Exam 6 Ch40

18問 • 2年前

問題一覧

1. The nurse is preparing to teach a client recently diagnosed with multiple sclerosis about taking glatiramer acetate. Which statement by the client indicates a need for further teaching?

c. “I should report any flulike symptoms to my primary health care provider.”

2. A nurse assesses a client with multiple sclerosis after administering prescribed fingolimod. For which common side effect would the nurse monitor?

b. Facial flushing

3. A client who has multiple sclerosis reports increased severe muscle spasticity and tremors. What nursing action is most appropriate to manage this client’s concern?

a. Request a prescription for an antispasmodic drug such as baclofen.

4. A client with multiple sclerosis is being discharged from rehabilitation. Which statement would the nurse include in the client’s discharge teaching?

c. “Avoid overexertion, stress, and extreme temperature if possible.”

5. A nurse assesses a client with a spinal cord injury at level T5. The client’s blood pressure is 184/95 mm Hg, and the client presents with a flushed face and blurred vision. After raising the head of the bed, what action would the nurse take next?

c. Palpate the bladder for distention.

6. The nurse initiates care for a client with a cervical spinal cord injury who arrives via emergency medical services. What action would the nurse take first?

d. Evaluate respiratory status.

7. A client who had a complete spinal cord injury at level L5-S1 is admitted with a sacral pressure injury. What other assessment finding will the nurse anticipate for this client?

b. Flaccid bowel

8. The nurse is collaborating with the occupational therapist to assist a client with a complete cervical spinal cord injury to transfer from the bed to the wheelchair. What ambulatory aid would be most appropriate for the client to meet this outcome?

d. Sliding board

9. The nurse is caring for a 60-year-old female client who sustained a thoracic spinal cord injury 10 years ago. For which potential complication will the nurse assess during this client’s care?

a. Fracture

10. A nurse is caring for a client with paraplegia who is scheduled to participate in a rehabilitation program. The client states, “I don’t understand the need for rehabilitation; the paralysis will not go away and it will not get better.” How would the nurse respond?

c. “The rehabilitation program will teach you how to maintain the functional ability you have and prevent further disability.”

11. A nurse cares for a client with a spinal cord injury. With which interprofessional health team member would the nurse collaborate to assist the client with activities of daily living?

c. Occupational therapist

12. After teaching a client with a high thoracic spinal cord injury, the nurse assesses the client’s understanding. Which statement by the client indicates a correct understanding of how to prevent respiratory problems at home?

a. “I’ll use my incentive spirometer every 2 hours while I’m awake.”

13. A client continues to have persistent low back pain even after using a number of nonpharmacologic pain management strategies. Which prescribed drug would the nurse anticipate that the client might need to manage the pain?

d. Tramadol

14. A client is scheduled for a percutaneous endoscopic lumbar discectomy. Which statement by the client indicates a need for further teaching?

b. “I’ll be in the hospital for 2 to 3 days.”

15. A nurse assesses clients at a community center. Which client is at greatest risk for low back pain?

d. A 65-year-old female with osteoarthritis.

16. A nurse teaches a client who is recovering from an open traditional cervical spinal fusion. Which statement would the nurse include in this client’s postoperative instructions?

b. “Wear your neck brace whenever you are out of bed.”

17. A nurse assesses a client who is recovering from an open anterior cervical discectomy and fusion. Which complication would alert the nurse to urgently communicate with the primary health care provider?

a. Auscultated stridor

18. A nurse assesses the health history of a client who is prescribed ziconotide for chronic low back pain. Which assessment question would the nurse ask?

b. “Have you been diagnosed with a mental health problem?”

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4