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2024/2025 Cognition and Sensation (ATI) Detailed Answer Key
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2024/2025 Cognition and Sensation (ATI) Detailed Answer Key | Answered with Rationales
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Detailed Answer KeyHomework 18 - Cognition and Sensation
1. A nurse notes a client who has Parkinson disease shows signs of dyskinesia. Which of the following physical
manifestations should the nurse expect?
A. Difficulty swallowing
Rationale: The nurse should expect to find with signs of dyskinesia difficulty moving, not
swallowing.
B. Difficulty speaking
Rationale: The nurse should expect to find with signs of dyskinesia difficulty moving, not
speaking.
C. Difficulty moving
Rationale: The nurse should expect to find with signs of dyskinesia difficulty moving which is
correct.
D. Difficulty breathing
Rationale: The nurse should expect to find with signs of dyskinesia difficulty moving not
breathing.
2. A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following
actions is appropriate for the nurse to take? (Select all that apply.)
A. Administer the client's PRN pain medication.
B. Darken the client's room and close the door.
C. Limit the client's fluid intake for 8 hr.
D. Keep the client flat in bed for several hours.
Rationale: Administer the client's PRN pain medication is correct. This action is an appropriate
nursing action for management of a post-lumbar puncture headache.Darken the
client's room and close the door is correct. This is an appropriate nursing action for
management of a post-lumbar puncture headache.Limit the client's fluid intake for 8
hr is incorrect. Increasing fluids is helpful in replacing the cerebrospinal fluid that
was removed during the procedure, unless contraindicated.Keep the client flat in
bed for several hours is correct. The headache is usually relieved when the client
lies down, keeping the client flat in bed for several hours should relieve the
headache.
page 1 of 14
, Detailed Answer Key
Homework 18 - Cognition and Sensation
3. A nurse is reinforcing the discharge instructions to a client who has multiple sclerosis (MS). The client reports
symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are
appropriate?
A. “Wear an eye patch on the right eye at all times.”
Rationale: The nurse should instruct the client to alternate every two hours an eye patch to
improve diplopia, not leave on the right eye continually.
B. “Plan to relax in a hot tub spa each day.”
Rationale: The nurse should instruct the client to avoid extreme temperature changes which
may exacerbate the MS symptoms.
C. “Engage in a vigorous exercise program.”
Rationale: The nurse should instruct the client to develop a tolerable exercise program, not a
vigorous exercise program, which may exacerbate the MS symptoms.
D. “Implement a schedule to include periods of rest.”
Rationale: The nurse should implement a schedule with periods of exercise followed by
periods of rest to maintain muscle strength and coordination.
4. A nurse is caring for a client who has undergone a cataract removal of the left eye with placement of an
intraocular lens implant. Which of the following statements by the client indicates to the nurse that additional
education is needed?
A. “Even though my vision is improved, I will still need glasses.”
Rationale: Most clients will still need glasses because the intraocular lens implant does not
restore a client's vision to 20/20.
B. “If there is drainage around my eye, I should wipe it away with a clean, damp washcloth.”
Rationale: Drainage is a normal response to the operative procedure and may be removed
with a clean, damp washcloth.
C. “I may have pain for a day or two, but keeping the operated eye patched will help.”
Rationale: The client should not keep the operated eye patched.
D. “My vision may be blurry for a couple weeks until my eye has completely healed.”
Rationale: Blurred vision is to be expected until the eye has healed and the client is fitted with
corrective glasses.
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