NS 233 EXAM 2 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
A nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe? -
(ANSWER)withholding sedative and analgesic medications
The nurse should teach a patient which is a primary prevention strategy to reduce the occurrence of
head injuries? - (ANSWER)wearing a helmet
You are called to the patients room when the patient experiences a seizure. Upon entering the room,
what should you do first? - (ANSWER)observe the time and sequence of the patient's movements and
responses as they occur
A high school teacher who has just been diagnosed with epilepsy after having a generalized tonic-clonic
seizure tells the nurse, "I cannot teach anymore, it will be too upsetting if I have a seizure at work."
Which response by the nurse is best? - (ANSWER)Epilepsy usually can be well controlled with
medications
A patient is being transferred to the medical-surgical unit. Which equipment should the nurse have
available in the patient's room? - (ANSWER)suction tubing
The nurse is caring for a patient who just experienced a generalized seizure. Which action should the
nurse perform first? - (ANSWER)keep the patient in a side-lying position
A patient has been newly admitted with meningococcal meningitis. Which observation by the nurse
requires immediate action? - (ANSWER)healthcare providers enter the patient's room without a mask
The nurse is caring for a patient with meningitis and is at risk for increased intracranial pressure. Which
of the following action should the nurse plan to take? - (ANSWER)implement seizure precautions
When assessing a 53-year-old patient with bacterial meningitis, the nurse obtains the following data.
Which findings should be reported immediately to the health care provider? - (ANSWER)the patient's
blood pressure is 88/42 mm Hg
, NS 233 EXAM 2 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
D.B. is admitted to a long-term care facility. He has a nursing diagnosis of impaired memory related to
the effects of Alzheimer's. An appropriate nursing intervention for him is to? - (ANSWER)maintain
familiar routines of sleep, meals, drug administration, and activities
A 71-year-old patient with Alzheimer's Disease (AD) who is being admitted to a long-term care facility
has had several episodes of wandering away form home. Which action will the nurse include in the plan
of care? - (ANSWER)place the patient in a room close to the nurses' station
After change-of-shift report on the Alzheimer's unit which patient will the nurse assess first? -
(ANSWER)patient who has developed new cough after eating breakfast
The nurse finds a patient in bed having a generalized tonic-clonic seizure. During the seizure activity,
what actions should the nurse take? - (ANSWER)loosen restrictive clothing, turn the patient to the side,
protect the patient's head from injury
The nurse on the clinical unit is assigned to four patients. Which patient should she assess first? -
(ANSWER)patient with meningitis who is suddenly agitated and reporting a headache of 10 on a 0-to-10
scale
A nursing measure that is indicated to reduce the potential for seizures and increased intracranial
pressure in the patient with bacterial meningitis is? - (ANSWER)controlling fever with prescribed drugs
and cooling techniques
An early sign of increased intracranial pressure that the nurse should assess for is? -
(ANSWER)decreasing level of consciousness
Why is the Glasgow Coma Scale (GCS) used? - (ANSWER)to quickly assess the LOC
When assessing the body functions of a patient with increased ICP, what should the nurse assess first? -
(ANSWER)circulatory and respiratory status
|ALREADY GRADED A+||BRAND NEW!!
A nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe? -
(ANSWER)withholding sedative and analgesic medications
The nurse should teach a patient which is a primary prevention strategy to reduce the occurrence of
head injuries? - (ANSWER)wearing a helmet
You are called to the patients room when the patient experiences a seizure. Upon entering the room,
what should you do first? - (ANSWER)observe the time and sequence of the patient's movements and
responses as they occur
A high school teacher who has just been diagnosed with epilepsy after having a generalized tonic-clonic
seizure tells the nurse, "I cannot teach anymore, it will be too upsetting if I have a seizure at work."
Which response by the nurse is best? - (ANSWER)Epilepsy usually can be well controlled with
medications
A patient is being transferred to the medical-surgical unit. Which equipment should the nurse have
available in the patient's room? - (ANSWER)suction tubing
The nurse is caring for a patient who just experienced a generalized seizure. Which action should the
nurse perform first? - (ANSWER)keep the patient in a side-lying position
A patient has been newly admitted with meningococcal meningitis. Which observation by the nurse
requires immediate action? - (ANSWER)healthcare providers enter the patient's room without a mask
The nurse is caring for a patient with meningitis and is at risk for increased intracranial pressure. Which
of the following action should the nurse plan to take? - (ANSWER)implement seizure precautions
When assessing a 53-year-old patient with bacterial meningitis, the nurse obtains the following data.
Which findings should be reported immediately to the health care provider? - (ANSWER)the patient's
blood pressure is 88/42 mm Hg
, NS 233 EXAM 2 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
D.B. is admitted to a long-term care facility. He has a nursing diagnosis of impaired memory related to
the effects of Alzheimer's. An appropriate nursing intervention for him is to? - (ANSWER)maintain
familiar routines of sleep, meals, drug administration, and activities
A 71-year-old patient with Alzheimer's Disease (AD) who is being admitted to a long-term care facility
has had several episodes of wandering away form home. Which action will the nurse include in the plan
of care? - (ANSWER)place the patient in a room close to the nurses' station
After change-of-shift report on the Alzheimer's unit which patient will the nurse assess first? -
(ANSWER)patient who has developed new cough after eating breakfast
The nurse finds a patient in bed having a generalized tonic-clonic seizure. During the seizure activity,
what actions should the nurse take? - (ANSWER)loosen restrictive clothing, turn the patient to the side,
protect the patient's head from injury
The nurse on the clinical unit is assigned to four patients. Which patient should she assess first? -
(ANSWER)patient with meningitis who is suddenly agitated and reporting a headache of 10 on a 0-to-10
scale
A nursing measure that is indicated to reduce the potential for seizures and increased intracranial
pressure in the patient with bacterial meningitis is? - (ANSWER)controlling fever with prescribed drugs
and cooling techniques
An early sign of increased intracranial pressure that the nurse should assess for is? -
(ANSWER)decreasing level of consciousness
Why is the Glasgow Coma Scale (GCS) used? - (ANSWER)to quickly assess the LOC
When assessing the body functions of a patient with increased ICP, what should the nurse assess first? -
(ANSWER)circulatory and respiratory status
