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1. A nurse is caring for a client b. Infection
who experienced a traumat- Monitor for infection and use strict asepsis to avoid life-threaten-
ic head injury and has an in- ing meningitis.
traventricular catheter (Ven-
triculostomy) for ICP mon-
itoring. The nurse should
monitor the client for which
of the following complica-
tions related to the ventricu-
lostomy?:
a. Headache
b. Infection
c. Aphasia
d. Hypertension
2. A nurse is providing educa- b. "Try and stay awake most of the night prior to the procedure."
tion to a client who is to un-
dergo an EEG the next day. Tell the client to remain awake to provide cranial stress and in-
Which of the following info crease the possibility of abnormal electrical activity
should the nurse include in
the teaching?
a. "Do not wash your hair the
morning of the procedure."
b. "Try and stay awake most
of the night prior to the pro-
cedure."
c. "The procedure will take
approximately 15 mins."
d. "You will need to lie flat
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for 4 hours after the proce-
dure."
3. A nurse is caring for a B, D
client who is postprocedur-
al following a lumbar punc-
ture and reports a throbbing
headache when sitting up-
right. Which of the follow-
ing actions should the nurse
take? SATA.
a. Use the GCS scale to as-
sess the client
b. Assist the client into a
supine position
c. Administer an opioid anal-
gesic
d. Encourage the client to in-
crease PO fluid intake
e. Instruct the client to per-
form coughing and deep
breathing
4. A nurse is caring for a c. Viscous urinary output with clots
client who has continuous
bladder irrigation following Urine that is bright red with clots is an indication of arterial
a transurethral resection of bleeding.
the prostate (TURP). Which
of the following findings
should the nurse report to
the provider?
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a Output equal to the in-
stilled irrigate
b. Client reports bladder
spasms
c. Viscous urinary output
with clots
d. Reports of strong urge to
urinate
5. A nurse is monitoring the b. Prolonged QT intervals
ECG of a client who has Manifestations of hypocalcemia include tingling, numbness,
hypocalcemia. Which of the tetany, seizures, prolonged QT intervals, and laryngospasm.
following findings should
the nurse expect?
a. Flattened T waves
b. Prolonged QT intervals
c. Shortened QT intervals
d Widened QRS complexes
6. A nurse is preparing a client c. Development of hives while eating shrimp
who has a brain tumor for a Shellfish allergy is contraindication of use of contrast media dur-
CT scan. Which of the follow- ing a CT scan.
ing factors affects the man-
ner in which the nurse will
prepare the client for the
scan?
a. No food or fluids con-
sumed for 4 hours
b. Difficulty recalling recent
events
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c. Development of hives
while eating shrimp
d. Paresthesia in both hands
7. A nurse is preparing an b. Interference with renal perfusion causes prerenal azotemia.
in-service program about Prerenal = interference with renal perfusion, such as from heart
the stages of acute kidney failure or hypovolemic shock.
injury. Which of the follow-
ing pieces of info should the
nurse include about prere-
nal azotemia?
a. Prerenal azotemia begins
prior to the onset of symp-
toms
b. Interference with re-
nal perfusion causes renal
azotemia
c. Prerenal azotemia is ir-
reversible, even in early
stages
d. Infections and tumors
cause prerenal azotemia
8. A nurse is teaching a client A, B, D
who has CAD about the
difference between angina
pectoris and MI. Which of
the following should the
nurse identify as indications
of MI? SATA.