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Final
NUR 237
| Question | Answer |
|---|---|
| What are the least amount of questions on the test? | Eye & Ear |
| To help reduce N/V w/ menieres disease | Moving the head or eyes suddenly |
| Nurse is caring for older pt w/ myasthenia gravis. which statement by the client needs further teaching? | I can change the times of my medication in the mornings |
| 16 yr old presents to ED w/ complaints of stiff neck. The doctor has ordered csf anaylsis which is positive for low levels of glucose, proteins. The nurse suspects. | Bacterial meningitis |
| Alan presents to the clinic after falling in the parking lot last week at work. He complains of a dull headache and Nausea however he has no deficits in movement. Which diagnostic measure is used? | CT Scan |
| Why are the nurses checking his pupils? What's the nurses best response? | Testing his pupils will give us an early indication for brain stem |
| The nursing is completing the assessment on the patient who was in a mva. The nurse notices fluid coming out of the ear. Nurse should | Contact provider to get lab test for CSF |
| The client states since I suffered my injury I feel like i'm not a whole person and I should die | I understand you have some concerns about your health would you like me to stay so we can talk about it |
| After an older adult falls the nurse suspects the development of a subdural hematoma based on which of the following findings SATA | Complaint of a dull headache increasing irritability Change in LOC |
| Unless contraindicated for the nursing management of head injuries the client should be placed in which position? | Supine w/ the head of the bed elevated 30 degrees |
| The nurse would most accurately describe a concussion as a closed head injury in which | amnesia is associated with the event |
| When epistaxis has been controlled the nurse instructs the client to SATA | Avoid sneezing Rest for several hours until all of the threat of bleeding is gone avoid rubbing the nose |
| What's Passey Muir Valve used for? | Speaking/Voice box |
| Pt suddenly develops muscle weakness, visual disturbances and falls to the floor. He recovers quickly with no side effects. What Happened? | TIA Transient Ischemic Attack |
| A client whos is recovering from a stroke has residual dysphagia the nurse instructs the nursing assistant to avoid at meal time | Giving thin liquids |
| You have a pt that has a stroke and he has developed agnosia. what is the best intervention? | Telling the client this is a spoon and you eat with it. |
| The nurse is aware that MS is diagnosed by all of the following except | Blood culture showing the MS gene |
| The nurse is aware that which of the following are common causes of seizures? SATA | Fluid and electrolyte imbalances CVA ESRD Alcohol and barbituate withrawl |
| Post CVA client is experiencing multiple difficulties on the right side of the body. The nurse is aware that | The stroke occurred on the left side of the brain |
| A nurse volunteers to give the flu vaccine to older adults during a community wide immunization campaign. Which question is essential for the nurse to ask before administering the influenza vaccine? | Are you allergic to eggs or egg products? |
| You are caring for a client with a diagnosis of COPD. Which requires the nurse to take immediate action? | Oxygen set at 8 Liters |
| A pt whos taken rifampin calls the clinic and reports having orange discolored urine and tears | This is normal |
| Pt is working in a laboratory and accidentally splashes chemicals in both eyes. The occupational health nurse should instruct this client to | Flush both eyes with large amounts of water immediately and report to a physician as soon as possible |
| Automatic dysreflexia can be triggered by: SATA | All choices are correct |
| A home health nurse recommends to the 16 yr old with emphysema who is anorexic to enhance her nutrition by the practices of SATA | Resting before eating Taking small bites and chewing slowly eating 4-6 small meals rather than 3 large ones avoiding gas producing food |
| a client is brought in after a mva the nurse assess for a tension pneumothorax what signs and symptoms of the tension pneumothorax can the nurse expect to find? | Deviated trachea |
| When caring for a client who is on a closed chest system the nurse can confirm that system is intact and working when | The water in the water seal chamber fluctuates |
| Patient w/ sleep apnea is fitted for a CPAP and asks the nurse how this device will help. The nurse correctly responds with which statement? | Constant pressure to keep your airway open |
| Client has been diagnosed with a pulmonary embolism the nurse anticipates that the physician will order which of the following medications? | Heparin therapy |
| A client with TB has been on drug therapy for several months but his sputum is still positive for TB it would be most important for the nurse to ask which of the following questions? | Have you taken all of your medication as prescribed? |
| Mr. Mason age 68 has a long history of COPD and is admitted to the hospital with Cor Pulmonale. Mr. Mason said his doctor said his heart was failing and asked whether he is having a heart attack. Which explanation to Mr. Mason by the nurse is accurate | Your are not having a heart attack but your heart has been damaged caused by your respiratory disease |
| Which of the following medications does the nurse need to question giving with a pt w/ acute respiratory failure? | Anti-Anxiety |
| The nurse is caring for a client admitted with pneumonia which of the following assessment findings would provide the most accurate information about the type of pneumonia the client has? | Has productive cough with rust colored sputum |
| Condition which is characterized by a rapid shift of fluid from plasma into the pulmonary intestinal tissue in the aveoli is life threatening and can occur as a result of severe ventricular failure is called? | Pulmonary Edema |
| Thoracentesis has drained off 700 ml fluid that was inhibiting the inflation of the left lung. The nurse will: SATA | Everything but place the patient on the left side |
| The nurse uses inspection when performing a focused assessment of the respiratory system of a client complaining of. When the client asks the nurse why she is watching him breathe the nurse replies | Both sides equally (your just looking) |
| pt has a head injury, when you first came in his temp was 97 his pulse was 86 resp 18 bp 140/86. the nurse when back 30 minutes later to reassess him in which of these vital signs would be indicative of late increased intercranial pressure? | temp100 pulse78 resp24 bp 150/80 |
| When assessing the respiratory status of a client the nurse auscultates the lungs by | Checking breath sounds in the anterior and posterior thorax |
| Client is admitted with the following symptoms: visual changes, muscular weakness, numbness and tingling in the extremities. Based on these findings the nurse would suspect the client of having | MS |
Created by:
latarshamiller
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