PRN1725/ PRN 1725 Exam 1 (New 2024/ 2025 Update) Client-Centered Care IV Exam Practice Questions and Verified Answers|100% Correct| A Grade -
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QUESTION
a nurse is caring for a client who is experiencing auditory hallucinations. Which of the following responses should the nurse make first?
Answer:
the nurse needs to recognize that this is something they are experiences so they might say "i do not hear what you are hearing"
QUESTION
A nurse is caring for a client who just experienced a generalized seizure. Which of the following actions should the nurse perform first?
Answer:
-make sure they are safe
-LOC
-stay with the person
-DO NOT move them
QUESTION
a nurse is caring for a client who sustained a head injury in an accident. A focused exam reveals that one pupil is larger than the other. What should the nurse do first?
Answer:
-notify the provider
QUESTION
which nursing intervention is the priority when caring for a client during the acute phase of Guillain-Barre?
Answer:
-assessment is the most important part during the acute stage
-monitor the progression of paralysis
-monitor ABGs
-orthostatic hypertension and cardiac dysrhythmia
QUESTION
a nurse is collecting data from an infant who hit her head when she fell off a dressing table. the nurse should identify which of the following as indicating increased intracranial pressure?
Answer:
-high pitched cry
-irritability
-bulging fontanels
-setting sun (eyes looking down)
QUESTION
a nurse is modifying the diet of a client who has parkinson's and a prescription for Selegiline, a MAOI. Which of the following foods should the nurse eliminate from the clients diet.
Answer:
-Aboid Tyramine
-aged cheese, cured meats, dried fruit, alcohol, pickled or fermented foods
QUESTION
a nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?
Answer:
-difficulty performing ADLs
-memory loss - FORGETFULNESS
-wandering
-confusion
-repeating questions
QUESTION
a nurse is reviewing the health record of a client who has a malignant brain tumor and notes the client has a positive Romberg sign. Which of the following actions should the nurse take to assess for this sign? [Show Less]