Podcast
Questions and Answers
The nurse is working in a college clinic when a student comes in and says, “I think I have a migraine. My head hurts, I cannot stand the bright light, and I feel sick to my stomach.” What additional finding is most concerning?
The nurse is working in a college clinic when a student comes in and says, “I think I have a migraine. My head hurts, I cannot stand the bright light, and I feel sick to my stomach.” What additional finding is most concerning?
- A subnormal temperature (correct)
- An ill college roommate
- Positive Brudzinski sign (correct)
- Positive Romberg test
A patient is brought to the health-care provider’s (HCP’s) office with a headache, lethargy, nausea, vomiting, and a fever, which has developed over the past few days. The nurse begins collecting data about the possible causes of the symptoms. Which information supports a concern for encephalitis being the cause?
A patient is brought to the health-care provider’s (HCP’s) office with a headache, lethargy, nausea, vomiting, and a fever, which has developed over the past few days. The nurse begins collecting data about the possible causes of the symptoms. Which information supports a concern for encephalitis being the cause?
- The patient has recently exhibited flu-like manifestations.
- The patient lives in a home where a child has chickenpox.
- The patient has been camping within the last few weeks. (correct)
- The patient has experienced a stiff neck for 3 days.
The licensed practical nurse/licensed vocational nurse (LPN/LVN) is assigned to assist the registered nurse (RN) in providing care for a patient admitted for an infectious neurological disorder. Which reassessment finding is most concerning and should be reported to the RN?
The licensed practical nurse/licensed vocational nurse (LPN/LVN) is assigned to assist the registered nurse (RN) in providing care for a patient admitted for an infectious neurological disorder. Which reassessment finding is most concerning and should be reported to the RN?
- The patient has a consistent temperature of 101.4°F (38.6°C).
- The patient attempts to get out of bed to go to work. (correct)
- A headache pain level of 5 on a scale of 0 to 10 is verbally reported.
- The patient is noticed to be changing position without assistance.
The nurse is providing care to a patient with a migraine headache. What action should the nurse take?
The nurse is providing care to a patient with a migraine headache. What action should the nurse take?
The nurse is assisting with the care of a patient after a traumatic brain injury. The patient experiences a seizure and exhibits bilateral jerking of the extremities. Which type of seizure does the nurse recognize?
The nurse is assisting with the care of a patient after a traumatic brain injury. The patient experiences a seizure and exhibits bilateral jerking of the extremities. Which type of seizure does the nurse recognize?
The nurse is providing care for a patient on a medical unit with a history of seizure activity. The patient exhibits the manifestations of a generalized seizure, which does not respond to prescribed treatment. Seizure activity has continued over 30 minutes without a return to responsiveness. What action does the LPN/LVN expect the RN to take?
The nurse is providing care for a patient on a medical unit with a history of seizure activity. The patient exhibits the manifestations of a generalized seizure, which does not respond to prescribed treatment. Seizure activity has continued over 30 minutes without a return to responsiveness. What action does the LPN/LVN expect the RN to take?
An older adult patient has dementia and is being admitted to a long-term care facility. What recommendation should the nurse make to the family?
An older adult patient has dementia and is being admitted to a long-term care facility. What recommendation should the nurse make to the family?
A patient is distressed to learn that a sibling is diagnosed with Huntington disease. How should the nurse reply when asked by the patient about the risk for having it?
A patient is distressed to learn that a sibling is diagnosed with Huntington disease. How should the nurse reply when asked by the patient about the risk for having it?
The nurse is providing care for a patient who was diagnosed with Parkinson disease 12 years prior. Which symptoms places the patient at the greatest risk for a fall?
The nurse is providing care for a patient who was diagnosed with Parkinson disease 12 years prior. Which symptoms places the patient at the greatest risk for a fall?
The nurse is hired by a family to provide care for a family member diagnosed with stage 2
Alzheimer disease. Which action related to safety is most important for the nurse to implement?
The nurse is hired by a family to provide care for a family member diagnosed with stage 2 Alzheimer disease. Which action related to safety is most important for the nurse to implement?
A patient is brought to the emergency department after being hit by a baseball bat during a game. Which finding is a priority concern and should be immediately reported to the HCP or RN?
A patient is brought to the emergency department after being hit by a baseball bat during a game. Which finding is a priority concern and should be immediately reported to the HCP or RN?
The nurse is assisting with care for a patient in the ICU with an extreme head injury and suspected brain herniation. What should the nurse anticipate for care?
The nurse is assisting with care for a patient in the ICU with an extreme head injury and suspected brain herniation. What should the nurse anticipate for care?
A patient is diagnosed with bacterial encephalopathy. Which symptoms exhibited by the patient indicate late signs of the patient’s diagnosis?
A patient is diagnosed with bacterial encephalopathy. Which symptoms exhibited by the patient indicate late signs of the patient’s diagnosis?
The nurse is assisting with the care of a patient with a brain tumor who is exhibiting increased ICP. What safety action should the nurse take?
The nurse is assisting with the care of a patient with a brain tumor who is exhibiting increased ICP. What safety action should the nurse take?
The LPN/LVN is assisting the RN in providing care for a patient with a risk for increased ICP. What finding needs to be reported to the RN?
The LPN/LVN is assisting the RN in providing care for a patient with a risk for increased ICP. What finding needs to be reported to the RN?
The nurse is planning care for a patient with a migraine headache. Which actions does the nurse include in this plan of care? (Select all that apply.)
The nurse is planning care for a patient with a migraine headache. Which actions does the nurse include in this plan of care? (Select all that apply.)
The nurse is caring for a patient with an acute brain injury. Which interventions does the nurse use to prevent increased ICP in this patient? (Select all that apply.)
The nurse is caring for a patient with an acute brain injury. Which interventions does the nurse use to prevent increased ICP in this patient? (Select all that apply.)
The nurse suspects that a patient is experiencing increasing ICP. What observations cause the nurse to come to this conclusion? (Select all that apply.)
The nurse suspects that a patient is experiencing increasing ICP. What observations cause the nurse to come to this conclusion? (Select all that apply.)
A patient is prescribed the dopamine agonist pramipexole (Mirapex) for Parkinson disease. Which instructions are important for the nurse to include when teaching about this medication? (Select all that apply.)
A patient is prescribed the dopamine agonist pramipexole (Mirapex) for Parkinson disease. Which instructions are important for the nurse to include when teaching about this medication? (Select all that apply.)
A patient with a spinal cord injury at T3–T4 experiences a sudden increase in BP and has cool, pale, gooseflesh skin on the lower extremities. Which action does the nurse perform while awaiting physician orders? (Select all that apply.)
A patient with a spinal cord injury at T3–T4 experiences a sudden increase in BP and has cool, pale, gooseflesh skin on the lower extremities. Which action does the nurse perform while awaiting physician orders? (Select all that apply.)
Flashcards
法国的首都（示例闪卡）
法国的首都（示例闪卡）
巴黎
