NUR 1102 Passpoint-Neuro

NUR 1102 Passpoint-Neuro Question 1 See full question A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff neck. Vital sign assessment reveals a temperature elevation, increased heart and respiratory rates, and normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal rigidity, Brudzinski's sign, and Kernig's sign. What do these manifestations indicate? You Selected: • Increased intracranial pressure (ICP) Correct response: • Meningeal irritation Explanation: Remediation: Question 2 See full question What should a nurse do when administering pilocarpine? You Selected: • Apply pressure on the outer canthus to prevent adverse reactions. Correct response: • Apply pressure on the inner canthus to prevent systemic absorption. Explanation: Remediation: Question 3 See full question A registered nurse (RN) and licensed practical nurse (LPN) are administering medications on the neurologic floor. The LPN prepares to administer phenytoin to a client with a history of seizures. As the LPN walks into the room, she hands the medication to a nursing assistant. The LPN asks the nursing assistant to give the client the medication after completing the client's morning care. What should the registered nurse do? You Selected: • Take the medication from the nursing assistant and administer it. Correct response: • Remind the LPN that she must administer the medications herself. Explanation: Remediation: Question 4 See full question A nurse is caring for an older adult client with advanced Parkinson's disease. Which client statement about advance directives indicates a need for further instruction? You Selected: • "I know that I'll eventually be unable to make decisions. Signing an advance directive now will save my family grief." Correct response: • "I don't really need to sign anything. I'm depending on my physician to tell my family what to do if something bad happens." Explanation: Remediation: Question 5 See full question A nurse caring for a client who had a stroke is using the unit's new computerized documentation system. The nurse uses the information technology appropriately when she: You Selected: • documents medications before administration. Correct response: • documents medications after administration. Explanation: Remediation: