Answers 2024
A nurse is caring for a client who is postprocedure
following lumbar puncture and reports a throbbing
headache when sitting upright. Which of the following
actions should the nurse take? (Select all that apply)
a.) Use the Glasgow Coma Scale when assessing the
client
b.) Assist the client to a supine position
c.) Administer an opioid medications
d.) Encourgae the client to increase fluid intake
e.) Instruct the client to perform deep breathing and
coughing exercises - correct answers✅b,c,d
A nurse is caring for a client who experienced a traumatic
head injury and has an intraventricular catheter
(ventriculostomy) for ICP monitoring. The nurse should
monitor the client for which of the following complications
related to the ventriculostomy?
a.) Headache
,Med Surg 1 Final Exam Question And
Answers 2024
b.) Infection
c.) Aphasia
d.) Hypertension - correct answers✅b
A nurse is assessing a client for changes in the level of
consciousness using the Glasgow Coma Scale (GCS). The
client opens his eyes when spoken to, speaks
incoherently, and moves his extremities when pain is
applied. Which of the following GCS scores should the
nurse document?
a.) E2+V3+M5 = 10
b.) E3+V4+M4= 11
c.) E4+V5+M6= 15
d.) E2+V2+M4= 8 - correct answers✅b
,Med Surg 1 Final Exam Question And
Answers 2024
A nurse is developing a plan of care for a client who is
scheduled for a cerebral angiography with contrast
media. Which of the following statements by the client
should the nurse report to the provider? (Slect all that
apply)
a.) "I think I might be pregnant."
b.) "I take warfarin."
c.) "I take antihypertensive medication."
d.) "I am allergic to shrimp."
e.) "I ate a light breakfast this morning." - correct
answers✅a,b,d,e
A nurse is providing a education to a client who is to
undergo an electroencephalogram (EEG) the next day.
Which of the following information should the nurse
include in the teaching?
a.) "Do not wash your hair the morning of the procedure."
, Med Surg 1 Final Exam Question And
Answers 2024
b.) "Try to stay awake most of the night prior to the
procedure."
c.) "The procedure will take approximately 15 minutes."
d.) "You will need to lie flat for 4 hours after the
procedure." - correct answers✅b
A nurse is assessing a client who has a seizure disorder.
The client tells the nurse, "I am about to have a seizure."
Which of the following actions should the nurse
implement?
a.) provide privacy
b.) Ease the client to the floor if standing
c.) Move furniture away from the client
d.) Loosen the client's clothing
e.) Protect the client's head with padding