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Neuro-Shock & Burns practice

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Neuro-Shock & Burns practice 1.A nurse in the emergency department is implementing a plan of care for a conscious client who has a suspected cervical cord injury. Which of the following immediate interventions should the nurse implement? (Select all that apply.) A. Hypotension B. Polyuria C. Hyperthermia D. Absence of bowel sounds E. Weakened gag reflex 2.A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? A. "I will notify my doctor before taking any other medications." B. "I have made an appointment to see my dentist next week." C. "I know that I cannot switch brands of this medication." D. "I'll be glad when I can stop taking this medicine." 3.A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide? A. The medication is to be applied when the client is experiencing eye pain. B. The medication will be used until the client's intraocular pressure returns to normal. C. The medication should be applied on a regular schedule for the rest of the client's life. D. The medication is to be used for approximately 10 days, followed by a gradual tapering off. 4.A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first? A. Turn the client's head to the side. B. Check the client's motor strength. C. Loosen the clothing around the client's waist. D. Document the time the seizure began. Created on:11/26/2018 Page 1 Neuro-Shock & Burns practice 5.A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client's provider? A. "My eye really itches, but I'm trying not to rub it." B. "I need something for the pain in my eye. I can't stand it." C. "It's hard to see with a patch on one eye. I'm afraid of falling." D. "The bright light in this room is really bothering me." 6.A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse’s initial action? A. Document the amount of drainage. B. Obtain a culture of the drainage. C. Check the drainage for glucose. D. Notify the client's provider. 7.A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first in order to assess the client's pain level? A. pulse and blood pressure findings B. behavioral indicators and effect C. scheduled treatments and client illness D. a self-report pain rating scale 8.A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache? A. Administer pain medication. B. Darken the client's room and close the door. C. Increase fluid intake. D. Elevate the head of the bed to 30º.

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