RN Med Surg Neurosensory & Musculoskeletal Exam Questions And Answers (Verified)
18 views 0 purchase
Course
RN Med Surg Neurosensory & Musculoskeletal
Institution
RN Med Surg Neurosensory & Musculoskeletal
RN Med Surg Neurosensory & Musculoskeletal Exam Questions And Answers (Verified)
A nurse is assessing a client who is quadriplegic following a cervical fracture at vertebral level C5. The client reports a throbbing headache and nausea. The nurse notes flushing and a blood pressure of 220/110 mm ...
rn med surg neurosensory amp musculoskeletal exam questions and answers verified a nurse is assessing a client who is quadriplegic following a cervical fracture at vertebral level c5 the client
Written for
RN Med Surg Neurosensory & Musculoskeletal
All documents for this subject (10)
Seller
Follow
ACADEMICAIDSTORE
Reviews received
Content preview
RN Med Surg Neurosensory & Musculoskeletal
Exam Questions And Answers (Verified)
A nurse is assessing a client who is quadriplegic following a cervical fracture at
vertebral level C5. The client reports a throbbing headache and nausea. The
nurse notes flushing and a blood pressure of 220/110 mm Hg. Which of the
following actions should the nurse take first?
Elevate the head of the client's bed
Explanation: This client is experiencing autonomic dysreflexia and is at risk for cerebral
vessel rupture or increased intracranial pressure. Move the client from supine to an
upright position.
A nurse is caring for a client who is in balanced suspension skeletal traction and
reports intermittent muscle spasms. Which of the following actions should the
nurse take first?
Check the position of the weights and ropes
Explanation: The nurse should check the weights and ropes to see what is the cause of
the muscles spasms.
A nurse in an emergency department is caring for a client who suddenly lost
consciousness and fell while at home. The provider determines that the client had
an embolic stroke. Which of the following medications should the nurse expect to
administer?
Tissue plasminogen activator
Explanation: This is a thrombolytic agent that dissolves the clot that caused the stroke.
A nurse is performing a pain assessment for a client who is postoperative. Which
of the following findings should the nurse use to determine the severity of the
client's pain?
Client's report of pain on a pain scale
Explanation: Remember the pain is whatever the client says it is. To get an ACCURATE
pain rating you use the pain scale first and back it up with any identifiers like
grimacing/moaning, etc.
A nurse is caring for a client who is recovering from a stroke and has right-sided
homonymous hemianopsia. To help the client adapt to the hemianopsia, the
nurse should take which of the following actions?
Remind the client to look consciously at both sides of their meal tray
Explanation: Homonymous hemianopsia is a condition due to injury of a part of the brain
that disrupts the visual field. It allows the person to only see either to their left or right
side. So reminding them to look at their whole tray is accurate for this scenario because
they might eat the food they can see only.
A nurse is caring for a client who has multiple sclerosis. Which of the following
findings should the nurse expect?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
