RN Targeted Medical Surgical Neurosensory and Musculoskeletal
1. A nurse is caring "Remind the client to look consciously at both sides of their meal tray."
for a client who
is recovering from
Clients who have right-sided homonymous hemianopsia have lost the right
a stroke and has
visual field of both eyes and might only eat the food they are able to see on
right-sided homony-
the left half of the meal tray. Therefore, the nurse should remind the client to
mous hemianopsia.
look at both sides of his meal tray to help compensate for the visual loss.
To help the client
adapt to the hemi-
anopsia, the nurse
should take which
of the following ac-
tions?
2. A nurse is caring for a "Establish IV access."
client who has a his-
tory of status epilep- The nurse should plan to establish IV access with a large-bore catheter and
ticus and requires administer 0.9% sodium chloride if seizures are imminent. If the client is
seizure precautions. stable, the nurse should initiate a saline lock.
Which of the follow-
ing actions should
the nurse take?
3. A nurse is caring "Stroke the client's inner thigh."
for a client who
has a spastic blad- The nurse should stimulate micturition by stroking the client's inner thigh.
der following a spinal Other techniques include pinching the skin above the groin and providing
cord injury. Which of digital anal stimulation.
the following actions
should the nurse
take to help stimu-
late micturition?
, RN Targeted Medical Surgical Neurosensory and Musculoskeletal
4. A nurse is teaching "Remain upright for 30 minutes after taking this medication."
a client who has os-
teoporosis and has a To prevent esophagitis or esophageal ulcers, which can result from alen-
new prescription for dronate therapy, the client should sit upright for 30 min after taking this
alendronate. Which medication.
of the following in-
formation should the
nurse include in the
teaching?
5. A nurse is planning "Ensure that the client lies flat for up to 12 hours."
care for a client
following a lumbar The client should lie flat for up to 12 hr to prevent cerebrospinal fluid leakage
puncture. Which of from the puncture site, which can cause a headache.
the following actions
should the nurse
plan to take?
6. A nurse is teaching "Place the abductor pillow between the client's legs when turning the client."
an assistive person-
nel (AP) about provid- The nurse should inform the AP that a client who had a total hip arthroplasty
ing care to a client should maintain the hip in abduction following surgery to reduce the risk of
following a total hip dislocating the affected hip. The AP should place an abductor pillow between
arthroplasty. Which the client's legs when turning the client to keep the hips in abduction.
of the following in-
structions should the
nurse include?
7. A nurse is re- "I should call my doctor if my vision gets worse."
viewing postopera-
tive instructions with The client should expect an improvement in vision after the surgery, so
a client follow- the nurse should instruct the client to report negative changes in vision
immediately.
1. A nurse is caring "Remind the client to look consciously at both sides of their meal tray."
for a client who
is recovering from
Clients who have right-sided homonymous hemianopsia have lost the right
a stroke and has
visual field of both eyes and might only eat the food they are able to see on
right-sided homony-
the left half of the meal tray. Therefore, the nurse should remind the client to
mous hemianopsia.
look at both sides of his meal tray to help compensate for the visual loss.
To help the client
adapt to the hemi-
anopsia, the nurse
should take which
of the following ac-
tions?
2. A nurse is caring for a "Establish IV access."
client who has a his-
tory of status epilep- The nurse should plan to establish IV access with a large-bore catheter and
ticus and requires administer 0.9% sodium chloride if seizures are imminent. If the client is
seizure precautions. stable, the nurse should initiate a saline lock.
Which of the follow-
ing actions should
the nurse take?
3. A nurse is caring "Stroke the client's inner thigh."
for a client who
has a spastic blad- The nurse should stimulate micturition by stroking the client's inner thigh.
der following a spinal Other techniques include pinching the skin above the groin and providing
cord injury. Which of digital anal stimulation.
the following actions
should the nurse
take to help stimu-
late micturition?
, RN Targeted Medical Surgical Neurosensory and Musculoskeletal
4. A nurse is teaching "Remain upright for 30 minutes after taking this medication."
a client who has os-
teoporosis and has a To prevent esophagitis or esophageal ulcers, which can result from alen-
new prescription for dronate therapy, the client should sit upright for 30 min after taking this
alendronate. Which medication.
of the following in-
formation should the
nurse include in the
teaching?
5. A nurse is planning "Ensure that the client lies flat for up to 12 hours."
care for a client
following a lumbar The client should lie flat for up to 12 hr to prevent cerebrospinal fluid leakage
puncture. Which of from the puncture site, which can cause a headache.
the following actions
should the nurse
plan to take?
6. A nurse is teaching "Place the abductor pillow between the client's legs when turning the client."
an assistive person-
nel (AP) about provid- The nurse should inform the AP that a client who had a total hip arthroplasty
ing care to a client should maintain the hip in abduction following surgery to reduce the risk of
following a total hip dislocating the affected hip. The AP should place an abductor pillow between
arthroplasty. Which the client's legs when turning the client to keep the hips in abduction.
of the following in-
structions should the
nurse include?
7. A nurse is re- "I should call my doctor if my vision gets worse."
viewing postopera-
tive instructions with The client should expect an improvement in vision after the surgery, so
a client follow- the nurse should instruct the client to report negative changes in vision
immediately.
