Uworld NCLEX Questions / Expert Strategies,
Review of Key Quizzes, and Practice Questions for
Guaranteed Success
Terms in this set (20)
1, 2, 4 The nurse is assigned to care for a client with complete
Hemiparesis is a weakness of right-sided hemiparesis from a stroke. Which characteristics
one side of the body that are associated with this condition? Select all that apply.
may occur after a stroke. It
involves weakness of the face
and tongue, arm, and leg on 1. The client is aphasic.
one side. These clients are 2. The client has weakness on the right side of thebody.
also aphasic: unable to
discriminate words and 3. The client has complete bilateral paralysis of thearms and
letters. They are generally legs.
very cautions and get anxious 4. The client has weakness on the right side of theface and
when attempting a new task.
Complete bilateral paralysis tongue.
does not occur in 5. The client has lost the ability to move the right armbut is
hemiparesis. The client with able to walk independently
right-sided hemiparesis has
weakness of the right arm 6. The client has lost the ability to ambulateindependently,
and leg and needs assistance but is able to feed and bathe himself or herself without
with feeding, bathing, and assistance.
ambulating.
1, 2, 5, 6 The nurse is instituting seizure precautions for a client who
Seizure precautions may vary is being admitted from the emergency department. Which
from agency to agency, but measures should the nurse include in planning for the
they generally have some client's safety? Select all that apply.
common
,features. Usually, an airway, 1. Padding the side rails of the bed.
oxygen, and suctioning 2. Placing an airway at the bedside.
equipment are kept available
3. Placing the bed in the high position
at the bedside. The side rails
of the bed are padded, and 4. Putting a padded tongue blade at the head of thebed
the bed is kept in the lowest 5. Placing oxygen and suction equipment at thebedside
position. The client has an 6. Flushing the intravenous catheter to ensure that thesite is
intravenous access in place to
patent.
have a readily accessible
route if antiseizure
medications must be
administered, and as part of
the routine assessment the
nurse should be checking the
patency of the catheter. The
use of padded tongue blades
is highly controversial, and
they should not be kept at
the bedside. Forcing a tongue
blade into the mouth during
a seizure more likely will
harm the client who bites
down during seizure activity.
Risks include blocking the
airway from improper
placement, chipping the
client's teeth, and
subsequent risk of
aspirating tooth fragments. If
the client has an aura before
the seizure,
,it may give
,
Review of Key Quizzes, and Practice Questions for
Guaranteed Success
Terms in this set (20)
1, 2, 4 The nurse is assigned to care for a client with complete
Hemiparesis is a weakness of right-sided hemiparesis from a stroke. Which characteristics
one side of the body that are associated with this condition? Select all that apply.
may occur after a stroke. It
involves weakness of the face
and tongue, arm, and leg on 1. The client is aphasic.
one side. These clients are 2. The client has weakness on the right side of thebody.
also aphasic: unable to
discriminate words and 3. The client has complete bilateral paralysis of thearms and
letters. They are generally legs.
very cautions and get anxious 4. The client has weakness on the right side of theface and
when attempting a new task.
Complete bilateral paralysis tongue.
does not occur in 5. The client has lost the ability to move the right armbut is
hemiparesis. The client with able to walk independently
right-sided hemiparesis has
weakness of the right arm 6. The client has lost the ability to ambulateindependently,
and leg and needs assistance but is able to feed and bathe himself or herself without
with feeding, bathing, and assistance.
ambulating.
1, 2, 5, 6 The nurse is instituting seizure precautions for a client who
Seizure precautions may vary is being admitted from the emergency department. Which
from agency to agency, but measures should the nurse include in planning for the
they generally have some client's safety? Select all that apply.
common
,features. Usually, an airway, 1. Padding the side rails of the bed.
oxygen, and suctioning 2. Placing an airway at the bedside.
equipment are kept available
3. Placing the bed in the high position
at the bedside. The side rails
of the bed are padded, and 4. Putting a padded tongue blade at the head of thebed
the bed is kept in the lowest 5. Placing oxygen and suction equipment at thebedside
position. The client has an 6. Flushing the intravenous catheter to ensure that thesite is
intravenous access in place to
patent.
have a readily accessible
route if antiseizure
medications must be
administered, and as part of
the routine assessment the
nurse should be checking the
patency of the catheter. The
use of padded tongue blades
is highly controversial, and
they should not be kept at
the bedside. Forcing a tongue
blade into the mouth during
a seizure more likely will
harm the client who bites
down during seizure activity.
Risks include blocking the
airway from improper
placement, chipping the
client's teeth, and
subsequent risk of
aspirating tooth fragments. If
the client has an aura before
the seizure,
,it may give
,
