PRN1725 / PRN 1725 Exam 1 (Latest 2024 / 2025 Update) Client- Centered Care IV Exam Prep | Questions and Verified Answers | 100% Correct | Grade A - Rasmussen
Question:
a nurse is caring for a client who is experiencing auditory hallucinations.Which of the following responses should the nurse make first?
Answer:
the nurse needs to recognize that this is something they are experiences so they might say "i do not hear what you are hearing"
Question:
A nurse is caring for a client who just experienced a generalized seizure.Which of the following actions should the nurse perform first?
Answer:
-make sure they are safe -LOC -stay with the person -DO NOT move them 1 / 3
Question:
a nurse is caring for a client who sustained a head injury in an accident. A focused exam reveals that one pupil is larger than the other. What should the nurse do first?
Answer:
-notify the provider
Question:
which nursing intervention is the priority when caring for a client during the acute phase of Guillain-Barre?
Answer:
-assessment is the most important part during the acute stage -monitor the progression of paralysis -monitor ABGs -orthostatic hypertension and cardiac dysrhythmia
Question:
a nurse visiting a client with Huntington's disease is asked if his offspring will also have this disease. Which response is appropriate?
Answer:
-the children have a 50% chance of inheriting it -genetic testing can confirm it
- / 3
Question:
a nurse is collecting data from an infant who hit her head when she fell off a dressing table. the nurse should identify which of the following as indicating increased intracranial pressure?
Answer:
-high pitched cry -irritability -bulging fontanels -setting sun (eyes looking down)
Question:
a nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?
Answer:
-difficulty performing ADLs -memory loss - FORGETFULNESS -wandering -confusion -repeating questions
- / 3