PRN 1725 CCC4 Exam 1
1.A client in a group home has returned from the hospital following a transient ischemic (TIA). Which statement about stroke prevention indicates a client's understanding of health education provided by the nurse.
-native & African Americans
-hypertension and high cholesterol increases risk
-stop drinking & smoking
-reduce sodium intake
-increase exercise
2.What observations will the nurse document during the postictal period of a seizure?
-the length
-LOC
-ABC
-Check for injury
-vital signs
3.A nurse is assessing a client who has a seizure disorder. the client reports he thinks he is about to have a seizure. Which of the following should the nurse do?
-turn patient on their LEFT side
-stay with client
-head support
4.The nurse is caring for a client diagnosed with Guillain-Barré Syndrome. What data gathered requires nursing actions?
- respiratory distress/failure
- pain levels
- sustain life and prevent complications - check vitals frequently - hypotension
- cardiac arrhythmias
5.The nurse is planning care for a client with a spinal injury who is to remind on complete bed rest. What should the nurse do to prevent the development of pressure ulcers?
-pressure mattress
-repositioning every 2 hours
-check sores on bony prominences
6.When providing information about coup-contrecoup brain injuries, the nurse should include which of the following statements.
-2 points of injury
-nausea
-hot spot on head- intracranial bleeding
-headache
7.Which intervention(s) below are beneficial in the prevention of neurological injuries?
-wearing a helmet and seat belt when driving/biking
-alcohol and drug use put one at increased risk
-swimming safety
8.A 20-year-old client is admitted with a brain tumor. Which assessment made by the nurse is most critical to report to the child's health care provider.
-headache awaking is the key sign
9.A client had a thrombotic cerebrovascular accident and now has flaccid hemiplegia of the right side. When the healthcare team begin rehab for this hospitalized client?
-begin treatment right away/upon admission to facility
1.A client in a group home has returned from the hospital following a transient ischemic (TIA). Which statement about stroke prevention indicates a client's understanding of health education provided by the nurse.
-native & African Americans
-hypertension and high cholesterol increases risk
-stop drinking & smoking
-reduce sodium intake
-increase exercise
2.What observations will the nurse document during the postictal period of a seizure?
-the length
-LOC
-ABC
-Check for injury
-vital signs
3.A nurse is assessing a client who has a seizure disorder. the client reports he thinks he is about to have a seizure. Which of the following should the nurse do?
-turn patient on their LEFT side
-stay with client
-head support
4.The nurse is caring for a client diagnosed with Guillain-Barré Syndrome. What data gathered requires nursing actions?
- respiratory distress/failure
- pain levels
- sustain life and prevent complications - check vitals frequently - hypotension
- cardiac arrhythmias
5.The nurse is planning care for a client with a spinal injury who is to remind on complete bed rest. What should the nurse do to prevent the development of pressure ulcers?
-pressure mattress
-repositioning every 2 hours
-check sores on bony prominences
6.When providing information about coup-contrecoup brain injuries, the nurse should include which of the following statements.
-2 points of injury
-nausea
-hot spot on head- intracranial bleeding
-headache
7.Which intervention(s) below are beneficial in the prevention of neurological injuries?
-wearing a helmet and seat belt when driving/biking
-alcohol and drug use put one at increased risk
-swimming safety
8.A 20-year-old client is admitted with a brain tumor. Which assessment made by the nurse is most critical to report to the child's health care provider.
-headache awaking is the key sign
9.A client had a thrombotic cerebrovascular accident and now has flaccid hemiplegia of the right side. When the healthcare team begin rehab for this hospitalized client?
-begin treatment right away/upon admission to facility
