MEDICAL SURGICAL EXAM FINAL EXAM
MULTIPLE QUESTIONS AND ANSWERS 100%
VERIFIED.
The daughter of a client with Alzheimer's disease asks, "Will the medication
my mother is taking improve her dementia?" How does the nurse respond?
a. "It will help your mother live independently once more."
b. "It is used to halt the advancement of Alzheimer's disease but will not
cure it."
c. "It will provide a steady improvement in memory but not in problem
solving."
d. "It will not improve dementia but can help control emotional responses."
Verified Answer -d. "It will not improve dementia but can help control
emotional responses."
Drug therapy is not effective for treating dementia or halting the
advancement of Alzheimer's disease. However, certain drugs may help
suppress emotional disturbances and psychiatric manifestations.
A client who suffered a spinal cord injury at level T5 several months ago
develops a flushed face and blurred vision. On taking vital signs, the nurse
notes the blood pressure to be 184/95 mm Hg. Which is the nurse's first
action?
a. Palpate the area over the bladder for distention.
,b. Place the client in the Trendelenburg position.
c. Administer oxygen via a nasal cannula.
d. Perform bilateral carotid massage.
Verified Answer -a. Palpate the area over the bladder for distention.
The client is manifesting symptoms of autonomic dysreflexia.
Emergency medical services arrive to the emergency department with a
client who has a cervical spinal cord injury. Which priority assessment does
the emergency department nurse perform at this time?
a. Level of consciousness and orientation
b. Heart rate and rhythm
c. Muscle strength and reflexes
d. Respiratory pattern and airway
Verified Answer -d. Respiratory pattern and airway
A client who experienced a spinal cord injury 1 hour ago is brought to the
emergency department. Which prescribed medication does the nurse
prepare to administer to this client?
a. Intrathecal baclofen (Lioresal)
b. Methylprednisolone (Medrol)
c. Atropine sulfate
, d. Epinephrine (Adrenalin)
Verified Answer -b. Methylprednisolone (Medrol)
Methylprednisolone (Medrol) should be given within 8 hours of the injury.
The nurse is caring for a client with a lower motor neuron lesion who wishes
to achieve bladder control. Which intervention does the nurse implement to
effectively stimulate the initiation of voiding for this client?
a. Stroking the inner aspect of the thigh
b. Intermittent catheterization
c. Digital anal stimulation
d. The Valsalva maneuver
Verified Answer -d. The Valsalva maneuver
A client who has a lower motor neuron injury experiences a flaccid bowel
elimination pattern. Which action does the nurse implement to assist in
relieving this client's constipation?
a. Pouring warm water over the perineum
b. Tapping the abdomen from left to right
c. Administering daily tap water enemas
d. Implementing a consistent daily time for elimination
Verified Answer -d. Implementing a consistent daily time for elimination
MULTIPLE QUESTIONS AND ANSWERS 100%
VERIFIED.
The daughter of a client with Alzheimer's disease asks, "Will the medication
my mother is taking improve her dementia?" How does the nurse respond?
a. "It will help your mother live independently once more."
b. "It is used to halt the advancement of Alzheimer's disease but will not
cure it."
c. "It will provide a steady improvement in memory but not in problem
solving."
d. "It will not improve dementia but can help control emotional responses."
Verified Answer -d. "It will not improve dementia but can help control
emotional responses."
Drug therapy is not effective for treating dementia or halting the
advancement of Alzheimer's disease. However, certain drugs may help
suppress emotional disturbances and psychiatric manifestations.
A client who suffered a spinal cord injury at level T5 several months ago
develops a flushed face and blurred vision. On taking vital signs, the nurse
notes the blood pressure to be 184/95 mm Hg. Which is the nurse's first
action?
a. Palpate the area over the bladder for distention.
,b. Place the client in the Trendelenburg position.
c. Administer oxygen via a nasal cannula.
d. Perform bilateral carotid massage.
Verified Answer -a. Palpate the area over the bladder for distention.
The client is manifesting symptoms of autonomic dysreflexia.
Emergency medical services arrive to the emergency department with a
client who has a cervical spinal cord injury. Which priority assessment does
the emergency department nurse perform at this time?
a. Level of consciousness and orientation
b. Heart rate and rhythm
c. Muscle strength and reflexes
d. Respiratory pattern and airway
Verified Answer -d. Respiratory pattern and airway
A client who experienced a spinal cord injury 1 hour ago is brought to the
emergency department. Which prescribed medication does the nurse
prepare to administer to this client?
a. Intrathecal baclofen (Lioresal)
b. Methylprednisolone (Medrol)
c. Atropine sulfate
, d. Epinephrine (Adrenalin)
Verified Answer -b. Methylprednisolone (Medrol)
Methylprednisolone (Medrol) should be given within 8 hours of the injury.
The nurse is caring for a client with a lower motor neuron lesion who wishes
to achieve bladder control. Which intervention does the nurse implement to
effectively stimulate the initiation of voiding for this client?
a. Stroking the inner aspect of the thigh
b. Intermittent catheterization
c. Digital anal stimulation
d. The Valsalva maneuver
Verified Answer -d. The Valsalva maneuver
A client who has a lower motor neuron injury experiences a flaccid bowel
elimination pattern. Which action does the nurse implement to assist in
relieving this client's constipation?
a. Pouring warm water over the perineum
b. Tapping the abdomen from left to right
c. Administering daily tap water enemas
d. Implementing a consistent daily time for elimination
Verified Answer -d. Implementing a consistent daily time for elimination
