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Rasmussen College NUR 2755 MDC4 exam 1 Questions With Complete Solutions
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Rasmussen College NUR 2755 MDC4 exam 1 Questions With Complete Solutions
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Rasmussen College NUR 2755 MDC4 exam 1Questions With Complete Solutions
A client has been diagnosed with an ischemic stroke . The nurse
realizes this client cannot have fibrinolytic therapy until which
vital sign is addressed and treated ? Correct Answers Blood
hh hh
pressure of 220/120 mm Hg
Which nursing interventions would be appropriate after a wound
evisceration ? Correct Answers Contact the surgeon
hh hh
immediately and anticipate surgical repair
Important nursing measures needed when feeding a hemiplegic
client include which of the following ? ( Select all that apply . )
Correct Answers Assess respiratory rate and ease of
hh hh
swallowing
Thicken all liquids , including water
The client , injured in an automobile accident , is being
evaluated in the emergency department for a possible head
injury . Which test should not be done if there is an indication of
increased intracranial pressure ? Correct Answers Lumbar
hh hh
puncture
A client has been admitted to the neurological department
because of seizures of unknown cause . Which of the following
is the priority intervention ? Correct Answers Ensure suction
hh hh
equipment is available
, The nurse is educating a client on the types of anesthesia used in
surgery . Which client statement indicates a correct
understanding ? Correct Answers " I am having general
hh hh
anesthesia , so I will be given a gas to breathe and medication in
my IV . "
A client has been admitted to the neurological department
because of seizures of unknown cause . Which of the following
is the priority intervention ? Correct Answers Ensure suction
hh hh
equipment is available
A graduate nurse is performing discharge teaching for a client
newly diagnosed with migraine headaches . Which statement
made by the graduate nurse indicates a correct understanding of
this disorder ? Correct Answers " Propranolol is not an abortive
hh hh
migraine medication but used to manage and prevent migraines .
"
A child has been brought to the emergency department ( ED )
after a motor vehicle accident ( MVA ) . The client has suffered
traumatic injuries and has no waveform on the
electroencephalogram ( EEG ) ; Glasgow Coma Score is 3. The
organ procurement team has been notified of a potential donor .
Following protocols , the nurse performs which of the following
actions ? Correct Answers Maintain perfusion and care of the
hh hh
client to allow the possibility of a healthy organ harvest .
The charge nurse is obtaining the client's signature on a surgical
consent form . The client states , " I didn't really understand
what my surgeon explained , but I trust him completely . "
Which response by the charge nurse is correct ? Correct
hh
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