NS 233 Exam 2 Review Questions and Correct Answers
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Course
NUR 233
Institution
NUR 233
A nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe? withholding sedative and analgesic medications
The nurse should teach a patient which is a primary prevention strategy to reduce the occurrence of head injuries? wearing a helmet
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NS 233 Exam 2 Review Questions and
Correct Answers
A nurse is caring for a patient with increased intracranial pressure. Which action is
considered unsafe? ✅withholding sedative and analgesic medications
The nurse should teach a patient which is a primary prevention strategy to reduce the
occurrence of head injuries? ✅wearing a helmet
You are called to the patients room when the patient experiences a seizure. Upon
entering the room, what should you do first? ✅observe the time and sequence of the
patient's movements and responses as they occur
A high school teacher who has just been diagnosed with epilepsy after having a
generalized tonic-clonic seizure tells the nurse, "I cannot teach anymore, it will be too
upsetting if I have a seizure at work." Which response by the nurse is best? ✅Epilepsy
usually can be well controlled with medications
A patient is being transferred to the medical-surgical unit. Which equipment should the
nurse have available in the patient's room? ✅suction tubing
The nurse is caring for a patient who just experienced a generalized seizure. Which
action should the nurse perform first? ✅keep the patient in a side-lying position
A patient has been newly admitted with meningococcal meningitis. Which observation
by the nurse requires immediate action? ✅healthcare providers enter the patient's
room without a mask
The nurse is caring for a patient with meningitis and is at risk for increased intracranial
pressure. Which of the following action should the nurse plan to take? ✅implement
seizure precautions
When assessing a 53-year-old patient with bacterial meningitis, the nurse obtains the
following data. Which findings should be reported immediately to the health care
provider? ✅the patient's blood pressure is 88/42 mm Hg
D.B. is admitted to a long-term care facility. He has a nursing diagnosis of impaired
memory related to the effects of Alzheimer's. An appropriate nursing intervention for him
is to? ✅maintain familiar routines of sleep, meals, drug administration, and activities
A 71-year-old patient with Alzheimer's Disease (AD) who is being admitted to a long-
term care facility has had several episodes of wandering away form home. Which action
, will the nurse include in the plan of care? ✅place the patient in a room close to the
nurses' station
After change-of-shift report on the Alzheimer's unit which patient will the nurse assess
first? ✅patient who has developed new cough after eating breakfast
The nurse finds a patient in bed having a generalized tonic-clonic seizure. During the
seizure activity, what actions should the nurse take? ✅loosen restrictive clothing, turn
the patient to the side, protect the patient's head from injury
The nurse on the clinical unit is assigned to four patients. Which patient should she
assess first? ✅patient with meningitis who is suddenly agitated and reporting a
headache of 10 on a 0-to-10 scale
A nursing measure that is indicated to reduce the potential for seizures and increased
intracranial pressure in the patient with bacterial meningitis is? ✅controlling fever with
prescribed drugs and cooling techniques
An early sign of increased intracranial pressure that the nurse should assess for is?
✅decreasing level of consciousness
Why is the Glasgow Coma Scale (GCS) used? ✅to quickly assess the LOC
When assessing the body functions of a patient with increased ICP, what should the
nurse assess first? ✅circulatory and respiratory status
A patient is admitted to the hospital with possible bacterial meningitis. During the initial
assessment, the nurse questions the patient about a recent history of what? ✅an
upper respiratory infection
What are the key manifestations of bacterial meningitis? ✅high fever, nuchal rigidity,
and severe headache
A priority goal of treatment for the patient with Alzheimer's Disease is to? ✅maintain
patient safety
The early stage of Alzheimer's Disease is characterized by? ✅memory problems and
mild confusion
Dementia is defined as? ✅syndrome characterized by cognitive dysfunction and loss
of memory
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