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Know what the left temporal lobe of brain affects as far as the senses
A nurse prepares to teach a client who has experienced damage to
the left temporal lobe of the brain. Which action should the nurse take
when providing education about newly prescribed medications to this
client?
a. Help the client identify each medication by its color.
b. Provide written materials with large print size.
c. Sit on the clients right side and speak into the right ear.
d. Allow the client to use a white board to ask
questions. ANS: C
The temporal lobe contains the auditory center for sound
interpretation. The clients hearing will be impaired in the left ear. The
nurse should sit on the clients right side and speak into the right ear.
The other interventions do not address the clients left temporal lobe
damage.
Know what hypoactive deep tendon reflexes affect
A nurse plans care for a client who has a hypoactive response to a test of
deep tendon reflexes. Which intervention should the nurse include in this
clients plan of care?
a. Check bath water temperature with a thermometer.
b. Provide the client with assistance when ambulating.
c. Place elastic support hose on the clients legs.
d. Assess the clients feet for wounds each
shift. ANS: B
Hypoactive deep tendon reflexes and loss of vibration sense can impair
balance and coordination, predisposing the client to falls. The nurse should
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plan to provide the client with ambulation assistance to prevent injury. The
other interventions do not address the clients problem.
Know what things can interfere with MRI scans
. A nurse obtains a focused health history for a client who is
scheduled for magnetic resonance imaging (MRI). Which condition
should alert the nurse to contact the provider and cancel the
procedure?
a. Creatine phosphokinase (CPK) of 100 IU/L
b. Atrioventricular graft
c. Blood urea nitrogen (BUN) of 50 mg/dL
d. Internal insulin
pump ANS: D
Metal devices such as internal pumps, pacemakers, and prostheses interfere
with the accuracy of the image and can become displaced by the magnetic
force generated by an MRI procedure. An atrioventricular graft does not
contain any metal. CPK and BUN levels have no impact on an MRI procedure.
14. After teaching a client who is scheduled for magnetic resonance
imaging (MRI), the nurse assesses the clients understanding. Which
client statement indicates a correct understanding of the teaching?
a. I must increase my fluids because of the dye used for the MRI.
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b. My urine will be radioactive so I should not share a bathroom.
c. I can return to my usual activities immediately after the MRI.
d. My gag reflex will be tested before I can eat or drink
anything. ANS: C
No postprocedure restrictions are imposed after MRI. The client can return
to normal activities after the test is complete. There are no dyes or
radioactive materials used for the MRI; therefore, increased fluids are not
needed and the clients urine would not be radioactive. The procedure does
not impact the clients gag reflex.
Know what a single-photon emission computed tomography (SPECT) scan is and if there is
any care required afterwards
. A nurse cares for a client who is recovering from a single-photon
emission computed tomography (SPECT) with a radiopharmaceutical
agent. Which statement should the nurse include when discussing the
plan of care with this client?
a. You may return to your previous activity level immediately.
b. You are radioactive and must use a private bathroom.
c. Frequent assessments of the injection site will be completed.
d. We will be monitoring your renal functions
closely. ANS: A
The client may return to his or her previous activity level immediately.
Radioisotopes will be eliminated in the urine after SPECT, but no monitoring
or special precautions are required. The injection site will not need to be
assessed after the procedure is complete.
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Know what imitrex is and any side effects associated with it
A nurse obtains a health history on a client prior to administering
prescribed sumatriptan succinate (Imitrex) for migraine headaches. Which
condition should alert the nurse to hold the medication and contact the
health care provider?
a. Bronchial asthma
b. Prinzmetals angina
c. Diabetes mellitus
d. Chronic kidney
disease ANS: B
Sumatriptan succinate effectively reduces pain and other associated
symptoms of migraine headache by binding to serotonin receptors and
triggering cranial vasoconstriction. Vasoconstrictive effects are not confined
to the cranium and can cause coronary vasospasm in clients with Prinzmetals
angina. The other conditions would not affect the clients treatment.
A nurse prepares to discharge a client with Alzheimers disease.
Which statement should the nurse include in the discharge teaching for
this clients caregiver?
a. Allow the client to rest most of the day.
b. Place a padded throw rug at the bedside.
c. Install deadbolt locks on all outside doors.
d. Provide a high-calorie and high-protein
diet. ANS: C
What is bacterial meningitis and how is it contracted?
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