PN2 EXAM 3 QUESTIONS AND ANSWERS Know what the left temporal lobe of brain affects as far as the senses
1. 1. A nurse prepares to teach a client
... [Show More] who has experienced damage to
the left temporal lobe of the brain. Which action should the nurse take
when providing education about newly prescribed medications to this
client?
a. Help the client identify each medication by its color.
b. Provide written materials with large print size.
c. Sit on the clients right side and speak into the right ear.
d. Allow the client to use a white board to ask
questions.
ANS: C
The temporal lobe contains the auditory center for sound interpretation.
The clients hearing will be impaired in the left ear. The nurse should sit
on the clients right side and speak into the right ear. The other
interventions do not address the clients left temporal lobe damage.
Know what hypoactive deep tendon reflexes affect
2. A nurse plans care for a client who has a hypoactive response to a test of
deep tendon reflexes. Which intervention should the nurse include in this
clients plan of care?
a. Check bath water temperature with a thermometer.
b. Provide the client with assistance when ambulating.
c. Place elastic support hose on the clients legs.
d. Assess the clients feet for wounds each
shift. ANS: B
Hypoactive deep tendon reflexes and loss of vibration sense can impair
balance and coordination, predisposing the client to falls. The nurse should
plan to provide the client with ambulation assistance to prevent injury. The
other interventions do not address the clients problem.
Know what things can interfere with MRI scans
10. A nurse obtains a focused health history for a client who is scheduled for
magnetic resonance imaging (MRI). Which condition should alert the nurse to
contact the provider and cancel the procedure?
a. Creatine phosphokinase (CPK) of 100 IU/L
b. Atrioventricular graft
c. Blood urea nitrogen (BUN) of 50 mg/dL
d. Internal insulin pump
ANS: D
Metal devices such as internal pumps, pacemakers, and prostheses interfere
with the accuracy of the image and can become displaced by the magnetic
force generated by an MRI procedure. An atrioventricular graft does not
contain any metal. CPK and BUN levels have no impact on an MRI procedure, [Show Less]