NURSING 213 - Final Exam Study Guide 2020/NURSING 213 - Final Exam Study Guide 2020. 1.Which assessment data should the RN collect first from the client brought to the Emergency Department with confusion and a decreased level of consciousness? 2.The RN uses the Glasgow Coma Scale (GCS) to assess a ...
Which assessment data should the RN collect first from the client brought to the Emergency
Department with confusion and a decreased level of consciousness?
History of drug or alcohol abuse.
Current medications.
Family medical history.
Onset of symptoms correct
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2.0 M8E_N213
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The RN uses the Glasgow Coma Scale (GCS) to assess a client with an acute brain injury and
notes a score of four (4). Which intervention is a priority for this client?
Maintain the airway. correct
Improve extremity range of motion.
Promote skin integrity.
Prevent injury.
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3.1 M8E_N213
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An RN is caring for a client with Multiple Sclerosis, who is experiencing weakness in their
extremities. Which of the following would be an appropriate expected outcome for a client with
Impaired physical mobility? The client will:
Participate in strenuous exercise as tolerated.
Apply orthotics to reduce contractures.
, The client will use assistive devices effectively. correct
Take a hot bath daily to limit spasticity.
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4.0 M8E_N213
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Which assessment indicates to the RN that the prescribed acetylcholinesterase inhibitor is
effective for the client diagnosed with myasthenia gravis?
Denies nausea when eating.
Reports no muscle pain.
Blinks eyes without tearing.
Feeds self independently. correct
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5.0 M8E_N213
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Which information should the RN include in the teaching plan for the client with a new diagnosis
of myasthenia gravis?
Select all that apply
Schedule rest periods throughout the day.
Take medications on a regular schedule.
Use scatter rugs on bare floor.
Avoid soft foods in gravy or sauces.
Sit upright during meals.
correct
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,6.0 M8E_N213
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Which client outcome indicates to the RN that client teaching has been effective for the client
diagnosed with Parkinson’s disease?The client:
Ambulates with a walker. incorrect
Communicates only by writing.
Takes frequent naps during the day.
Sits in an upright position for meals.
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7.0 M8E_N213
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Which intervention should the RN implement for a client with Parkinson’s disease who has
Impaired physical mobility?
Take small shuffling steps.
Walk slowly with arms at sides.
Concentrate on walking erect. correct
Use a walker at all times.
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8.0 M8E_N213
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During medication reconciliation for a client with Parkinson’s disease and narrow angle
glaucoma, the RN notes an order for benzotropine mesylate What is the most appropriate
intervention for the RN to take?
Administer the medication as soon as possible.
Maintain the client on bedrest.
, Collaborate with the physical therapist.
Contact the health care provider about the order. correct
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9.0 M8E_N213
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Which RN intervention helps the client diagnosed with amylotrophic lateral sclerosis (ALS)
preserve their autonomy in decision making?
Obtain consent for the placement of an enteral feeding tube.
Encourage the client to complete an advanced directive. correct
Provide the client with information about the ALS Society.
Initiate a referral to a social worker for hospice care.
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10.1 M8E_N213
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What information is essential for the RN to include when teaching the family of a client with
Huntington’s Disease?
Personality changes and dementia are part of the disease. correct
It is important to maintain a positive outlook.
The medications will help cure the disease.
Confusion and twisting movements are temporary.
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11.0 M8E_N213
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