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PRN1725/ PRN 1725 Exam 1 (New 2024/ 2025 Update) Client-Centered Care IV Exam Practice Questions and Verified Answers|100% Correct| A Grade - Rasmussen Q $11.49
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PRN1725/ PRN 1725 Exam 1 (New 2024/ 2025 Update) Client-Centered Care IV Exam Practice Questions and Verified Answers|100% Correct| A Grade - Rasmussen Q
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QUESTION a nurse is caring for a client who is experiencing auditory hallucinations. Which of the following responses should the nurse make first? Answer: the nurse needs to recognize that this is something they are experiences so they might say "i do not hear what you are hearing" QUESTION ...

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  • 15 augustus 2024
  • 17
  • 2024/2025
  • Tentamen (uitwerkingen)
  • Vragen en antwoorden

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  • prn1725 prn 1725 exam 1 new update c

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PRN1725/ PRN 1725 Exam 1 (New 2024/
2025 Update) Client-Centered Care IV Exam
Practice Questions and Verified
Answers|100% Correct| A Grade -
Rasmussen

QUESTION
a nurse is caring for a client who is experiencing auditory hallucinations. Which of the
following responses should the nurse make first?


Answer:
the nurse needs to recognize that this is something they are experiences so they might say "i do
not hear what you are hearing"



QUESTION
A nurse is caring for a client who just experienced a generalized seizure. Which of the following
actions should the nurse perform first?


Answer:
-make sure they are safe
-LOC
-stay with the person
-DO NOT move them



QUESTION
a nurse is caring for a client who sustained a head injury in an accident. A focused exam reveals
that one pupil is larger than the other. What should the nurse do first?


Answer:
-notify the provider

,QUESTION
which nursing intervention is the priority when caring for a client during the acute phase of
Guillain-Barre?


Answer:
-assessment is the most important part during the acute stage
-monitor the progression of paralysis
-monitor ABGs
-orthostatic hypertension and cardiac dysrhythmia



QUESTION
a nurse is collecting data from an infant who hit her head when she fell off a dressing table. the
nurse should identify which of the following as indicating increased intracranial pressure?


Answer:
-high pitched cry
-irritability
-bulging fontanels
-setting sun (eyes looking down)



QUESTION
a nurse is modifying the diet of a client who has parkinson's and a prescription for Selegiline, a
MAOI. Which of the following foods should the nurse eliminate from the clients diet.


Answer:
-Aboid Tyramine
-aged cheese, cured meats, dried fruit, alcohol, pickled or fermented foods



QUESTION
a nurse is reinforcing teaching with the family of a client who has primary dementia. Which of
the following manifestations of dementia should the nurse include in the teaching?


Answer:
-difficulty performing ADLs

, -memory loss - FORGETFULNESS
-wandering
-confusion
-repeating questions



QUESTION
a nurse is reviewing the health record of a client who has a malignant brain tumor and notes the
client has a positive Romberg sign. Which of the following actions should the nurse take to
assess for this sign?


Answer:
- Have the client stand with eyes closed and feet together - see if they sway
- tests their balance



QUESTION
a nurse visiting a client with Huntington's disease is asked if his offspring will also have this
disease. Which response is appropriate?


Answer:
-the children have a 50% chance of inheriting it
-genetic testing can confirm it



QUESTION
a young adult is hospitalized with a seizure disorder. The client who is in a bed with padded
rails, is found having a tonic-clinic seizure. Which of the following actions by the nurse would
require further teaching?


Answer:
- do not put anything in their mouth
- do not restrain thwm



QUESTION
an alert and oriented client comes to the ED after hitting his head in a motor vehicle accident.
What should the nurse do first?

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