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Med Surg 1 Final Exam
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MED SURG 1 FINAL EXAM WITHVERIFIED SOLUTIONS
A nnurse nis ncaring nfor na nclient nwho nis npostprocedure nfollowing nlumbar
npuncture nand nreports na nthrobbing nheadache nwhen nsitting nupright. nWhich nof
nthe nfollowing nactions nshould nthe nnurse ntake? n(Select nall nthat napply)
a.) nUse nthe nGlasgow nComa nScale nwhen nassessing nthe nclient n
b.) nAssist nthe nclient nto na nsupine nposition n
c.) nAdminister nan nopioid nmedications n
d.) nEncourgae nthe nclient nto nincrease nfluid nintake n
,e.) nInstruct nthe nclient nto nperform ndeep nbreathing nand ncoughing nexercises n-
correct nanswers-b,c,d
A nnurse nis ncaring nfor na nclient nwho nexperienced na ntraumatic nhead ninjury nand
nhas nan nintraventricular ncatheter n(ventriculostomy) nfor nICP nmonitoring. nThe
nnurse nshould nmonitor nthe nclient nfor nwhich nof nthe nfollowing ncomplications
nrelated nto nthe nventriculostomy? n
a.) nHeadache n
b.) nInfection n
c.) nAphasia n
d.) nHypertension n-correct nanswers-b
A nnurse nis nassessing na nclient nfor nchanges nin nthe nlevel nof nconsciousness
nusing nthe nGlasgow nComa nScale n(GCS). nThe nclient nopens nhis neyes nwhen
nspoken nto, nspeaks nincoherently, nand nmoves nhis nextremities nwhen npain nis
napplied. nWhich nof nthe nfollowing nGCS nscores nshould nthe nnurse ndocument? n
a.) nE2+V3+M5 n= n10 n
b.) nE3+V4+M4= n11
c.) nE4+V5+M6= n15 n
d.) nE2+V2+M4= n8 n-correct nanswers-b
A nnurse nis ndeveloping na nplan nof ncare nfor na nclient nwho nis nscheduled nfor na
ncerebral nangiography nwith ncontrast nmedia. nWhich nof nthe nfollowing nstatements
nby nthe nclient nshould nthe nnurse nreport nto nthe nprovider? n(Slect nall nthat
napply) n
a.) n"I nthink nI nmight nbe npregnant." n
b.) n"I ntake nwarfarin." n
c.) n"I ntake nantihypertensive nmedication." n
d.) n"I nam nallergic nto nshrimp." n
e.) n"I nate na nlight nbreakfast nthis nmorning." n-correct nanswers-a,b,d,e
, A nnurse nis nproviding na neducation nto na nclient nwho nis nto nundergo nan
nelectroencephalogram n(EEG) nthe nnext nday. nWhich nof nthe nfollowing
ninformation nshould nthe nnurse ninclude nin nthe nteaching? n
a.) n"Do nnot nwash nyour nhair nthe nmorning nof nthe nprocedure." n
b.) n"Try nto nstay nawake nmost nof nthe nnight nprior nto nthe nprocedure." n
c.) n"The nprocedure nwill ntake napproximately n15 nminutes." n
d.) n"You nwill nneed nto nlie nflat nfor n4 nhours nafter nthe nprocedure." n-correct
nanswers-b
A nnurse nis nassessing na nclient nwho nhas na nseizure ndisorder. nThe nclient ntells
nthe nnurse, n"I nam nabout nto nhave na nseizure." nWhich nof nthe nfollowing nactions
nshould nthe nnurse nimplement? n
a.) nprovide nprivacy
b.) nEase nthe nclient nto nthe nfloor nif nstanding n
c.) nMove nfurniture naway nfrom nthe nclient n
d.) nLoosen nthe nclient's nclothing n
e.) nProtect nthe nclient's nhead nwith npadding n
f.) nRestrain nthe nclient n-correct nanswers-a,b,c,d,e
A nnurse nis ncaring nfor na nclient nwho njust nexperienced na ngeneralized nseizure.
nWhich nof nthe nfollowing nactions nshould nthe nnurse nperform nfirst? n
a.) nKeep nthe nclient nin na nside-lying nposition n
b.) nDocument nthe nduration nof nthe nseizure n
c.) nReorient nthe nclient nto nthe nenvironment n
d.) nProvide nclient nhygeine n-correct nanswers-a
A nnurse nis nproviding ndischarge ninstructions nto na nclient nwho nhas na
nprescription nfor nphenytoin. nWhich nof nthe nfollowing ninformation nshould nthe
nnurse ninclude? n
a.) nConsider ntaking nan nantacid non nthis nmedication n
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