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Author Archives: Anonymous

Which provider order will the nurse implement first?

Which provider order will the nurse implement first?

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A client admitted with neurogenic bladder following a cervic…

A client admitted with neurogenic bladder following a cervical 6 (C6) spinal cord injury tells the nurse, “I have a pounding headache and I feel sick to my stomach.”  Which action should the nurse take first?

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The nurse cares for a client during an acute exacerbation (r…

The nurse cares for a client during an acute exacerbation (relapse) of multiple sclerosis.  Which class of medication does the nurse anticipate the healthcare provider will order to help treat the exacerbation?

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Use the following scenario to answer questions #12 & #13. Th…

Use the following scenario to answer questions #12 & #13. The nurse cares for a client diagnosed with an ischemic stroke.  The neurologist performs a comprehensive neuro exam and determines the candidate is eligible to receive tPA. The nurse reviews the healthcare provider’s orders and prepares to administer tPA. 

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The nurse cares for a client with an incomplete spinal cord…

The nurse cares for a client with an incomplete spinal cord injury caused by a cervical vertebral fracture.  The injury is stabilized by a halo fixation device.  Which statement by the client indicates a need for further teaching?

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The nurse teaches a female client about prescribed antiepile…

The nurse teaches a female client about prescribed antiepileptic drugs.  Which client statement indicates an understanding of the medications?

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A male client is diagnosed with a right-sided homonymous hem…

A male client is diagnosed with a right-sided homonymous hemianopsia resulting from a stroke.  The rehabilitation nurse prepares to teach the client’s family about how to best provide care for a client with this condition.  Which statement made by the client’s family indicates an understanding of the teaching?

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Based on the total GCS score in question #47, identify one p…

Based on the total GCS score in question #47, identify one priority nursing intervention or nursing consideration when caring for this client.  

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The client suddenly becomes unresponsive. Diagnostic tests r…

The client suddenly becomes unresponsive. Diagnostic tests reveal the client has developed an epidural hematoma. What most concerns the nurse when caring for this client?

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The nurse is suctioning an adult client through a tracheosto…

The nurse is suctioning an adult client through a tracheostomy tube. During the procedure, the nurse notes that the client’s oxygen saturation is 89%. What should the nurse do?

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