Exam (elaborations)
NUR1211 Exam 3 2024
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NUR1211 Exam 3 2024 NUR1211 Exam 3 2024 NUR1211 Exam 3 2024 NUR1211 Exam 3 2024 NUR1211 Exam 3 2024 NUR1211 Exam 3 2024 NUR1211 Exam 3 2024
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NUR1211 Exam 3 2024 x x x xx
A xclient xwho xhas xseptic xshock xis xadmitted xto xthe xhospital. xWhat xpriority xintervention
xdoes xthe x
x
nurse ximplement
xfirst?
x
a. Obtain xtwo xsets xof xblood xcultures. x
b. Administer xthe xprescribed xIV xvancomycin x(Vancocin). x
c. Obtain xcentral xvenous xpressure x(CVP) xmeasurements. x
d. Administer xthe xprescribed xIV xnorepinephrine x(Levophed) x- xa. xObtain xtwo xsets xof xblood
xcultures. x
x
Blood xcultures xshould xbe xobtained xbefore xIV xantibiotics xare xstarted. xIf xhypotension xoccurs,
xfluid xresuscitation xis xused xfirst. xCVP xmonitoring xand xvasopressor xtherapy xare xstarted xif
xhypotension xpersists. x
x
The xemergency xdepartment xnurse xis xtriaging xclients. xWhich xclient xdoes xthe xnurse xassess
xmost x
x
carefully xfor xhypovolemic
xshock?
x
a. 15-year-old xadolescent xwho xplays xhigh xschool xbasketball x
b. 24-year-old xcomputer xspecialist xwho xhas xbulimia x
c. 48-year-old xtruck xdriver xwho xhas xa x40-pack-year xhistory xof xsmoking x
d. 62-year-old xbusiness xexecutive xwho xtravels xfrequently x- xb. x24-year-old xcomputer xspecialist
xwho xhas xbulimia x
x
Hypovolemic xshock xcan xbe xcaused xby xdehydration. xA xclient xwho xhas xbulimia xis xat xhighest
xrisk xfor x
x
dehydration xowing xto xexcessive xvomiting. xBasketball, xsmoking, xand xtraveling xdo xnot xput
xthe
x
client xat xrisk xfor xhypovolemic
xshock.
x
A xclient xwith xepilepsy xdevelops xstiffening xof xthe xmuscles xof xthe xarms xand xlegs, xfollowed
xby xan x
immediate xloss xof xconsciousness xand xjerking xof xall xextremities. xHow xdoes xthe xnurse
xdocument x
x
this xseizure
xactivity?
x
a. Atonic xseizure x
b. Absence xseizure x
c. Myoclonic xseizure x
d. Tonic-clonic xseizure x- xd. xTonic-clonic xseizure x
,x
Seizure xactivity xthat xbegins xwith xstiffening xof xthe xarms xand xlegs, xfollowed xby xloss xof
xconsciousness xand xjerking xof xall xextremities, xis xcharacteristic xof xa xtonic-clonic xseizure. xThe
xother xseizures xdo xnot xmanifest xin xthis xmanner. x
x
The xnurse xis xassessing xa xclient xwith xa xhistory xof xabsence xseizures. xWhich xclinical
xmanifestation x
x
does xthe xnurse xassess
xfor?
x
a. xAutomatisms x
x
b. xIntermittent
xrigidity
x
c. xSudden xloss xof xmuscle
xtone
d. xBrief xjerking xof xthe xextremities -
x x a.
xAutomatisms
x
x
Automatisms xare xcharacteristic xof xabsence xseizures. xThese xbehaviors xconsist xof xlip
xsmacking,
patting, xand xpicking xat xclothing. xThe xother xmanifestations xdo xnot xcorrelate xwith xabsence
xseizures.
x
The xnurse xis xcaring xfor xa xclient xwith xa xhistory xof xepilepsy xwho xsuddenly xbegins xto
xexperience xa x
x
tonic-clonic xseizure xand xloses xconsciousness. xWhat xis xthe xnurse's xpriority
xaction?
x
a. Restrain xthe xclient's xextremities. x
b. Turn xthe xclient's xhead xto xthe xside. x
c. Take xthe xclient's xblood xpressure. x
d. Place xan xairway xinto xthe xclient's xmouth. x- xb. xTurn xthe xclient's xhead xto xthe xside. x
x
A xclient xis xactively xexperiencing xstatus xepilepticus. xWhich xprescribed xmedication xdoes xthe
xnurse x
x
prepare xto
xadminister?
x
x
a.
xAtropine
x
b. xLorazepam x
x(Ativan)
c. xPhenytoin
x(Dilantin)
d. xMorphine xsulfate x- xb. xLorazepam
x(Ativan)
x
, The xnurse xis xteaching xa xclient xwho xis xnewly xdiagnosed xwith xepilepsy. xWhich xstatement
xby xthe x
x
client xindicates xa xneed xfor xfurther xteaching xconcerning xthe xdrug
xregimen?
x
a. "I xwill xnot xdrink xany xalcoholic xbeverages." x
b. "I xwill xwear xa xmedical xalert xbracelet." x
c. "I xwill xlet xmy xdoctor xknow xabout xall xof xmy xprescriptions." x
d. "I xcan xskip xa xcouple xof xpills xif xthey xmake xme xill." x- xd. x"I xcan xskip xa xcouple xof xpills xif
xthey xmake xme xill." x
x
A xclient xwith xnew-onset xstatus xepilepticus xis xprescribed xphenytoin x(Dilantin). xAfter xteaching
xthe x
x
client xabout xthis xtreatment xregimen, xthe xnurse xassesses xthe xclient's xunderstanding.
xWhich
x
statement xindicates xthat xthe xclient xunderstands xthe
xteaching?
x
a. "I xmust xdrink xat xleast x2 xliters xof xwater xdaily." x
b. "This xwill xstop xme xfrom xgetting xan xaura xbefore xa xseizure." x
c. "I xwill xnot xbe xable xto xbe xemployed xwhile xtaking xthis xmedication." x
d. "Even xwhen xmy xseizures xstop, xI xwill xtake xthis xdrug." x- xd. x"Even xwhen xmy xseizures xstop,
xI xwill xtake xthis xdrug." x
x
The xdaughter xof xa xclient xwith xAlzheimer's xdisease xasks, x"Will xthe xmedication xmy xmother xis
xtaking x
x
improve xher xdementia?" xHow xdoes xthe xnurse
xrespond?
x
a. "It xwill xhelp xyour xmother xlive xindependently xonce xmore." x
b. "It xis xused xto xhalt xthe xadvancement xof xAlzheimer's xdisease xbut xwill xnot xcure xit." x
c. "It xwill xprovide xa xsteady ximprovement xin xmemory xbut xnot xin xproblem xsolving." x
d. "It xwill xnot ximprove xdementia xbut xcan xhelp xcontrol xemotional xresponses." x- xd. x"It xwill xnot
ximprove xdementia xbut xcan xhelp xcontrol xemotional xresponses." x
x
Drug xtherapy xis xnot xeffective xfor xtreating xdementia xor xhalting xthe xadvancement xof
xAlzheimer's x
x
disease. xHowever, xcertain xdrugs xmay xhelp xsuppress xemotional xdisturbances xand
xpsychiatric
x
manifestations.
x
A xclient xwho xsuffered xa xspinal xcord xinjury xat xlevel xT5 xseveral xmonths xago xdevelops xa xflushed
xface x
and xblurred xvision. xOn xtaking xvital xsigns, xthe xnurse xnotes xthe xblood xpressure xto xbe x184/95
xmm xHg. x
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