A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect? - Intention tremors
A nurse is caring for a client who is 72 hr postoperative following an above-the-
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A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect? - Intention tremors
A nurse is caring for a client who is 72 hr postoperative following an above-the-knee amputation and reports phantom limb pain. Which of the following actions should the nurse take? - Administer an oral dose of gabapentin to the client.
A nurse is providing teaching regarding a new prescription for carbidopa-levodopa for a client who has Parkinson's disease. Which of the following client statements indicates an understanding of the teaching? - "I should expect my urine to be a darker color."
A nurse in the emergency department is assessing a client who has myasthenia gravis. The client reports recent increasing muscle weakness and the nurse suspects the client is experiencing a myasthenic crisis. Which of the following actions is the nurse's priority? - The first action the nurse should take using the nursing process is to assess the client. The Tensilon test will determine if the client is experiencing a myasthenic crisis or a cholinergic crisis.
A nurse is providing teaching for a client who is prescribed alendronate for osteoporosis. Which of the following information should the nurse include in the teaching? - Remain upright for 30 min after taking this medication.
A nurse is assessing a client who has rheumatoid arthritis. Which of the following assessment findings should the nurse expect? - Ulnar deviation
A nurse is assessing a client who had a right hemispheric stroke. Which of the following neurologic deficits should the nurse expect? - Impulsive behavior
A nurse is planning care for a client who has a closed head injury from a fall and is receiving mechanical ventilation. Which of the following interventions is the nurse's priority? - Maintain a PaCO2 of approximately 35 mm Hg.
A nurse is developing a teaching plan for a client who has Ménière's disease. Which of the following instructions should the nurse include? - Move head slowly to decrease vertigo.
A nurse is caring for a client in balanced suspension skeletal traction who reports intermittent muscle spasms. Which of the following actions should the nurse take first? - Check the position of the weights and ropes.
A nurse is teaching a client who has epilepsy and is to start therapy with phenytoin. Which of the following instructions should the nurse include in the client's medication teaching plan? - Take medications at a consistent time each day to maintain therapeutic blood levels.
A nurse is planning care for a client following a lumbar puncture. Which of the following actions should the nurse plan to include? - Ensure the client lies flat for 4 to 8 hr.
A nurse is reviewing postoperative instructions with a client following cataract surgery. Which of the following client statements indicates an understanding of instructions? - "I should call my doctor if I experience a decrease in my vision."
A nurse is providing teaching for a client who is postoperative following a right hip arthroplasty. Which of the following images indicates the position the nurse should teach the client to take when sitting in a chair? - The nurse should teach the client to sit with the hips at a 90° angle or less with the knees slightly lower than the hips to avoid hip dislocation.
A nurse is caring for a client who has a retinal detachment. Which of the following reports about the affected eye should the nurse expect? - During retinal detachment, the client can experience flashes of bright light or floating dark spots in the affected eye as the retinal layers separate.
A nurse is assessing a client who is quadriplegic secondary to a cervical fracture at vertebral level C5. The client reports 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? - Elevate the head of the client's bed.
A nurse is caring for a client who is 8 hr postoperative following a craniotomy. Which of the following actions should the nurse take? - Report wound drainage greater than 50 mL/8 hr.
A nurse working in the emergency department is caring for a client who has sustained a fracture of the femur following a motor-vehicle crash. Which of the following images indicates a comminuted fracture? - This is an image of a comminuted fracture, in which the injury causes the bone to f
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