Tinnitus and sensorineural hearing loss can be caused by which medications? 1. Salicylates, loop diuretics, quinidine, quinine or aminoglycosides
Nurse is caring for a pt who has had a stroke involving the right cerebral hemisphere. What would the nurse findings be? Poor impulse control
What is a...
Nursing 245 Test 4 Questions and
Correct Answers
Tinnitus and sensorineural hearing loss can be caused by which medications? ✅1.
Salicylates, loop diuretics, quinidine, quinine or aminoglycosides
Nurse is caring for a pt who has had a stroke involving the right cerebral hemisphere.
What would the nurse findings be? ✅Poor impulse control
What is a symptom of a concussion a nurse would suspect? ✅Sensitivity to light
A nurse is caring for a pt in the ICU that is in myasthenic crisis. Which of the following
nursing action is the highest priority? ✅1. AIRWAY (ventilator assistance)
Based on a pt explanations of recurring injuries, the nurse suspects this elderly pt is
may be a victim of what? ✅1. Elderly abuse, report abuse of any kind!
What precautions should be put into place when a pt has been brought into the E with
symptoms of altered LOC, fever, purpura rash in lower extremities and stiff neck? ✅1.
Isolation! This could be signs of bacterial meningitis
A nurse is caring for pt who has muscular dystrophy. What assistance may the pt need
to be implemented in ADLs? ✅1. Maximizing the pts level of function (family
participation is important in goal setting)
Define trigeminal neuralgia and what nerve it indicates? ✅1. Fifth cranial nerve
characterized by paroxysms of sudden pain in the area such as brushing teeth, eating,
drinking, shaving, and washing face.
The pt has decreased LOC. This pt is receiving continuous enteral feedings with a G
tube. What is priority for the prevention of aspiration? ✅Elevate the HOB to 30 degrees
The pt has Glasgow coma scale score of 3 for eye opening 5 for verbal response and 5
for best motor response. Which is an appropriate conclusion based on this information?
✅1. The client opens his eyes when spoken to (A GCS of 3-5-5 indicated that the pt
opens eyes in response to speech, is oriented, and is able to localize pain)
What is the battle sign show when a pt has suffered a head injury? ✅1. An area of
ecchymosis (bruising over the mastoid)
What volume of decibel would we expect for hearing loss or hearing damage? ✅1. 80-
90 dB
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