NURS 372 Exam 3 Questions and Correct Answers, Actual Exam Questions. With Complete Solution.
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Course
NURS 372
Institution
Western Governors University
NURS 372 Exam 3 Questions and Correct Answers, Actual Exam Questions. With Complete Solution.
The patient receiving anticoagulation therapy with heparin is experiencing internal bleeding. The medication that reverses the effects of heparin is
Protamine sulfate
Which statement made by the patie...
NURS 372 Exam 3 Questions and Correct
Answers, Actual Exam Questions. With Complete
Solution.
The patient receiving anticoagulation therapy with heparin is experiencing
internal bleeding. The medication that reverses the effects of heparin is
Protamine sulfate
Which statement made by the patient with newly diagnosed epilepsy indicates
that further teaching concerning the drug regimen is necessary?
"I can discontinue my medication when the seizures are under control."
Three days following intracranial surgery a patient develops fever, nuchal rigidity,
and headache. The nurse would suspect
Meningitis
While monitoring the patient with encephalitis, you observe that the patient's
pupils have become increasingly dilated with a sluggish response to light. What
is your first action?
Raise the head of the bed to 30 degrees
Which of the following instructions should be included in a teaching plan for a
patient experiencing orthostatic hypotension from Sinemet (carbidopa/levodopa)
administration?
Change positions slowly
A patient with aphasia presents to the Emergency Department with a suspected
brain attack. What assessment data would lead you to suspect that this patient
has experienced an embolic brain attack?
Two episodes of speech difficulties in the past month
Which statement or behavior by a patient after a brain attack indicates to you that
the patient is adjusting to the residual limitations from the event?
The patient uses the unaffected side to perform ROM exercises on the affected side
A patient experiencing transient ischemic attacks (TIA's) is scheduled for a
carotid endarterectomy. The nurse explains that this procedure will be done to
Prevent a brain attack by removing atherosclerotic plaques blocking the cerebral blood
flow
A patient is brought to the Emergency Department after being in a motor vehicle
accident. The patient's arms, wrists, and fingers are flexed with internal rotation
and plantar flexion of the lower extremities. The nurse would chart this position
as
Flexion (Decorticate) posturing
Your patient is receiving Coumadin (warfarin) therapy as follow-up treatment for a
thrombotic brain attack. Which of the following international normalized ratios
(INR) indicates that anticoagulation is adequate?
Patient's INR is 2.0 - 3.0
, The patient recovering from a brain attack has been prescribed Plavix
(clopidogrel). Which symptom or clinical manifestation would alert you to an
adverse effect of this medication?
Ecchymosis
A patient has arrived by ambulance at the Emergency Department after a cervical
spinal cord injury. Which assessment is a priority for you to perform at this time?
Assessment of respiratory pattern and airway
When a patient arrives in the Emergency Department after being involved in a
motor vehicle accident exhibiting a complete loss of motor, sensory, autonomic,
and reflex activity below the level of the injury, the nurse can determine if he is
experiencing spinal shock by assessing
Blood pressure and pulse rate
A patient exhibiting an altered LOC due to blunt force trauma to the head is
admitted to the ED with signs of increased intracranial pressure (ICP). The
priority nursing assessment for level of consciousness should include
Glasgow Coma Scale
The nurse is assessing the motor and sensory function of an unconscious client.
The nurse should use which technique to test the client's peripheral response to
pain?
Nail bed pressure
You are preparing a patient newly diagnosed with Multiple Sclerosis (MS) for
discharge home from a rehabilitation center. The patient has been prescribed
cyclophosphamide (Cytoxan) and methylprednisolone (Medrol). What should be
included in the community-based teaching plan for this patient?
"Avoid people with colds."
The early manifestations of Amyotrophic Lateral Sclerosis (ALS) and Multiple
Sclerosis (MS) are similar. What clinical feature distinguishes ALS from MS?
Impairment of respiratory muscles
When a patient is admitted to the hospital with Guillian-Barre' Syndrome, the
most important assessment the nurse should make is for
Respiratory distress
Which clinical manifestation of Guillian-Barre' Syndrome is reflective of the most
common clinical pattern of the disease?
Progressive, ascending weakness and paresthesia
The nurse is assisting during a lumbar puncture. The nurse should position the
patient in which of the following positions?
Side-lying, with legs pulled up and head bent down onto the chest
he nurse has given instructions to the patient with Parkinson's disease about
maintaining mobility. Which behavior exhibited by the patient indicates that
he/she understands the information?
Exercises in the evening to combat fatigue
While bathing a patient who was admitted the evening before, the nurse notices
the onset of seizure activity. Which of the following nursing interventions should
be implemented first?
Turn the patient onto their side
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