ATI Medical-Surgical Practice Test:Neurosensory (Answered) Verified Solution

ATI Medical-Surgical Practice Test:Neurosensory A nurse is educating a client who was just diagnosed with open angel glaucoma about the condition. Which of the following information should the nurse include in the teaching? SATA Do not take cold medications that contain pseudoephoephedrine Expect impaired night vision Driving may be dangerous due to loss of peripheral vision Laser surgery can help reestablish the flow of aqueous humor A nurse is assessing a client who is reporting a sore throat, pressure in the ear, decreased hearing, and mild dizziness. The client has been treating himself for a cold for 1 week. The nurse should expect an alternation of which of the following structures? Middle ear Rationale: Eustachian tube provides a route for nasal and throat infection spread up into the middle ear causing an earache. A bolus of mannitol (Osmitrol) is ordered for a client with a closed-head injury showing manifestations of increasing ICP. Prior to administration, assessment show: Urine output 40 mL/hr, apical HR 88, and pupils equal and reactive. The client is sleepy but easily aroused. After administering mannitol to the client, which of the following should indicate to the nurse that the medication is having the desired effect? Urine output is 100 mL/hr Rationale: Mannitol is an osmotic diuretic used to increase urinary output and if effective, will result in decreased cerebral edema A nurse obtains frequent VS on a client who is at risk for increased ICP. The previous VS were a BP of 120/70 and a HR of 92. The nurse should be concerned if the next set of VS obtained are a BP 160/65 and HR 68 Rationale: VS associated with increasing ICP are widening of the pulse pressure (the difference between the systolic and diastolic) and a decreasing HR and increasing temp A nurse is preparing to admit a client with myasthenia gravis who has been having increasingly frequent episodes of myasthenic crises. Because o the client's history, which of the following equipment should the nurse ask the AP to place at the client's bedside? Suction machine and suction catheters A client with myopia asks the nurse about the possibility of Laser-Assisted in Situ Keratomileusis (LASIK) surgery. The nurse tells the client that which of the following is a commonly experienced side effect following LASIK surgery? Halos and glaring when driving at night Rationale: Myopia is nearsightedness.