RN Targeted Medical Surgical Neurosensory and Musculoskeletal Online Practice 2019 Questions and Answers with Rationale

RN Targeted Medical Surgical Neurosensory and Musculoskeletal Online Practice 2019 Questions and Answers with Rationale RN Targeted Medical Surgical Neurosensory and Musculoskeletal Online Practice 2019 Questions and Answers with Rationale A nurse is caring for a client who is recovering from a stroke and has right sided homonymous hemianopsia. To help the client adapt to the hemianopsia, the nurse should take which of the following actions? A. Check the client's cheek on the affected side after meals to be sure no food remains there. B. Encourage the client to sit upright with their head tilted slightly forward during meals. C. Provide the client with eating utensils that have large handles. D. Remind the client to look consciously at both sides of their meal tray. [Correct Ans:- D. Remind the client to look consciously at both sides of his meal tray. Rationale: Clients who have right-sided homonymous hemianopsia have lost the right visual field of both eyes and might only eat the food they are able to see on the left half of the meal tray. Therefore, the nurse should remind the client to look at both sides of his meal tray to help compensate for the visual loss. A nurse is caring for a client who was admitted for status epileptics and is on seizure precaution. Which of the following actions should the nurse plan to take? A. Assess hourly for a spike in blood pressure. B. Keep the client on bed rest. C. Keep a padded tongue blade at the bedside. D. Establish IV access. [Correct Ans:- D. Establish IV access. Rationale: The nurse should plan to establish IV access with a large-bore catheter and administer 0.9% sodium chloride if seizures are imminent. If the client is stable, the nurse should initiate a saline lock. A nurse is caring for a client who has a spastic bladder following a spinal cord injury. Which of the following actions should the nurse take to help stimulate micturition? A. Encourage the client to use the Valsalva maneuver. B. Stroke the client's inner thigh. C. Perform the Credé maneuver. D. Administer a diuretic. [Correct Ans:- B. Stroke the client's inner thigh. Rationale: The nurse should stimulate micturition by stroking the client's inner thigh. Other techniques include pinching the skin above the groin and providing digital anal stimulation. A nurse is providing teaching for a client who is prescribed alendronate for osteoporosis. Which of the following information should the nurse include in the teaching? A.