01 When planning care for a client with myasthenia gravis, the nurse understand that the client is at highest risk for which of the following? a) Aspiration b) Bladder dysfunction c) Hypertension d) Sensory loss 02 Preparing the client for abdominal sur

08 During the first 24 hours after thrombolytic treatment for an ischemic stroke, the nurse’s primary goal is to control which of the following vital signs? a) Pulse b) Respirations c) BP d) temperature 09 The nurse is educating a client on the types of anesthesia used in surgery. Which client statements indicates a correct understanding to the topic? a) I am having general anesthesia, so I will be given a gas breathe and medication in my IV b) I may still be aware of what’s happening with general anesthesia. c) An epidural is used for general anesthesia d) When I had my skin cancer removed on my leg, the doctor used general anesthesia to numb the area.” 10 missing 11 Myasthenia gravis is an autoimmune disease of the neuromuscular junction characterized by the fluctuating weakness of certain skeletal muscle groups. The use of intravenous immune globulin is for which response? a) Increase anxiety and depression b) Reduces the production of acetylcholine antibodies c) Removes the antibodies produced by the autoimmune response d) Increases the production of acetylcholine antibodies 13 A nurse is caring for a client who has a closed head injury with intracranial pressure (ICP) readings between 16 and 22 mm Hg. Which of the following actions should the nurse take to decrease the potential for raising the client’s ICP? SATA a) Suction the endotracheal tube frequently b) Decrease the noise in the client’s room c) Elevate the client’s head in two pillow d) Administer a stool softener e) Keep the client well hydrated Answers can also be: decrease noise, administer stool softener 14 A nurse is preparing a teaching plan for a client with migraine headaches who has been prescribed a beta blocker daily to help manage this disorder. Which instructions would be appropriate to relay to this client? a) Take this drug only when you have prodromal symptoms indicating the onset of a migraine headache b) Take this drug as ordered even when feelings well, to prevent vascular changes associated with migraine headaches c) This drug will relieve the pain during the aura phase soon after a headache has started d) This medication is prescribed for migraines; you won’t experience any effect on your heart rate or blood pressure.” 15 Ergotamine tartrate medications are beneficial in migraine headaches due to which action? a) Dilate cerebral blood vessels b) Constrict cerebral blood vessels c) Reduce neurotransmission of pain impulses d) Enhance endorphin secretion 16 which medications will the nurse administer to the client who is experiencing status epilepticus? a) Phenobarbital b) Lorazepam c) Chlordiazepoxide d) phenytoin 17 A client has been admitted to the neurological department because of seizure of unknown cause. Priority intervention is? a) Placing the client in protective restraints b) Being sure padded side rails are present c) Suggesting that the family monitor the client d) Placing the client with one−on−one nursing service 18 Sudden chest pains combined with dyspnea, cyanosis, and tachycardia are symptoms associated with which complications? a) Hypovolemic shock b) Dehiscence c) Atelectasis d) Pulmonary embolus 20 A graduate nurse is performing a discharge teaching for a client newly diagnosed with migraine headaches. Which statement made by the graduate nurse indicates a correct understanding of the disorder? a) Auras are not a symptom present with migraines b) Beta blockers are contraindicated in clients with migraines c) Increasing stimulating activities during an episode will help resolve the migraines d) Verapamil is not an abortive migraine medication but used to manage and prevent migraines.