Evolve - Medical Surg – Neuro with correct Answers latest 2022 | Exams Nursing

Evolve - Medical Surg – Neuro with

correct Answers latest 2022

A client with rheumatoid arthritis has been given a prescription for acetylsalicylic acid.

The client asks the nurse, "What kind of drug is acetylsalicylic acid?" The nurse recalls

that the classification to which this drug belongs is: - ANSWER Analgesics

A client had a right above-the-knee amputation secondary to trauma sustained in a

motor vehicle accident. Six days after surgery, the client falls while attempting to

transfer to a chair unassisted. The nurse concludes that this fall is most likely the result

of: - ANSWER Decreased muscle strength

A client taking levodopa (L-dopa) is taught about the signs of levodopa toxicity. The

nurse instructs the client to contact the primary health care provider if the client

develops: - ANSWER Twitching

A client has a compound fracture of the femur. The nurse should assess the client for

the typical signs and symptoms of a fat embolus. In comparison to thromboembolism,

which clinical indicator is unique to a fat embolus? - ANSWER Pinpoint red spots on the

chest

Postoperatively, a client complains about a variety of minor environmental factors,

frequently changes positions, and avoids eye contact. The nurse responds to these

observations by stating, "Let me get you some cold water and your pain pill, and you'll

be much better." The nurse's response demonstrates: - ANSWER An inappropriate

interpretation of the assessment findings

A client returns from the post-anesthesia care unit after a right rotator cuff repair. What

should the nurse do when performing a neurovascular assessment? - ANSWER Assess

for capillary refill in the nail beds.

A health care provider recently made the diagnosis that a client has glaucoma. The

nurse is preparing to administer eye drops to the client. Which ophthalmic solution is

contraindicated for this client? - ANSWER Atropine

The nurse is caring for a client with arthritis. The client asks, "Can I take Tylenol instead

of aspirin? Aspirin irritates my stomach." The nurse explains that acetaminophen

(Tylenol): - ANSWER Lacks an anti-inflammatory action

A client with a history of hypertension is admitted to the hospital immediately after a

brain attack (CVA). The client is unconscious and the vital signs are temperature 98°F,

pulse 78, respiration 16, and blood pressure 120/80. Which nursing concern below is a

priority for this client? - ANSWER Respiratory distress

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Evolve - Medical Surg – Neuro with

correct Answers latest 2022

A client with rheumatoid arthritis has been given a prescription for acetylsalicylic acid. The client asks the nurse, "What kind of drug is acetylsalicylic acid?" The nurse recalls that the classification to which this drug belongs is: - ANSWER Analgesics A client had a right above-the-knee amputation secondary to trauma sustained in a motor vehicle accident. Six days after surgery, the client falls while attempting to transfer to a chair unassisted. The nurse concludes that this fall is most likely the result of: - ANSWER Decreased muscle strength A client taking levodopa (L-dopa) is taught about the signs of levodopa toxicity. The nurse instructs the client to contact the primary health care provider if the client develops: - ANSWER Twitching A client has a compound fracture of the femur. The nurse should assess the client for the typical signs and symptoms of a fat embolus. In comparison to thromboembolism, which clinical indicator is unique to a fat embolus? - ANSWER Pinpoint red spots on the chest Postoperatively, a client complains about a variety of minor environmental factors, frequently changes positions, and avoids eye contact. The nurse responds to these observations by stating, "Let me get you some cold water and your pain pill, and you'll be much better." The nurse's response demonstrates: - ANSWER An inappropriate interpretation of the assessment findings A client returns from the post-anesthesia care unit after a right rotator cuff repair. What should the nurse do when performing a neurovascular assessment? - ANSWER Assess for capillary refill in the nail beds. A health care provider recently made the diagnosis that a client has glaucoma. The nurse is preparing to administer eye drops to the client. Which ophthalmic solution is contraindicated for this client? - ANSWER Atropine The nurse is caring for a client with arthritis. The client asks, "Can I take Tylenol instead of aspirin? Aspirin irritates my stomach." The nurse explains that acetaminophen (Tylenol): - ANSWER Lacks an anti-inflammatory action A client with a history of hypertension is admitted to the hospital immediately after a brain attack (CVA). The client is unconscious and the vital signs are temperature 98°F, pulse 78, respiration 16, and blood pressure 120/80. Which nursing concern below is a priority for this client? - ANSWER Respiratory distress

A client with cancer is scheduled for a bone scan to determine the presence of metastasis. The nurse evaluates that the teaching before the scheduled bone scan is effective when the client states - ANSWER "A substance of low radioactivity will be injected into my vein and my body inspected by an instrument to detect where it is deposited." A client who is diagnosed as having a herniated nucleus pulposus complains of pain. The nurse concludes that the pain is caused by the: - ANSWER Compression of the spinal cord by the extruded nucleus pulposus A client has carotid atherosclerotic plaques, and a right carotid endarterectomy is performed. Two hours after surgery the client demonstrates progressive hypotension. The nurse should: - ANSWER Notify the health care provider [The Trendelenburg position is contraindicated because it will increase pressure in the carotid arteries.] The nurse teaches a client who developed degenerative joint disease of the vertebral column positioning techniques, including turning from back to side, keeping the spine straight. The nurse explains that the least effort will be exerted if the client crosses the arm over the chest and: - ANSWER Bends the top knee to the side to which the client is turning A nurse is caring for a client who will have a below-the-knee amputation with an immediate postoperative prosthesis. The client asks the nurse the advantage of having an immediate prosthesis. What should the nurse explain is the advantage? - ANSWER Encourages a normal walking pattern When providing discharge teaching to a client who had a total hip replacement, the nurse should instruct the client to avoid: - ANSWER Sitting in a low chair A client with the diagnosis of multiple sclerosis (MS) develops increased visual problems, progressive muscular weakness, and frequent episodes of emotional lability. The difficulties experienced are very distressing to the client. The client bursts into tears for no apparent reason while having a discussion with the nurse. What is the nurse's best response? - ANSWER Let the client cry and then resume the discussion A client returns from surgery after a total hip arthroplasty. A pillow to maintain abduction is in place. Under what conditions should the nurse remove this pillow? - ANSWER During the client's bed bath A nurse is caring for a client with glaucoma. What rationale associated with the need for treatment of this condition should the nurse include in a teaching program? - ANSWER Lost vision cannot be restored What should the nurse consider as the goal of therapy when administering allopurinol (Zyloprim) to a client with gout? - ANSWER Decrease uric acid production

for this type of fracture, immediate life-threatening systemic complications can be minimized by: - ANSWER Handling and transporting the client gently A client has a decreased serum sodium level. The nurse should assess the client for which signs of hyponatremia? - ANSWER Confusion, muscle weaknesses A client newly diagnosed with rheumatoid arthritis is admitted to the hospital with bilateral painful knee and wrist joints. The nurse identifies impaired physical mobility related to painful, swollen joints. What should the nurse teach the client to do during the acute phase of the disease? - ANSWER Avoid exercises to the involved joints A client who is to have a total hip arthroplasty with an uncemented prosthesis asks, "When will I be able to get up and walk?" On what information should the nurse base an answer? - ANSWER Full weight-bearing may begin the day after surgery. The nurse is caring for a client with a distal femoral shaft fracture. For which clinical indicator unique to a fat embolus should the nurse assess the client? - ANSWER Petechiae A nurse is caring for a client with a spinal cord injury. Which is the specific reason why fluid intake should be increased for this client? - ANSWER Prevent a urinary tract infection A client is receiving phenytoin (Dilantin) for a seizure disorder and heparin for a deep vein thrombosis. Warfarin (Coumadin) is added in preparation for discontinuing the heparin. Why must the nurse observe the client closely during the initial days of treatment with warfarin? - ANSWER Warfarin affects the metabolism of phenytoin. A client has rotator cuff surgery. What should be included when the nurse performs a neurovascular assessment of the affected extremity immediately after surgery? - ANSWER Skin color, movement of hand, sensation in extremity A client has a diagnosis of myasthenia gravis. The nurse recalls that associated clinical manifestations include - ANSWER Blurred vision along with episodes of vertigo The nurse will prepare the patient for which major side effects of radiation therapy? - ANSWER Fatigue, Altered taste sensations Carbidopa/levodopa (Sinemet) is prescribed for a client with Parkinson disease. Which side effects does the nurse expect? - ANSWER Nausea, anorexia, mental changes What should the nurse explain is the primary purpose of the traction? - ANSWER Relieve muscle spasm and pain

A client who has just started on a regimen of haloperidol (Haldol) is observed pacing and shifting weight from one foot to another. What side effect does the nurse document in the client's chart? - ANSWER Akathisia ). What clinical manifestations are associated with increased ICP? - ANSWER Psychotic behaviors, Jacksonian seizures, nausea and vomiting a client is discharged on a regimen that includes chlorothiazide (Diuril). What should the nurse instruct the client to do regarding nutrition? - ANSWER Eat more citrus fruits and Increase intake of dried cooked beans asks the nurse what a TIA is. What explanation should the nurse provide? - ANSWER Temporary episodes of neurological dysfunction Which alternative therapy may be beneficial for the nurse to discuss with a client who has terminal bone cancer? - ANSWER Biofeedback A client has primary open-angle glaucoma. The nurse expects that the client will receive a prescription for which eye drops? - ANSWER Timolol maleate (Timoptic) When caring for a client with a head injury that may have involved the medulla, the nurse bases assessments on the knowledge that the medulla controls a variety of functions. - ANSWER breathing, pulse rate, blood vessel diameter The nurse is caring for a client who has sustained blunt trauma to the forearm. The nurse assesses the client for which early sign of compartment syndrome? - ANSWER Escalating pain in the fingers What should the nurse take into consideration when planning nursing care for a client experiencing an acute episode of rheumatoid arthritis? - ANSWER Bony ankylosis of a joint is irreversible and causes immobility What does the nurse understand that clients with myasthenia gravis, Guillain-Barré syndrome, and amyotrophic lateral sclerosis (ALS) share in common? - ANSWER Increased risk for respiratory complications A client is admitted with a brain attack (CVA) with left-sided paralysis. The client leans to the left when placed in a sitting position and fails to respond to stimuli in the left visual field. The client's plan of care should include: - ANSWER Teaching the client to use head movements to scan the left field of vision The nurse is caring for a client who has a tumor of the cerebellum. The client most likely will exhibit: - ANSWER Inability to execute smooth movements

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Evolve - Medical Surg – Neuro with

correct Answers latest 2022