ACCURATE ANSWERS /WELL DETAILED AND
UPDATED
1.A client is admitted to the hospital with symptoms consistent with right hemisphere
stroke. With Neurovascular assessment requires immediate inter- vention by the
nurse?: Pupillary changes to ipsilateral dilation
2. Achieve maximum mobility and independence for a client multiple sclerosis (MS
Which intervention is most important for the nurse to implement?: Teac
strengthing exercises
3.The Nurse is teaching a client with glomerulonephritis about self-care. Which
dietary recommendations should the nurse recommend the client to follow?:
Restrict protein intake by including meats and other high protein
foods
4.The nurse Is caring for a client with herpes zoster who reports painful blisters that
align from the back along the chest curvature to the anterior chest. Which intervention
is the highest priority for the nurse?: Place the client on contact precaution
, 5.A young adult who suffered a severe brain injury in an automobile collision has been
mechanically ventilated for the past three days and has no sponta- neous respiratory
effort. After serial electroencephalograms (EEG) reveal no brain activity, the healthcare
provider discusses end-of-life options with family who agree to discontinue life support.
Which intervention should the nurse implement?: Discuss the withdrawal
procedure with the family and offer support
6.Following a transurethral resection of the prostate (TURP), a client is dis- charged
from the hospital with an indwelling urinary catheter. Which instruc- tion is most
important for the nurse to include in the discharge teaching plan?: Drink 3 liters of
water each day
7.On the first postoperative day, the nurse finds an older male client disori- ented and
trying to climb over the bed railing. Previously he was oriented to person, place, and
time on admission. Which intervention should the nurse implement first?: Asses the
client for pain
8. Acute soft-tissue injuries (I.e. sprains, strains) provide the nurse with a variety o
teaching opportunities. Which instruction should the nurse provide to a client with a
soft tissue injury?: Apply Ice intermittently for the first 24 hours