During the acute stage of meningitis, a 3-year-old child is restless and irritable. Which of the following would be most appropriate to institute? A. Limiting conversation with the child. B. Allowing the child to play in the bathtub. C. Keeping extraneous noise to a minimum. D. Performing treatments quickly. … Read More »
During recovery from a cerebrovascular accident (CVA), a female client is given nothing by mouth, to help prevent aspiration. To determine when the client is ready for a liquid diet, the nurse assesses the client’s swallowing ability once each shift. This assessment evaluates: A. Cranial nerves I and II. B. Cranial nerves III… Read More »
A 40-year-old paraplegic must perform intermittent catheterization of the bladder. Which of the following instructions should be given? A. “Clean the meatus from back to front.” B. “Measure the quantity of urine.” C. “Gently rotate the catheter during removal.” D. “Clean the meatus with soap and water.” … Read More »
Which of the following would lead the nurse to suspect that a child with meningitis has developed disseminated intravascular coagulation? A. Hemorrhagic skin rash B. Edema C. Cyanosis D. Dyspnea on exertion Correct Answer: A. Hemorrhagic skin rash DIC is characterized by skin petechiae and a purpuric… Read More »
A white female client is admitted to an acute care facility with a diagnosis of cerebrovascular accident (CVA). Her history reveals bronchial asthma, exogenous obesity, and iron deficiency anemia. Which history finding is a risk factor for CVA? A. Caucasian race B. Female sex C. Obesity D. Bronchial asthma … Read More »
An 18-year-old client was hit in the head with a baseball during practice. When discharging him to the care of his mother, the nurse gives which of the following instructions? A. “Watch him for a keyhole pupil the next 24 hours.” B. “Expect profuse vomiting for 24 hours after the injury.” C.… Read More »
When interviewing the parents of a 2-year-old child, a history of which of the following illnesses would lead the nurse to suspect pneumococcal meningitis? A. Bladder infection B. Middle ear infection C. Fractured clavicle D. Septic arthritis Correct Answer: B. Middle ear infection Organisms that cause bacterial… Read More »
The nurse is teaching a female client with multiple sclerosis. When teaching the client how to reduce fatigue, the nurse should tell the client to: A. Take a hot bath. B. Rest in an air-conditioned room. C. Increase the dose of muscle relaxants. D. Avoid naps during the day. … Read More »
Which neurotransmitter is responsible for many of the functions of the frontal lobe? A. Dopamine B. GABA C. Histamine D. Norepinephrine Correct Answer: A. Dopamine The frontal lobe primarily functions to regulate thinking, planning, and affect. Dopamine is known to circulate widely throughout this lobe, which is… Read More »
The nurse is assessing a child diagnosed with a brain tumor. Which of the following signs and symptoms would the nurse expect the child to demonstrate? Select all that apply. A. Increased appetite B. Vomiting C. Polydipsia D. Lethargy E. Head tilt F. Increased pulse Correct Answer: B, D &… Read More »