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Nurs 480 Exam 3 Newest Actual Exam Preparation
With Complete Questions And Correct Answers With
Rationales||Verified Exam!!! | Already Graded
A+||Newest Exam Version!!!
In planning for discharge planning for a client with
bacterial meningitis, the nurse will be sure to include which
instruction?
1. Keep all family and visitors from visiting your room for
protective isolation.
2. Make sure you eat high protein diet with plenty of fluids
3. Take all of the antibiotics until gone.
4. Incorporate regular exercise with an active range of
motion. - Answer-3. Take all of the antibiotics until gone.
The client should be instructed to complete all antibiotics
until they are completely gone. Failure to complete
antibiotics may lead to re-infection and may spread
causing endocarditis and other infections in the body,
especially if the bacteria were from streptococci. While the
client may be in isolation while in the hospital, family may
not need to quarantine the client when at home. Some
family members receive prophylactic antibiotics, but will be
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ordered according to the bacterial strain and health care
provider (HCP) recommendations. It is important to eat a
good diet, but the most important will be taking prescribed
antibiotics. While returning to exercise is important,
gradual increase should be performed, and the answer
selection for exercise was not as important as prescribed
antibiotics.
The nurse is assessing the central stimulus function of an
unconscious client in the intensive care unit. The nurse
should plan to use which technique to test the client's
central response to stimuli?
1. Supraorbital ridge pressure.
2. Sternal rub.
3. Pressure on the nail bed.
4. Calling out loudly close to the client's ear. - Answer-1.
Supraorbital ridge pressure.
Central stimulus is applied to cranial nerves not peripheral
nerves. Supraorbital ridge pressure by applying pressure
on the orbital rim is indicated for central stimulus
assessment. Sternal rub is usually not indicated via best
practices. Pressure on the nail bed represents testing
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painful stimuli for motor testing on peripheral nerves.
Calling out loudly is not an assessment technique for
central stimulus function. There are two anatomic locations
for pain stimulus: centrally and peripherally. Central
involves trapezious pinch or supraorbital pressure
whereas peripheral stimuli are applied to extremities.
Responses may infer damage to the brain or specific brain
areas.
A client is admitted for observation following a motor
vehicle accident that occurred on the way to the client's
daughter's wedding. The next morning, instead of asking
about the wedding, the client tells the nurse "I have to
leave now since the wedding is in a few minutes." The
client then becomes agitated when the nurse re-orients
and states the actual date (which is the day following the
wedding). What should the nurse do next?
1. Change the date on the hospital room whiteboard to
yesterday's date.
2. Perform neurological assessment and assess pupillary
response.
3. Administer Valium 40 mg IV since the client is about to
have a seizure.
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4. Call the family to see if the wedding can be repeated -
Answer-2. Perform neurological assessment and assess
pupillary response.
The nurse needs to perform a neuro assessment to
determine pupillary response, ask if a headache is
present, take vital signs, and contact the health care
provider. The client may be exhibiting subtle signs of
increased intracranial pressure which includes
restlessness, agitation, headache, and pupil changes.
A client is taking felbamate (Felbatol) for seizures and
displays symptoms of pancytopenia based on which
assessment findings? (Select all that apply)
1. Sore throat
2. Epistaxis
3. Skin rash
4. Gingival hyperplasia - Answer-1. Sore throat
2. Epistaxis
Pancytopenia symptoms while taking felbamate include
fever, sore throat, flu-like feeling, and may exhibit
Nurs 480 Exam 3 Newest Actual Exam Preparation
With Complete Questions And Correct Answers With
Rationales||Verified Exam!!! | Already Graded
A+||Newest Exam Version!!!
In planning for discharge planning for a client with
bacterial meningitis, the nurse will be sure to include which
instruction?
1. Keep all family and visitors from visiting your room for
protective isolation.
2. Make sure you eat high protein diet with plenty of fluids
3. Take all of the antibiotics until gone.
4. Incorporate regular exercise with an active range of
motion. - Answer-3. Take all of the antibiotics until gone.
The client should be instructed to complete all antibiotics
until they are completely gone. Failure to complete
antibiotics may lead to re-infection and may spread
causing endocarditis and other infections in the body,
especially if the bacteria were from streptococci. While the
client may be in isolation while in the hospital, family may
not need to quarantine the client when at home. Some
family members receive prophylactic antibiotics, but will be
,2|Page
ordered according to the bacterial strain and health care
provider (HCP) recommendations. It is important to eat a
good diet, but the most important will be taking prescribed
antibiotics. While returning to exercise is important,
gradual increase should be performed, and the answer
selection for exercise was not as important as prescribed
antibiotics.
The nurse is assessing the central stimulus function of an
unconscious client in the intensive care unit. The nurse
should plan to use which technique to test the client's
central response to stimuli?
1. Supraorbital ridge pressure.
2. Sternal rub.
3. Pressure on the nail bed.
4. Calling out loudly close to the client's ear. - Answer-1.
Supraorbital ridge pressure.
Central stimulus is applied to cranial nerves not peripheral
nerves. Supraorbital ridge pressure by applying pressure
on the orbital rim is indicated for central stimulus
assessment. Sternal rub is usually not indicated via best
practices. Pressure on the nail bed represents testing
,3|Page
painful stimuli for motor testing on peripheral nerves.
Calling out loudly is not an assessment technique for
central stimulus function. There are two anatomic locations
for pain stimulus: centrally and peripherally. Central
involves trapezious pinch or supraorbital pressure
whereas peripheral stimuli are applied to extremities.
Responses may infer damage to the brain or specific brain
areas.
A client is admitted for observation following a motor
vehicle accident that occurred on the way to the client's
daughter's wedding. The next morning, instead of asking
about the wedding, the client tells the nurse "I have to
leave now since the wedding is in a few minutes." The
client then becomes agitated when the nurse re-orients
and states the actual date (which is the day following the
wedding). What should the nurse do next?
1. Change the date on the hospital room whiteboard to
yesterday's date.
2. Perform neurological assessment and assess pupillary
response.
3. Administer Valium 40 mg IV since the client is about to
have a seizure.
, 4|Page
4. Call the family to see if the wedding can be repeated -
Answer-2. Perform neurological assessment and assess
pupillary response.
The nurse needs to perform a neuro assessment to
determine pupillary response, ask if a headache is
present, take vital signs, and contact the health care
provider. The client may be exhibiting subtle signs of
increased intracranial pressure which includes
restlessness, agitation, headache, and pupil changes.
A client is taking felbamate (Felbatol) for seizures and
displays symptoms of pancytopenia based on which
assessment findings? (Select all that apply)
1. Sore throat
2. Epistaxis
3. Skin rash
4. Gingival hyperplasia - Answer-1. Sore throat
2. Epistaxis
Pancytopenia symptoms while taking felbamate include
fever, sore throat, flu-like feeling, and may exhibit
