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Neurosensory Disorders NCLEX 3000 test(156 questions fully solved).
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Neurosensory Disorders NCLEX 3000 test(156 questions fully solved).
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NeurosensoryDisorders NCLEX
3000 test(156
questions fully
solved)
A client with amyotrophic lateral sclerosis
(ALS) tells the nurse, "Sometimes I feel so
frustrated. I can't do anything without help!"
This comment best supports which nursing
diagnosis? - answer Powerlessness
When caring for a client with a head injury,
the nurse must stay alert for signs and
symptoms of increased intracranial pressure
(ICP). Which cardiovascular findings are late
,indicators of increased ICP? - answer Rising
blood pressure and bradycardia
The nurse receives a physician's order to
administer 1,000 ml of normal saline solution
I.V. over 8 hours to a client who recently had
a stroke. What should the drip rate be if the
drop factor of the tubing is 15 gtt/ml? -
answer 31
When caring for a client with head trauma,
the nurse notes a small amount of clear,
watery fluid oozing from the client's nose.
What should the nurse do? - answer Test the
nasal drainage for glucose.
The physician orders measurement of the
serum acetaminophen level of a client
admitted with a suspected overdose of this
drug. To ensure an accurate result, the nurse
should wait how long after acetaminophen
(Tylenol) ingestion before drawing the blood
sample? - answer 4 hours
,A home health nurse visits a client who's
taking pilocarpine, a miotic agent, to treat
glaucoma. The nurse notes that the client's
pilocarpine solution is cloudy. What should
the nurse do first? - answer Advise the client
to discard the drug because it may have
undergone chemical changes or become
contaminated.
Damage to which area of the brain results in
receptive aphasia? - answer Temporal lobe
A client who sustained an L1 to L2 spinal cord
injury in a construction accident asks a nurse
if he'll ever be able to walk again. Which
response by the nurse is appropriate? -
answer "What has your physician told you
about your ability to walk again?"
A client is admitted to an acute care facility
for treatment of a brain tumor. When
reviewing the chart, the nurse notes that the
client's extremity muscle strength is rated
1/5. What does this mean? - answer Muscle
contraction is palpable and visible.
, A client with a spinal cord injury and
subsequent urine retention receives
intermittent catheterization every 4 hours.
The average catheterized urine volume has
been 550 ml. The nurse should plan to: -
answer increase the frequency of the
catheterizations.
(SELECT ALL THAT APPLY) The nurse is
planning care for a client with multiple
sclerosis. Which problems should the nurse
expect the client to experience? - answer (1)
Visual disturbances, (3) Balance problems,
(5) Mood disorders
A client undergoes cerebral angiography to
evaluate for neurologic deficits. Afterward,
the nurse checks frequently for signs and
symptoms of complications associated with
this procedure. Which findings indicate
spasm or occlusion of a cerebral vessel by a
clot? - answer Hemiplegia, seizures, and
decreased level of consciousness (LOC)
The nurse is administering neostigmine to a
client with myasthenia gravis. Which nursing
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