NUR 1700 Q6 Randoms Questions With Complete Solutions
A nurse is assessing a client who is in skeletal traction. Which of
the following should the nurse identify as an indication of
infection at the pin sites?
a. Serosanguineous drainage
b. Mild erythema
c. Warmth
d. Fever Correct Answers Fever
hh hh
A nurse is teaching the family of a client who is receiving
treatment for a spinal cord injury with a halo fixation device.
Which of the following statements should the nurse make?
a. Turn the screws on the device once a day
b. Assess for signs of infection
c. Apply talcum powder under the vest to limit friction
d. The purpose of the device is to allow for neck movement
during the healing process Correct Answers Assess for signs of
hh hh
infection
A nurse is preparing to turn a client who is obese following a
spinal fusion. The nurse should plan to use which of the
following techniques to turn this client? Correct Answers Log
hh hh
roll.
(Spinal fusion is the insertion of bone graft from the iliac crest
between vertebrae of the spinal column, which fuses the
vertebrae to ensure stability. A client following this type of
surgical procedure must be repositioned using a log roll
,technique. This technique maintains proper alignment by
moving all body parts at the same time, preventing tension or
twisting of the spinal column.)
A nurse in the emergency department is monitoring a client who
has a cervical spinal cord injury from a fall. The nurse should
monitor the client for which of the following complications?
A. Hypotension
B. Polyuria
C. Hyperthermia
D. Absence of bowel sounds
E. Weakened gag reflex Correct Answers A. Hypotension
hh hh
D. Absence of bowel sounds
E. Weakened gag reflex
A nurse is planning care for a client who has a halo fixation
device. Which of the following actions should the nurse include
in the plan of care?
a) Monitor the client for an elevated temperature.
b) Provide range of motion to the client's neck.
c) Remove the vest daily to inspect the client's skin integrity.
d) Check that the halo jacket is snug against the client's skin.
Correct Answers a) Monitor the client for an elevated
hh hh
temperature.
A nurse in the emergency department is caring for a client who
has a compression fracture of a spinal vertebra. During transport
to the facility, the client was medicated with intravenous
morphine. On arrival, the neurosurgeon determined urgent
,surgical intervention is indicated for the fracture. Staff members
have been unable to reach the client's family. Which of the
following actions should the nurse anticipate the neurosurgeon
taking?
1. Invoking implied consent
2. Delaying the surgery until a member of the clients family is
reached
3. Asking the client to sign the surgical consent form
4. Prescribing naloxone to reverse the effects of the morphine
Correct Answers 1. Invoking implied consent
hh hh
The client is unable to sign the consent form because he is
sedated from the morphine. The neurosurgeon has the legal right
to invoke implied consent and proceed with the surgery if it is
determined an emergency and surgery is in the clients best
interest. The neurosurgeon should document the specifics of the
situation in the clients medical record.
A nurse is planning care for a client who has quadriplegia.
Which of the following actions should the nurse take to prevent
a pulmonary embolism?
A. Assess legs for redness
B. Apply elastic compression stockings
C. Perform passive range of motion exercises
D. Monitor INR results
E. Massage calves every shift Correct Answers A. Assess legs
hh hh
for redness
B. Apply elastic compression stockings
C. Perform passive range of motion exercises
, D. Monitor INR results
A nurse is teaching the family of a client who has a new
diagnosis of epilepsy about actions to take if the client
experiences a seizure. Which of the following instructions
should the nurse include in the teaching?
"Insert a padded tongue blade into the client's mouth."
"Restrain the client."
"Place the client on his back."
"Move objects away from the client." Correct Answers "Move
hh hh
objects away from the client."
The nurse should instruct the family to move objects away from
the client to reduce the risk of injury to the client.
A nurse is teaching the family of a client who is receiving
treatment for a spinal cord injury with a halo fixation device.
Which of the following statements should the nurse make?
A. "Turn the screws on the device once each day."
B. "The purpose of this device is to immobilize the cervical
spine."
C. "Apply talcum powder under the vest to limit friction."
D. The purpose of this device is to allow for neck movement
during the healing process." Correct Answers "The purpose of
hh hh
this device is to immobilize the cervical spine."
A client who has an injury to the cervical spine can have a halo
fixation device to provide immobilization of the head and neck
for a period of 8 to 12 weeks.
A nurse is assessing a client who is in skeletal traction. Which of
the following should the nurse identify as an indication of
infection at the pin sites?
a. Serosanguineous drainage
b. Mild erythema
c. Warmth
d. Fever Correct Answers Fever
hh hh
A nurse is teaching the family of a client who is receiving
treatment for a spinal cord injury with a halo fixation device.
Which of the following statements should the nurse make?
a. Turn the screws on the device once a day
b. Assess for signs of infection
c. Apply talcum powder under the vest to limit friction
d. The purpose of the device is to allow for neck movement
during the healing process Correct Answers Assess for signs of
hh hh
infection
A nurse is preparing to turn a client who is obese following a
spinal fusion. The nurse should plan to use which of the
following techniques to turn this client? Correct Answers Log
hh hh
roll.
(Spinal fusion is the insertion of bone graft from the iliac crest
between vertebrae of the spinal column, which fuses the
vertebrae to ensure stability. A client following this type of
surgical procedure must be repositioned using a log roll
,technique. This technique maintains proper alignment by
moving all body parts at the same time, preventing tension or
twisting of the spinal column.)
A nurse in the emergency department is monitoring a client who
has a cervical spinal cord injury from a fall. The nurse should
monitor the client for which of the following complications?
A. Hypotension
B. Polyuria
C. Hyperthermia
D. Absence of bowel sounds
E. Weakened gag reflex Correct Answers A. Hypotension
hh hh
D. Absence of bowel sounds
E. Weakened gag reflex
A nurse is planning care for a client who has a halo fixation
device. Which of the following actions should the nurse include
in the plan of care?
a) Monitor the client for an elevated temperature.
b) Provide range of motion to the client's neck.
c) Remove the vest daily to inspect the client's skin integrity.
d) Check that the halo jacket is snug against the client's skin.
Correct Answers a) Monitor the client for an elevated
hh hh
temperature.
A nurse in the emergency department is caring for a client who
has a compression fracture of a spinal vertebra. During transport
to the facility, the client was medicated with intravenous
morphine. On arrival, the neurosurgeon determined urgent
,surgical intervention is indicated for the fracture. Staff members
have been unable to reach the client's family. Which of the
following actions should the nurse anticipate the neurosurgeon
taking?
1. Invoking implied consent
2. Delaying the surgery until a member of the clients family is
reached
3. Asking the client to sign the surgical consent form
4. Prescribing naloxone to reverse the effects of the morphine
Correct Answers 1. Invoking implied consent
hh hh
The client is unable to sign the consent form because he is
sedated from the morphine. The neurosurgeon has the legal right
to invoke implied consent and proceed with the surgery if it is
determined an emergency and surgery is in the clients best
interest. The neurosurgeon should document the specifics of the
situation in the clients medical record.
A nurse is planning care for a client who has quadriplegia.
Which of the following actions should the nurse take to prevent
a pulmonary embolism?
A. Assess legs for redness
B. Apply elastic compression stockings
C. Perform passive range of motion exercises
D. Monitor INR results
E. Massage calves every shift Correct Answers A. Assess legs
hh hh
for redness
B. Apply elastic compression stockings
C. Perform passive range of motion exercises
, D. Monitor INR results
A nurse is teaching the family of a client who has a new
diagnosis of epilepsy about actions to take if the client
experiences a seizure. Which of the following instructions
should the nurse include in the teaching?
"Insert a padded tongue blade into the client's mouth."
"Restrain the client."
"Place the client on his back."
"Move objects away from the client." Correct Answers "Move
hh hh
objects away from the client."
The nurse should instruct the family to move objects away from
the client to reduce the risk of injury to the client.
A nurse is teaching the family of a client who is receiving
treatment for a spinal cord injury with a halo fixation device.
Which of the following statements should the nurse make?
A. "Turn the screws on the device once each day."
B. "The purpose of this device is to immobilize the cervical
spine."
C. "Apply talcum powder under the vest to limit friction."
D. The purpose of this device is to allow for neck movement
during the healing process." Correct Answers "The purpose of
hh hh
this device is to immobilize the cervical spine."
A client who has an injury to the cervical spine can have a halo
fixation device to provide immobilization of the head and neck
for a period of 8 to 12 weeks.
