NURS 404 ATI Q's Final (100% Verified answers)

1. A nurse is caring for a client who is having surgery for the removal of an encapsulated acoustic tumor. Which of the following potential complications should the nurse monitor for postoperatively? (Select all that apply.) A. Increased intracranial pressure B. Hemorrhagic shock C. Hydrocephalus D. Hypoglycemia E. Seizure correct answers A. Increased intracranial pressure, C. Hydrocephalus, and E. Seizure 2. A nurse is caring for a client who has just undergone a craniotomy for a supratentorial tumor. Which of the following postoperative prescriptions should the nurse clarify with the provider? A. Dexamethasone (Decadron) 30 mg IV bolus BID B. Morphine sulfate 2 mg IV bolus PRN every 2 hr for pain C. Ondansetron (Zofran) 4 mg IV bolus PRN every 4 to 6 hr for nausea D. Phenytoin (Dilantin) 100 mg IV bolus TID correct answers B. Morphine sulfate 2 mg IV bolus PRN every 2 hours for pain. 3. A nurse is completing an assessment of a client who has increased intracranial pressure. Which of the following are expected findings? (Select all that apply.) A.Disoriented to time and place B. Restlessness and irritability C. Unequal pupils D. ICP 15 mm/Hg E. Headache correct answers A. Disoriented to time and place, B. restlessness and irritability, C. unequal pupils, and E. Headache 4. A nurse is reviewing a prescription for dexamethasone (Decadron) with a client who has an expanding brain tumor. Which of the following are appropriate statements by the nurse? (Select all that apply.) A. "It is given to reduce swelling of the brain." B. "You will need to monitor for low blood sugar." C."You may notice weight gain." D. "Tumor growth will be delayed." E. "It can cause you to retain fluids." correct answers A. "it is given to reduce swelling of the brain."; C. "You may notice weight gain."; and E. "it can cause you retain fluids." 5. A nurse is caring for a client who has a benign brain tumor. The client asks the nurse if he can expect this same type of tumor to occur in other areas of his body. Which of the following is an appropriate response by the nurse? A. "It can spread to breasts and kidneys." B. "It can develop in your gastrointestinal tract."