Neurological Problems (exam Mode) By Rnpedia.com

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Neurological Problems (Exam Mode) By RNpedia.com
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1.  A patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient reveals increased blood pressure (168/94) and decreased heart rate (48/minute), diaphoresis, and flushing of the face and neck. What action should you take first? 
A.
B.
C.
D.
2.  The patient with multiple sclerosis tells the nursing assistant that after physical therapy she is too tired to take a bath. What is your priority nursing diagnosis at this time? 
A.
B.
C.
D.
3.  Which of these patients in the neurologic ICU will be best to assign to an RN who has floated from the medical unit? 
A.
B.
C.
D.
4.  You are helping the patient with an SCI to establish a bladder-retraining program. What strategies may stimulate the patient to void? (Choose all that apply). 
A.
B.
C.
D.
E.
5.  The LPN/LVN, under your supervision, is providing nursing care for a patient with GBS. What observation would you instruct the LPN/LVN to report immediately? 
A.
B.
C.
D.
6.  You are supervising a senior nursing student who is caring for a patient with a right hemisphere stroke. Which action by the student nurse requires that you intervene? 
A.
B.
C.
D.
7.  The patient with migraine headaches has a seizure. After the seizure, which action can you delegate to the nursing assistant?   
A.
B.
C.
D.
8.  You are pulled from the ED to the neurologic floor. Which action should you delegate to the nursing assistant when providing nursing acre for a patient with SCI? 
A.
B.
C.
D.
9.  A patient who has been admitted to the medical unit with new-onset angina also has a diagnosis of Alzheimer’s disease. Her husband tells you that he rarely gets a good night’s sleep because he needs to be sure she does not wander during the night. He insists on checking each of the medications you give her to be sure they are the same as the ones she takes at home. Based on this information, which nursing diagnosis is most appropriate for this patient?   
A.
B.
C.
D.
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