COMPLETE QUESTIONS AND ANSWERS
VERIFIED A+
◉ A nurse is monitoring a client who is receiving opioid analgesia.
Which of the following findings should the nurse identify as adverse
effects of opioid analgesics?
A. Urinary Incontinence
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea
Answer: C. Bradypnea
D. Orthostatic Hypotension
E. Nausea
◉ A nurse is assessing a client who reports severe headache and stiff
neck. The nurse's assessment reveals positive kernig's and
Brudzinski's signs. Which of the following actions should the nurse
perform first?
A. Administer antibiotics
B. Implement droplet precautions
,C. Initiate IV access
D. Decrease bright lights
Answer: B Implement droplet precautions
◉ A nurse is assessing the presence of Brudzinski's sign in a client
who has suspected meningitis. Which of the following actions should
the nurse take when performing this technique? Select all that apply
A. Place the client in supine position
B. Flex the clients hip and knee
C. Place hands behind the clients neck
D. Bend the clients head toward chest
E. Straighten the clients flexed leg at the knee
Answer: A. Place the client in supine position
C. Place hands behind the clients neck
D. Bend the clients head toward chest
◉ A nurse is planning care for a client who has meningitis and is at
risk for increased intracranial pressure (ICP). Which of the following
actions should the nurse plan to take? Select all that apply
A. Implement seizure precautions
B. Perform neurologic checks four times a day
C. Administer morphine for the report of neck and generalized pain
D. Turn off room lights and television
, E. Monitor for impaired extraocular movements
F. Encourage the client to cough frequently
Answer: A. implement seizure precautions
D. Turn off room lights and television
E. monitor for impaired extraocular movements
◉ A nurse is reviewing the use of meningoccal vaccine (MCV 4) for
prevention of meningitis with a newly licensed nurse. Which of the
following information should the nurse include?
A. The vaccine is indicated to reduce the risk of respiratory infection
B. The vaccine is administered in a series of four doses
C. The vaccine is recommended for adolescents before starting
college
D. The vaccine is initially given at 2 months of age
Answer: C. The vaccine is recommended for adolescents before
starting college
◉ A nurse is planning care for a client who has bacterial meningitis.
Which of the following actions should the nurse include in the plan
of care? Select all that apply
A. Monitor for bradycarida
B. Provide an emesis basin at the bedside
C. Administer antipyretic mediation