Question 1

The nurse is caring for a patient with bacterial meningitis.What interventions should the nurse include in the plan of care?

Accepted Answer

A)  Maintain a quiet environment with minimal stimulation. 
B)  Provide all care using sterile technique. 
C)  Limit intake of oral fluids. 
D)  Provide magazines and other activities to reduce daytime naps. 
A)  Maintain a quiet environment with minimal stimulation. 
B)  Provide all care using sterile technique. 
C)  Limit intake of oral fluids. 
D)  Provide magazines and other activities to reduce daytime naps.

Question 2

The dysarthric patient seated in the dining room of the long-term care facility yells,"Poon! Poon! Poon!" with increasing frustration.What is the nurse's best response?

Accepted Answer

A)  "Slow down so that I can understand what you are saying." 
B)  "Are you asking for a spoon?" 
C)  "Not being able to speak is frustrating." 
D)  "If you tell me what you want, I will get it." 
A)  "Slow down so that I can understand what you are saying." 
B)  "Are you asking for a spoon?" 
C)  "Not being able to speak is frustrating." 
D)  "If you tell me what you want, I will get it."

Question 3

The nurse is assisting a patient with agnosia after a CVA.Which intervention is most appropriate?

Accepted Answer

A)  Showing the patient a spoon while calling it by name and describing its purpose. 
B)  Moving the patient's hand with a toothbrush in repetitive motion to brush teeth. 
C)  Describing the placement of food on the plate. 
D)  Providing an adaptive fork to enhance self-feeding. 
A)  Showing the patient a spoon while calling it by name and describing its purpose. 
B)  Moving the patient's hand with a toothbrush in repetitive motion to brush teeth. 
C)  Describing the placement of food on the plate. 
D)  Providing an adaptive fork to enhance self-feeding.

Question 4

The nurse is educating a patient about his cluster headaches.The nurse includes information that cluster headaches may be accompanied by which signs or symptoms?

Accepted Answer

A)  Reddened conjunctiva 
B)  Nasal congestion 
C)  Ptosis 
D)  Lethargy 
E)  Sensitivity to touch 
A)  Reddened conjunctiva 
B)  Nasal congestion 
C)  Ptosis 
D)  Lethargy 
E)  Sensitivity to touch

Question 5

To help prevent aspiration while feeding a patient who has a right-sided paralysis,the nurse should implement which intervention(s)?

Accepted Answer

A)  Place the patient in high Fowler position. 
B)  Instruct the patient to tilt the head and neck forward. 
C)  Instruct the patient to drink liquids through a straw. 
D)  Place food in the left side of the mouth. 
E)  Avoid mixing foods with different textures. 
A)  Place the patient in high Fowler position. 
B)  Instruct the patient to tilt the head and neck forward. 
C)  Instruct the patient to drink liquids through a straw. 
D)  Place food in the left side of the mouth. 
E)  Avoid mixing foods with different textures.

Question 6

The nurse instructs a person taking phenytoin (Dilantin)that periodic blood tests will be necessary.The nurse explains that the laboratory checks will monitor for which potential medication-induced change?

Accepted Answer

A)  Potassium depletion 
B)  Liver damage 
C)  Increasing creatinine 
D)  Increasing sedimentation rates 
A)  Potassium depletion 
B)  Liver damage 
C)  Increasing creatinine 
D)  Increasing sedimentation rates

Question 7

The nurse is aware that absence (petit mal)seizures are difficult to detect for which reason(s)?

Accepted Answer

A)  Lack of an aura 
B)  Appearance as a brief moment of absentmindedness 
C)  Brief loss of consciousness (LO
C)  
D)  Absence of patient memory of the event 
E)  Absence of postictal signs 
A)  Lack of an aura 
B)  Appearance as a brief moment of absentmindedness 
C)  Brief loss of consciousness (LO
C)  
D)  Absence of patient memory of the event 
E)  Absence of postictal signs

Exam 23: Care of Patients with Disorders of the Brain

The nurse is caring for a patient with bacterial meningitis.What interventions should the nurse include in the plan of care?

The dysarthric patient seated in the dining room of the long-term care facility yells,"Poon! Poon! Poon!" with increasing frustration.What is the nurse's best response?

The nurse is assisting a patient with agnosia after a CVA.Which intervention is most appropriate?

The nurse is educating a patient about his cluster headaches.The nurse includes information that cluster headaches may be accompanied by which signs or symptoms?

To help prevent aspiration while feeding a patient who has a right-sided paralysis,the nurse should implement which intervention(s)?

The nurse instructs a person taking phenytoin (Dilantin)that periodic blood tests will be necessary.The nurse explains that the laboratory checks will monitor for which potential medication-induced change?

The nurse is aware that absence (petit mal)seizures are difficult to detect for which reason(s)?

Caring for Medical-Surgical Patients

Critical Thinking and the Nursing Process

Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Patients

Infection Prevention and Control

Care of Patients with Pain

Care of Patients with Cancer

Chronic Illness and Rehabilitation

The Immune and Lymphatic System

Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS)

The Respiratory System

Care of Patients with Disorders of the Upper Respiratory System

Care of Patients with Disorders of the Lower Respiratory System

The Hematologic System

Care of Patients with Hematologic Disorders

The Cardiovascular System

Care of Patients with Hypertension and Peripheral Vascular Disease

Care of Patients with Cardiac Disorders

Care of Patients with Coronary Artery Disease and Cardiac Surgery

The Neurologic System

Care of Patients with Head and Spinal Cord Injuries

Care of Patients with Peripheral Nerve and Degenerative Diseases

The Sensory System: Eye and Ear

Care of Patients with Disorders of the Eyes and Ears

The Gastrointestinal System

Care of Patients with Disorders of the Upper Gastrointestinal System

Care of Patients with Disorders of the Lower Gastrointestinal System

Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas

The Musculoskeletal System

Care of Patients with Musculoskeletal and Connective Tissue Disorders

The Urinary System

Care of Patients with Disorders of the Urinary System

The Endocrine System

Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Care of Patients with Diabetes and Hypoglycemia

Care of Women with Reproductive Disorders

Care of Men with Reproductive Disorders

Care of Patients with Sexually Transmitted Infections

The Integumentary System

Care of Patents with Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients with Emergencies, Trauma, and Shock

Care of Patients with Anxiety, Mood, and Eating Disorders

Care of Patients with Substance Abuse Disorders

Care of Patients with Cognitive Disorders

Care of Patients with Thought and Personality Disorders

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