Exam 5 NUR242 NUR 242 (Updated ) Medical-Surgical Nursing Exam Questions and Verified Answers 100% Grade A- (Galen)

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NUR 242 EXAM 4|| NUR 242 MED SURG ALL 300 QUE
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STIONS AND CORRECT ANSWERS|| LATEST AND C S S S S S S



OMPLETE VERSION 2024- S S



2025 WITH VERIFIED SOLUTIONS|| ASSURED PASS!
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The nurse is planning care for an immobilized client who had a stroke with right-
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sided hemiparesis. Which activity would the nurse include in the plan of care-
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SANSWER: - answer Assist the client to perform range-of-SS S S S S S S S


motion (ROM) exercises every 1 to 2 hours
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Which is the priority nursing action for a client admitted to the hospital in a coma aft
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er having a stroke- ANSWER: - answer Maintain an open airway.
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Which position would the nurse plan to use for the client who is having a hypertensiv
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e crisis and evolving stroke- ANSWER: - answer Side-lying
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Which nursing action is essential when a client experiences hemianopsia as the resul
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t of a left ischemic stroke- ANSWER: - answer Place objects within the visual field
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Initially after a stroke, a client's pupils are equal and reactive to light. Later, the nurse
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Sassesses that the right pupil is reacting more slowly than the left and that the systolic
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blood pressure is rising. Which complication would the nurse plan to address-
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SANSWER: - answer Increased intracranial pressure SS S S S S




The registered nurse (RN) is caring for a client who is currently hospitalized for a str
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oke. Which professional management strategy will be most effective for the RN to i
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mprove the safety and quality of client care- ANSWER: - answer Delegation
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The client taking intravenous coagulant medications for a bleeding disorder suddenl
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y develops an embolic stroke as a result of medication overdose. Which actions by th
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e hospital management does the Leapfrog Group suggest-
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ANSWER: Select all that apply. One, some, or all responses may be correct. -
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answer Apologize to the client and family.
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Waive all costs directly related to the adverse effect.
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Report the adverse event to The Joint Commission.
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Which action will the nurse complete when preparing a stroke client for cerebral ima
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ging with iodine-based contrast dye- ANSWER: -
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answer Ensure a recent creatinine level has been assessed.
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Which behaviors would the nurse include when teaching a family what to expect fro
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m a client who experienced a stroke on the left side of the brain-
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ANSWER: Select all that apply. One, some, or all responses may be correct. -
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answer Slow performance and caution
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Impaired speech/language aphasias S S




Awareness of deficits with depression and anxiety
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When a client has difficulty swallowing after a stroke, which action by the nurse wo
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uld be most important in preventing pneumonia- ANSWER: -
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answer Having suction available during meals
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A client has had a recent brain attack (cerebrovascular accident/stroke). Which preve
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ntative would the nurse anticipate will be prescribed daily to avoid straining due to c
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onstipation- ANSWER: - answer Stool softener S SS S S S




Which intervention would the disaster management team nurse perform for the survi
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vors of an explosion who developed heat stroke- ANSWER: -
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answer Apply ice packs on the client's scalp
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Which level of care is the nurse providing when preparing to discharge a client who i
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s learning to walk again after a stroke to a rehabilitation center- ANSWER: -
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Sanswer tertiary care S S




Which action by the emergency department nurse is the priority for a client with heat
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stroke- ANSWER: - answer Assess the airway and breathing
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A client who sustains a stroke has a loss of proprioception and fine touch. Which arte
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ry would the nurse suspect is damaged- ANSWER: - answer Anterior cerebral
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A client has a brain attack (stroke) that involves the right cerebral cortex and cranial
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nerves. Which areas of paralysis would the nurse expect to find upon assessment-
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ANSWER: Select all that apply. One, some, or all responses may be correct. -
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answer Left leg
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Left arm S




Left side of face S S S




Initially after a stroke, the client's pupils are equal and reactive to light. Four hours la
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ter, the nurse identifies that one pupil reacts more slowly than the other and the client
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's systolic blood pressure is increasing. For which condition would the nurse prepare
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to intervene- ANSWER: - answer Increased intracranial pressure
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The nurse observes dorsiflexion of the big toe and fanning of other toes when the late
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ral side of a client's foot is stroked. Which finding would the nurse document-
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SANSWER: - answer Exhibits a positive Babinski sign SS S S S S S S




The nurse is caring for a client who had a stroke and who has varying moods ranging
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from anger to depression to concern about the aphasia, hemiparesis, and the gavage f
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