Neurology NCLEX| VERIFIED GUIDE

Neurology NCLEX1. The nurse is reinforcing home-care instructions to a client and family regarding care after cataract removal from the right eye. Which statement made by the client indicates an understanding of the instructions? Answer: "I should not sleep on my right side." 2. The nurse is assisting with caring for a client after a craniotomy. Which is the best position for the client to be placed? Answer: Semi-Fowler's position 3. The nurse is caring for a client following a supratentorial craniotomy, in which a large tumor was removed from the left side. In which position can the nurse safely place the client? Refer to Figures. Answer: A 4. The nurse is preparing to communicate with an older client who is hearing impaired. Which intervention should be implemented initially? Answer: Stand in front of the client. 5. Which intervention should be implemented for the older client with presbycusis who has a hearing loss? Answer: Use low-pitched tones. 6. The nurse is preparing to reinforce a teaching plan for a client who is undergoing cataract extraction with intraocular implant. Which home care measures should the nurse include in the plan? Select all that apply. Answer: To avoid activities that require bending over To place an eye shield on the surgical eye at bedtime To contact the surgeon if a decrease in visual acuity occurs To take acetaminophen (Tylenol) for minor eye discomfort 7. The nurse is assisting in developing a teaching plan for the client with glaucoma. Which instruction should the nurse suggest to include in the plan of care? Answer: Eye medications will need to be administered for the rest of your life. 8. The nurse is assigned to care for a client with a detached retina. Which finding should the nurse expect to be documented in the client's record? Answer: A sense of a curtain falling across the field of vision 9. The nurse is assigned to care for a client with a diagnosis of detached retina. Which finding would indicate that bleeding has occurred as a result of retinal detachment? Answer: Complaints of a burst of black spots or floaters 10. A client arrives in the emergency department after an automobile crash. The client's forehead hit the steering wheel, and a hyphema has been diagnosed. Which position should the nurse prepare to position the client? Answer: On bed rest in a semi-Fowler's position 11. A client sustains a contusion of the eyeball after a traumatic injury with a blunt object. The nurse should take which immediate action? Answer: Apply ice to the affected eye. 12. A client sustains a chemical eye injury from a splash of battery acid. The nurse should prepare the client for which immediate measure? Answer: Irrigating the eye with sterile normal saline 13. The nurse is caring for a client after enucleation and notes the presence of bright red drainage on the dressing. The nurse should take which appropriate action? Answer: Report the finding to the registered nurse (RN). 14. The nurse is preparing to administer eardrops to an adult client. The nurse administers the eardrops by which technique? Answer: Pulling the pinna up and back 15. The nurse is caring for a client who is hearing-impaired and should take which approach to facilitate communication? Answer: Speak in a normal tone. 16. A client arrives at the emergency department with a foreign body in the left ear that has been determined to be an insect. Which initial intervention should the nurse anticipate to be prescribed? Answer: Instillation of mineral oil or diluted alcohol 17. The nurse notes that the health care provider has documented a diagnosis of presbycusis on the client's chart. The nurse understands that this condition is accurately described as which? Answer: A sensorineural hearing loss that occurs with aging 18. A client with Ménière's disease is experiencing severe vertigo. The nurse reinforces instructions to the client to do which to assist in controlling the vertigo? Answer: Avoid sudden head movements. 19. The nurse is assigned to care for a client hospitalized with Ménière's disease. The nurse expects that which would most likely be prescribed for the client? Answer: Low-sodium diet 20. A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk factor associated with glaucoma? Answer: Cardiovascular disease