NUR 2755 Multidimensional Care IV
MDC IV – Exam 1
A client presents to the emergency department (ED) with the inability to wrinkle her forehead or pucker her lips. She is afraid she may be having a stroke. After a complete clinical workup is negative for a cerebral vascular accident (CVA), the nurse provides discharge information on which of the following disorders?
- Trigeminal neuralgia
- Bell's Palsy
- cerebral aneurysm
- Epilepsy
Correct Answer:
- Bell's Palsy
The nurse assesses a client who presents with progressive proximal to distal muscle weakness and mild diplopia. The nurse realizes these manifestations indicate the client most likely suffers from which peripheral nervous system disease?
- Systemic lupus erythematosus
- multiple sclerosis
- Guillian- barre syndrome
- Myasthenia gravis
Correct Answer:
- Myasthenia gravis 1 / 4
The nurse explains which role is responsible for verifying that the consent form is signed and that the surgical site is marked?
- scrub nurse
- surgeon
- anesthesiologist
- circulating nurse
Correct Answer:
- circulating nurse
During the first 24 hours after thrombolytic treatment for an ischemic stroke, the nurse's primary goal is to control which of the following vital signs?
- pulse
- respirations
- blood pressure
- temperature
Correct Answer:
- blood pressure
The client who is to receive general anesthesia has a serum potassium level of 5.8 mEq/L.What should be the nurse's first response?
- Call the operating room to cancel surgery
- Send the client to surgery
- Make a note on the client's record
- Notify the surgeon
Correct Answer:
- Notify the surgeon 2 / 4
Which of the following is true about the surgical scrub?
- It is completed before masking and after sterile gowning and gloving.
- It makes the skin sterile.
- Hands are dried with a laundered towel outside the surgical suite.
- It involves vigorous hand and lower arm scrubbing for 3-5 minutes.
Correct Answer:
- It involves vigorous hand and lower arm scrubbing for 3-5 minutes.
A client with Alzheimer's disease is admitted to the hospital. Which psychosocial assessment is most important for the nurse to complete?
- Ability to recall past events
- Ability to perform self-care
- Reaction to a change of environment
- Relationship with close family members
Correct Answer:
- Reaction to a change of environment
A client with Parkinson's disease is prescribed levodopa (l-dopa) therapy.Improvement in which area indicates the therapy is effective?
- Mood
- Muscle rigidity
- Appetite
- Alertness
Correct Answer:
- Muscle rigidity
- / 4
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?
- Auras are not a symptom present with migraines.
- Beta blockers are contraindicated in clients with migraines
- Increasing stimulating activities during an episode will help resolve the
- Verapamil is not an abortive migraine medication but used to manage and
migraines.
prevent migraines.
Correct Answer:
- Verapamil is not an abortive migraine medication but used to manage and
prevent migraines.
The nurse is caring for a post-stroke client with expressive (Broca's) aphasia.Which nursing intervention is appropriate for the nurse to communicate with the client?
- Refer the client to the speech language pathologist
- Speak loudly to help the client interpret what is being said
- Provide pictures or a communication board to help communicate
- Gesture the client to the required location or activity
Correct Answer:
- Provide pictures or a communication board to help communicate
- / 4