1. A nurse is caring for a client who has a leaking cerebral aneurysm. Which of the following is an expected finding that is most often initially manifested?
A. Inability to speak for 30 min
B. Sudden severe headache
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1. A nurse is caring for a client who has a leaking cerebral aneurysm. Which of the following is an expected finding that is most often initially manifested?
A. Inability to speak for 30 min
B. Sudden severe headache
C. A loss of bowel and bladder control
D. Inability to move left or right extremities
2. After a client sustains a complete spinal cord transection injury, the provider tells the family that the client has paraplegia. The family asks the nurse exactly what this term means. Which of the following responses is appropriate?
A. He cannot move his lower body and legs.
B. He cannot move from the neck down.
C. His lower body and legs are extremely weak.
D. He has temporarily lost motor and sensory functions below the waist.
3. A nurse is planning care for an infant following a surgical procedure. Which of the following pain rating scales should the nurse use to determine the infant’s level of pain?
A. FACES
B. OUCHER
C. Nursing Assessment of Pain Inventory
D. Word-Graphic Rating Scale
4. A nurse is caring for a client who has diabetes insipidus. Which of the following findings is a manifestation of this diagnosis?
A. Hypertension
B. Bounding peripheral pulses
C. Tachycardia
D. Hypothermia
5. A nursing is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following is an appropriate response by the nurse?
A. "Incorporate nonverbal cues in the conversation."
B. "Ask multiple choice questions as part of the conversation."
C. "Use a higher-pitched tone of voice when speaking."
D. "Use simple child-like statements when speaking."
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