NURS 120 ATI Targeted Neurosensory + Musculoskeletal (2) questions and answers well illustrated.

NURS 120 ATI Targeted Neurosensory + Musculoskeletal (2) questions and answers well illustrated. A nurse is caring for a client who has advancing amyotrophic lateral sclerosis. Which of the following interventions is the nurse's priority? - correct answers.Monitor pulse oximetry findings. A nurse is caring for a client who has viral meningitis. Which of the following actions should the nurse take? - correct answers.Monitor capillary refill at least every 4 hr. A nurse is assessing a client who had a right hemispheric stroke. Which of the following neurologic deficits should the nurse expect? - correct answers.Impulsive behavior. A nurse is assessing a client who has a possible head injury following a motor vehicle crash. The nurse should recognize that which of the following findings indicates increasing intercranial pressure? - correct answers.Restlessness. A nurse is caring for a client who has a basilar skull fracture following a fall from a ladder. Which of the following findings should the nurse report to the provider? - correct answers.Clear drainage from the nose. A nurse is providing teaching for a client who is postoperative following a right hip arthroplasty. Which of the following indicates the position the nurse should teach the client to take when sitting? - correct of pt sitting upright with feet flat on the floor Sitting upright with feet flat on floor. a nurse is teaching an AP about care of a client following a total hip arthroplasty. which of the following instructions should the nurse include - correct an abductor pillow between the client's legs when turning the client A nurse is assessing a client who is quadriplegic secondary to a cervical fracture at vertebral level C5. The client report a throbbing headache and nausea. The nurse notes facial flushing and a blood pressure of 220/ 110 mm Hg. Which of the following actions should the nurse take first? - correct answers.Elevate the head of the client's bed. A nurse is reviewing postoperative instructions with a client following cataract surgery. Which of the following client statements indicates an understanding of instructions? - correct answers."i should call my doctor if my vision gets worse" "I should call my doctor if I experience a decrease in my vision." A nurse is caring for a client in balanced suspension who reports intermittent muscle spasms. Which of the following actions should the nurse take first? - correct answers.Check the position of the weights and ropes. A nurse is assessing a client who has a new diagnosis of osteoarthritis. Which of the following findings should the nurse expect? (Select all that apply.) - correct answers.Crepititus with joint movement Decreased range of motion of the affected joint. Joint pain that resolves with rest. nurse performing a pain assessment for a client who is postoperative. which of the following findings should the nurse use to determine the severity of the clients pain - correct t's report of pain on a pain scale A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect? - correct answers.Intention tremors. - clients who have MS are at risk for motor dysfunction, with intention tremors, poor coordination, and loss of balance - pt with MS have hyperactive deep tendon reflexes A nurse is caring for a client who has spastic bladder following a spinal cord injury. Which of the following actions should the nurse take to help stimulate micturition? - correct answers.Stroke the client's inner thigh. A nurse is developing a teaching plan for a client who has Meniere's disease. Which of the following instructions should the nurse include? - correct answers.Move head slowly to decrease vertigo.