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Exam (elaborations)

ATI MED SURG 2

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ATI MED SURG 2 A nurse is caring for a client who who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect? A. Aphasia B. Inability to recognize his family members C. Right hemiparesis D. Difficulty reading - Answer B. The right hemisphere is involved with visual and spatial awareness. A client who is unable to recognize faces would have involvement with the right hemisphere. The nurse is caring for a patient who has just had neurosurgery. To assess for increased intracranial pressure, what would the nurse include in the assessment? A. Level of consciousness, motor function, pupillary response, and vital signs B. Deep tendon reflexes, vital signs, and coordinated movements C. Mental status, deep tendon reflexes, sensory function, and pupillary response D. CNs, motor function, and sensory function - Answer A. A nurse is caring for the client who has Ménière's disease and asks if he is allowed to ambulate independently. Which of the following responses should the nurse make? "Yes, you are free to move around as you wish." "Please ring for assistance when you wish to get out of bed." "We will have to get a prescription from your provider." "No, you are on strict bedrest and must not be up. - Answer B. Can move around with assistance due to the vertigo. Which statements about antiepileptic drug (AED) therapy are accurate? (Select all that apply.) A. A dose may be skipped if the patient is experiencing adverse effects. B. Do not abruptly discontinue AEDs because doing so may cause rebound seizure activity. C. AED therapy is usually lifelong. D. Consistent dosing is the key to controlling seizures. E. AED therapy can be stopped when seizures are stopped. - Answer When taking the health history on a patient with a seizure disorder, the nurse assesses whether the patient has an aura. Which of these would be the best question for obtaining this information? A. "Do you have any warning sign before your seizure starts?" B. "After the seizure, do you spend a lot of time sleeping?" C. "Does your muscle tone seem tense or limp?" D. "Do you experience any color change or incontinence during the seizure?" - Answer

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