Question

31. to prepare Barbara for EEG, the nurse should explain that A. During the test she will experience small electrical shocks that feel like pin pricks B. The test measures mental status as well as electrical brain waves C. During the hyperventilation portion of the test, she may experience dizziness D. She will be unconscious during the test

32.Situstion: Barbara is a 23 year old woman who lives with her mother, sister and brother in a private residence. She is attending the neurological out-patient clinic for the first name. her health history includes two grand mal seizures/A diagnosis of idiopathic epilepsy has been made. The physician has ordered an electroencephalogram (EEG) and phenytoin sodium (Dilantin), 300 mg/day. While doing a nursing history on Barbara, the nurse should recognize that A. Persons with idiopathic epilepsy have a lower intelligence level B. Grand mal seizures do not cause mental deterioration C. A common characteristics of idiopathic epilepsy is committing acts of violence D. Idiopathic epilepsy is a form of mental illness

33. A client has been hospitalized after an automobile accident. A full leg cast applied while inside the emergency room. The most important reason for the nurse to elevate the casted leg is to: A. Reduce the drying time B. Decrease irritation to the skin C. Improve venous return D. Promote the client’s comfort

34. The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client? A. Clean the meatus, begin vomiting, and then catch the urine stream B. Void a little, clean the meatus, then collect specimen C. Clean the meatus, then urinate into container D. Void continuously and catch some of the urine.

35 The client is admitted to the telemetry unit diagnosed wit acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing the client? A. Apical pulse rate of 110 and 4 + pitting edema of feet B. Thick white sputum and crackles that clear with cough C. The client sleeping with no pillow and eupnea D. Radial pulse rate of 90 and capillary refill time less than 3 seconds

36. The nurse is assessing the client with congestive heart failure. Which signs and symptoms would indicate that the medical treatment has been effective? A. The client’s peripheral pitting edema has globe from 3+ to 4+ B. The client is able to take the radial pulse accurately C. The client is able to perform activities of daily living without dyspnea D. The client has minimal jugular vein distention

37. The nurse is developing a nursing care plan for a client diagnosed with congestive heart failure. A nursing diagnosis of “decreased cardiac output related to inability of the heart to pimp effectively” is written. Which short-term goal would be best for the client? The client will: A. Be able to ambulate in the hall by date of discharge B. Have an audible S1 and S2 with no S3 heard be end of shift C. Turn, cough, and deep breather every two (2) hours D. Have a pulse oximeter reading of 98% by say two (2) of care

38. The nurse is developing a discharge-teaching plan for the client diagnosed with congestive heart failure. Which intervention should be included in the plan? Select all that apply. A. Notify health care provider of more than 1 pound a week B. Teach client how to count the radial pulse when taking dixogin, a cardiac glycoside C. Instruct client to remove the saltshaker from the dinner table D. Encourage client to monitor urine output for change in color to become dark E. Discuss the importance of taking the loop diuretic Furosemide at bedtime

39. The nurse Is caring diagnosed with myocardial infarction who is experiencing chest pain. Which interventions should the nurse implement? A. Administer morphine via IV B. Administer an aspirin orally C. Apply oxygen via nasal cannula D. Place the client in a supine position E. Administer nitroglycerin subcutaneously

40. which client teaching should the nurse implement for the client diagnosed with coronary artery disease? Select all that apply. A. Encourage a low-fat, low-cholesterol diet B. Instruct client to walk 30 minutes a day C. Decrease the salt intake to 2 grams a day D. Refer to counselor for stress reduction techniques E. Increase fiber in the diet

Answer 1

31.A.because small electrodes are connected to scalp while doing EEG

32.B.idipathic epilepsy do not create any abnormality in CNS

33.D.elevating legs will decrease the pain and swelling in the inured part

34.B.pass some urine then wash the area and collect the middle urine for specimen.

35.A.increasing heart rate and odema in legs are main symptoms of CHF.

36.C.

37.B.

38.B,C,D

39.c.administer oxygen is the priority.then nitroglycerin,aspirin ,morphine.this is the order.(ONAM)

40.A,B,C,D