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NSG 4100/NSG4100 EXAM 4 2025 NEWEST ACTUAL
EXAM 2 VERSIONS COMPLETE EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+ //
LATEST EXAM!!!
The pt w fibromyalgia is suffering from pain at 12 of the 18 identification sites, including the neck & upper back & knees. The pt also reports non-refreshing sleep, depression, & being anxious when dealing w multiple tasks. The nurse should teach this pt about what
treatments? Select all that apply:
- Minimal aerobic exercise
- Relaxation strategy (biofeedback)
- Anti-seizure during phenytoin 1 / 4
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- Serotonin reuptake inhibitor (e.g. sertraline)
- Establish a regular sleep pattern - Answer-B, D, E
The nurse caring for a client w a head injury would recognize which assessment finding as early signs of
increased ICP? Select all that apply:
- Kussmaul breathing
- Projectile vomiting
- Weakness in one extremity
- Headache not aggravated by movement of straining
- Decreased urine output
- Papilledema - Answer-A, C, D
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A nurse caring for a client diagnosed to have head injury.Which of the following situations needs intervention by the nurse?
- The padded side rails up
- The bed is adjusted to low level
- The client's spouse turns on the TV one hour in the
- The head of bed is elevated at 30 degree angle -
afternoon and 3 hours in the evening
Answer-C
The critical care nurse is caring for a client w a head injury secondary to a motorcycle accident who, on morning rounds, is responsive to painful stimulus and assumes 3 / 4
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decorticate posturing. Two hours later, which data would warrant immediate intervention by the nurse?
- The client has purposeful movement when the nurse
- The client extends the upper and lower extremities in
- The client is aimlessly thrashing in the bed when a
rubs the sternum
response to painful stimuli
noxious stimuli is applied - Answer-B
The nurse is caring for clients in the ED. Which client should the nurse assess first?
- The client w an epidural hematoma
- The client who had a seizure who is in the postictal
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state