NUR 445: Exam 3 Questions and Answers with
Complete Solutions UPDATED!!!
The nurse monitors for which clinical manifestations of
increased intracranial pressure in the patient diagnosed with a
brain tumor? Select all that apply.
A. Ataxia
B. Papilledema
C. Diarrhea
D. Vomiting
E. Headache
A, B, D, E
In monitoring a patient recovering from a craniotomy for
treatment of a brain tumor, which assessment findings require
the nurse to notify the surgeon? Select all that apply.
A. Heart rate 52 bpm
B. Temperature 99.2°F
C. Respiratory rate 10 and irregular
D. Urine output 200 mL over 4 hours
E. Systolic blood pressure 198 mm Hg
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A, C, E
The nurse correlates which clinical manifestations to autonomic
dysreflexia in a patient with a spinal cord injury?
A. Hypertension with tachycardia
B. Hypertension with bradycardia
C. Hypotension with bradycardia
D. Hypotension with tachycardia
B. Hypertension with bradycardia
A patient with amyotrophic lateral sclerosis (ALS) is being
prepared for discharge. What teaching would be essential for
the family to receive before taking the patient home? Select all
that apply.
A. Skin care
B. Aspiration precautions
C. Recognizing exacerbations
D. Lower extremity circulation
E. Strategies to lose weight
A, B, D
The nurse monitors for which clinical manifestation in the
patient with neurogenic shock?