NUR 2790 STUDY GUIDE EXAM 4 (Questions with Correct Answers) 2023 Graded A+

NUR 2790 STUDY GUIDE EXAM 4 (Questions with Correct Answers) 2023 Graded A+. For the client who is at risk for stroke, the most important guideline the nurse should teach is to: A. monitor weight and activity. B. increase drinks with caffeine. C. increase amounts of sodium in the diet. D. monitor blood pressure. 2. A client is being evaluated for a stroke. The nurse knows that one of the easiest and most common diagnostic tests used to differentiate between strokes is: A. magnetic resonance imaging (MRI). B. positron emission tomography (PET). C. electrocardiography (EEG). D. computed tomography (CT). 3. While instructing a client on stroke prevention, the nurse mentions medications that are useful in stroke prevention. The following medications are effective in preventing a stroke, EXCEPT: A. anticholinergics. B. antiplatelets. C. anticoagulants. D. neuroprotective agents. 4. A client is being seen in the emergency department experiencing symptoms of a stroke. The nurse realizes that the administration of a medication to break clots, such as tPA, should be administered within how many minutes of the client presenting to the emergency department? A. 120 minutes B. 90 minutes C. 30 minutes D. 60 minutes 5. What is the major cause of traumatic brain injuries? MVC 6. A client is diagnosed with a mild brain injury. Which of the following is an example of a mild injury? A. A. Vegetative state B. Coma C. Locked-in syndrome D. Concussion 7. The nurse is planning care for a client diagnosed with increased intracranial pressure after a head injury. Which of the following interventions can be used to reduce increased intracranial pressure? A. Perform range-of-motion exercises every hour. B. Keep the head of the bed in the flat position. C. Administer antibiotics as prescribed. D. Administer corticosteroids and osmotic diuretics as prescribed. 8. The nurse, caring for a client recovering from a traumatic brain injury, knows the client and the family are eligible for specific federal programs because of the: A. Associated Brain Act. B. Traumatic Brain Injury Act of 2008. C. Brain Protection Act. D. Health Brain Act. 9. Which of the following should be avoided when caring for a client diagnosed with increased intracranial pressure? A. Placing the client on bed rest B. Placing the bed in Trendelenburg C. Starting an intravenous access line D. Administering oxygen 10. A client is being instructed on treatments available for a newly diagnosed brain tumor. The nurse realizes that this client's treatment could include all of the following EXCEPT: A. photo DNA therapy. B. radiation. C. surgery. D. chemotherapy. 11. A client diagnosed with an embolic stroke is not a candidate for tPA. The nurse realizes that the client might be eligible for which of the following forms of treatment? A. Intravenous fluid therapy B. Carotid endarterectomy C. Carotid stenting D. Antiarrhythmic medication 12. The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe? A.Clustering many nursing activities B. Aligning the neck with the body C. Elevating the head of the bed 30 degrees D. Providing stool softeners or laxatives as ordered 13. The earliest and most sensitive assessment finding that would indicate an alteration in intracranial regulation would be? A, inability to focus visually B. loss of primitive reflexes. C. unequal pupil size. D. change in level of consciousness. 14. Components of the GCS the nurse would use to assess a patient after a head injury include: A. head circumference. B. verbal responsiveness. C. cranial nerve function. D. Blood pressure Liver 15. A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis? A. Hepatitis A B. Hepatitis D C. Hepatitis C D. Hepatitis B 16. An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most likely cause of this problem is: A. drinking excessive alcohol. B. eating bad food. C. traveling to a foreign country. D. being in the military. 17. A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: A. Bleeding. B. Nausea and vomiting. C. infection. D. Pain. 18. The nurse realizes that the organ which is a major site for metastases, harboring and growing cancerous cells that originated in some other part of the body, is the: A. gallbladder B. spleen. C. liver. D. stomach. 19. A school age child is placed on a waiting list for a liver transplant. The nurse knows that the most common reason for children to need this type of transplant is because of: A. cirrhosis due to hepatitis C B. diabetes. C. Crohn's disease. D. biliary atresia. 20. Because health care workers are at a greater risk of hepatitis B infection, it is recommended that all health care workers: A. drink bottled water only. B. become vaccinated. C. wash their hands often. D. avoid foreign travel. 21. A client who usually smokes a pack of cigarettes a day tells the nurse that he cannot stand the smell of smoke. The nurse realizes that this client is in which phase of hepatitis? A. Recovery B. Icteric C. Preicteric D. Posticteric