A nurse is caring for a client who has recently been diagnosed with trigeminal neuralgia. The nurse correctly provides the client with all of the following information except?
A. This disorder is also known as Bell’s palsy
B. Medications prescribed may include anti-epileptic drugs such as Tegretol x C. In order to prevent symptoms, the client should try to avoid extremes of heat and cold
D. This disorder affects the fifth cranial nerve
A. This disorder is also known as Bell’s palsy Trigeminal neuralgia is not the same as Bell’s palsy, which is a temporary form of facial paralysis.
A nurse has shared his computer user name and password with a student nurse who is assisting with client care. Of the possible consequences associated with sharing this information, which of the following has the most significance?
A. The nurse has not used good professional judgment
B. The nurse has violated civil law.
C. The nurse can be prosecuted as a criminal
D. The nurse has violated hospital policy Rate the quality of this question
C. The nurse can be prosecuted as a criminal
A nurse is caring for a client with a spica cast. Which of the following interventions involves proper skin care? (Select all that apply.)
A. Place a cover over the perineal opening to provide privacy
B. Assess pulse and sensation in the distal extremities every 12 hours
C. Check exposed areas for signs of redness or irritation
D. Inspect the inside edges of the cast to look for extra pieces of cast material E. Provide regular sponge baths for the client
C. Check exposed areas for signs of redness or irritation
D. Inspect the inside edges of the cast to look for extra pieces of cast material
E. Provide regular sponge baths for the client
Rationale:A spica cast is used to immobilize the legs; it is often applied after a type of hip surgery. The cast covers the waist but leaves an opening for elimination. Covering this area provides privacy but is not a form of skin care. The nurse should assess the skin on a regular basis and look for extra fragments of cast material, which can irritate the skin. Regular sponge baths will help keep the skin clean and hydrated. The nurse should check circulation and sensation, and it should be done more often than every 12 hours. Vital Concept: Spica casts extend from midtrunk and cover one or both extremities. The cast may be composed of fiberglass, plaster, or a polyester-cotton knit. The nurse will observe for signs and symptoms of cast syndrome and report physiological effects of cast syndrome, including abdominal pain and distention, nausea and vomiting, elevated blood pressure, tachycardia, or tachypnea. A client who is claustrophobic is at risk for psychological cast syndrome, which may include anxiety and irrational behavior. The nurse will encourage the client to perform isometric exercises to strengthen muscles covered by the cast and promote muscle-strengthening exercises for the upper body if crutches are used. The client should be instructed to promptly report cast breaks and signs and symptoms of complications, including circulatory compromise, cast syndrome, and hot spots. The nurse should warn the client against inserting sharp objects in the cast to relieve itching. Instead, the nurse will instruct the client to use a cool air from a dryer to help alleviate an itch.
A nurse receives laboratory data for 4 clients. Which of the following requires immediate intervention? Graded Response: Incorrect
A. A client with acute lymphocytic leukemia who has a white blood cell count of 4000/mm^3
B. A client with deep vein thrombosis who has a PT of 50 seconds (control 12) C. A client with hypertension and diabetes who has a triglyceride level of 320 mmol/L
D. A client with peptic ulcer disease and a GI bleed who has hemoglobin of 10 and a hematocrit of 30%
B. A client with deep vein thrombosis who has a PT of 50 seconds (control 12) The client’s PT is 4x the control. The therapeutic level is 1.5-2x the control. This higher level places the client at increased risk of bleeding, a potentially life-threatening problem. This is the priority intervention.
When discussing a toddler, which of the following indicates a parent has understood the nurse’s explanation of parallel play?
A. “My child’s choice of a game will determine the choices of the group.”
B. “The group will play without a common goal.”
C. “One child will take on the leadership role in the group.”
D. “My child may enjoy watching the others play.”
B. “The group will play without a common goal.
Contact precautions should be implemented for which of the following clients? (Select all that apply.) Graded Response:A A 70-year-old patient with Clostridioides difficile colitis B. A 55-year-old patient with influenza C. A 49-year-old patient with Mycoplasma pneumonia D. A 69-year-old patient with methicillin-resistant Staphylococcus aureus E. A 22 year old client with TB Rate the quality of this question Tell us why you rated this way (optional)… Submit Correct Answers: A. A 70-year-old patient with Clostridioides difficile colitis D. A 69-year-old patient with methicillin-resistant Staphylococcus aureus
Contact precautions should be implemented for which of the following clients? (Select all that apply.)
A. A 70-year-old patient with Clostridioides difficile colitis
B. A 55-year-old patient with influenza
C. A 49-year-old patient with Mycoplasma pneumonia
D. A 69-year-old patient with methicillin-resistant Staphylococcus aureus
E. A 22 year old client with TB
A. A 70-year-old patient with Clostridioides difficile colitis D. A 69-year-old patient with methicillin-resistant Staphylococcus aureus
A nurse is caring for a client who is postoperative and has a prescription for a clear liquid diet. Which of the following foods should the nurse offer to the client? (Select all that apply.)
A. Applesauce
B. Chicken broth
C. Sherbet
D. Pudding
E. Cranberry juice
B. Chicken broth
E. Cranberry juice