MDC IV PREP EXAM 1 QUESTIONS AND ALL CORRECT ANSWERS.

5. A nurse is assessing a client in postoperative recovery. The client complains of the following symptoms. Which of the following is abnormal and should be reported immediately? a. Emesis that is red b. Complaint of feeling cold c. Nausea d. Complaint of pain - Answer a. Emesis that is red 6. A client's neurological status deteriorates over hours, and a craniotomy is performed to evacuate a hematoma. Which nursing intervention is indicated to help decrease the threat of increased intracranial pressure? a. Elevate the head of the bed 30 degrees b. Cluster nursing interventions to provide uninterrupted periods of rest c. Teach the client to cough and deep breathe to prevent the necessity for suctioning d. Teach the client to hold his breath and bear down while repositioning in bed. - Answer a. Elevate the head of the bed 30 degrees 7. A client presents to the emergency room with complaints of bilateral lower extremity loss of sensation that started in the feet but has now progressed to the knees and hips. The nurse interprets these symptoms to indicate an immediate workup for which of the following diseases? a. Myasthenia gravis b. Simple, partial seizure c. Guillain-Barre Syndrome d. Cerebrovascular accident - Answer c. Guillain-Barre Syndrome 8. The charge nurse is obtaining the client's signature on a surgical consent form. The client states, I didn't really understand what my surgeon explained, but I trust him completely, which response by the charge nurse is correct?