Question 1 See full question
A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff
neck. Vital sign
... [Show More] assessment reveals a temperature elevation, increased heart and respiratory rates, and
normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal
rigidity, Brudzinski's sign, and Kernig's sign. What do these manifestations indicate?
You Selected:
Increased intracranial pressure (ICP)
Correct response:
Meningeal irritation
Explanation:
Remediation:
Question 2 See full question
What should a nurse do when administering pilocarpine?
You Selected:
Apply pressure on the outer canthus to prevent adverse reactions.
Correct response:
Apply pressure on the inner canthus to prevent systemic absorption.
Explanation:
Remediation:
Question 3 See full question
A registered nurse (RN) and licensed practical nurse (LPN) are administering medications on the
neurologic floor. The LPN prepares to administer phenytoin to a client with a history of seizures. As the
LPN walks into the room, she hands the medication to a nursing assistant. The LPN asks the nursing
assistant to give the client the medication after completing the client's morning care. What should the
registered nurse do?
You Selected:
Take the medication from the nursing assistant and administer it.
Correct response:
Remind the LPN that she must administer the medications herself.
Explanation:
Remediation:
Question 4 See full question
A nurse is caring for an older adult client with advanced Parkinson's disease. Which client statement
about advance directives indicates a need for further instruction?
You Selected:
"I know that I'll eventually be unable to make decisions. Signing an advance directive now will
save my family grief."
Correct response:
"I don't really need to sign anything. I'm depending on my physician to tell my family what to do
if something bad happens."
Explanation:
Remediation:
Question 5 See full question
A nurse caring for a client who had a stroke is using the unit's new computerized documentation system.
The nurse uses the information technology appropriately when she:
You Selected:
documents medications before administration.
Correct response:
documents medications after administration.
Explanation:
Remediation:
Question 6 See full question
A 70-year-old, previously well client asks the nurse, "I notice I have tremors. Is this just normal for my
age?" What should the nurse tell the client?
You Selected:
"You should have your blood pressure checked when this occurs."
Correct response:
“You should report this to the health care provider because it may indicate a problem.”
Explanation:
Remediation:
Question 7 See full questio [Show Less]