A nurse is teaching a client who has myopia about laser-assisted in situ keratomileusis
(LASIK) surgery. The nurse should include in the teaching that which of the following is
an adverse effect of LASIK surgery? - answer Dry eyes
A nurse in a rehabilitation center is performing an assessment for a client who is
recovering from a left-hemisphere stroke. Which of the following findings should the
nurse expect? - answer Difficulty with speech
A nurse is assessing a client who has a new diagnosis of mastoiditis. Which of the
following manifestations should the nurse expect? - answer Swelling behind the affected
ear
A nurse is caring for a client who has a traumatic brain injury and assumes a
decerebrate posture in response to noxious stimuli. Which of the following reactions
should the nurse anticipate when drawing a blood sample? - answer The client rigidly
extends his arms.
A nurse is providing discharge teaching to a client who is postoperative following
cataract surgery and has an intraocular lens implant. Which of the following statements
by the client indicates an understanding of the instruction? - answer I will avoid bending
over.
A nurse is assessing a client who has a closed head injury and has received mannitol
for manifestations of increased intracranial pressure (ICP). Which of the following
findings should indicate to the nurse that the medication is having a therapeutic effect? -
answer The client's serum osmolarity is 310 mOsm/L.
A nurse is providing discharge teaching to a client who is postoperative following scleral
buckling to repair a detached retina. Which of the following instructions should the nurse
include in the teaching? - answer You should avoid reading for 1 week.
A nurse is assessing a client who has sustained a recent head injury. Which of the
following findings should the nurse recognize as a manifestation of increased
intracranial pressure? - answer Widened pulse pressure
A nurse is providing teaching to a client who has a new diagnosis of migraine
headaches about interventions to reduce pain at the onset of a migraine. Which of the
following instructions should the nurse include in the teaching? - answer Darken the
lights.
A nurse in an acute care facility is preparing to admit a client who has myasthenia
gravis. Which of the following supplies should the nurse place at the client's bedside
table? - answer Oral-nasal suction equipment
A nurse is assessing a client who is unconscious and has a rhythmical breathing pattern
of rapid deep respirations, followed by rapid shallow respirations, alternating with