications must be taken on time. b. Medications can be taken whenever convenient. c. Medications are best taken while the client is in a reclining position. d. There is no conflict with the disorder and dental work. Correct Answer a. Medications must be taken on time. Which of the following diagnostic studies provides visualization of cerebral blood vessels? a. Cytologic studies of cerebrospinal fluid (CSF) b. Positron emission tomography (PET) c. Computer-assisted stereotactic biopsy