a client who is s/p clipping for an aneurysm in the past 48 hours reports severe intermittent headache. He is notably less alert while he is experiencing the headache. As a nurse, what is your immediate concern?

The client may be experiencing transient vasospams and may need his Nimodipine dose increased - call provider who may wish to order a transcranial Doppler study.

These are expected post clipping symptoms, continue to monitor and record progress.

The client may be experiencing transient vasospams and may need his Nimodipine dose increased - call provider who may wish to order a transcranial Doppler study.

The client may be re-bleeding and should be sent for a CT scan to determine this- call neuro PA or NP.

The client is probably experiencing a post bleed- ischemic injury d/t reperfusion, and altered free oxygen radical release- call PA who may wish to increase antioxidant thearpy.

A client who experienced a minor hemorrhagic stroke from an aneurysm 1 week ago[aneurysm was not repaired] reports a severe headache accompanied by nausea and vomiting. What is your immediate concert.

the clients warfarin dose is inadequate

the client is experiencing stroke related pyschological stress

the client is experiencing increased ICP

your head injury patient develops decreased urinary output 20-30ml/hour, his serum NA+ is < 130mg/dl and they have +3 generalized edema. What is the treatment of this pathology in the head injured patient?

SIADH is best treated with fluid restriction and strict I&O

DI may be treated with hypotonic fluids [ the only time hypotonic fluid is given in a neuro patient) and vasopressin

SIADH is treated with administration of vasopressin and rapid replacement of sodium

Although DI is generally treated with hypotonic fluids, this is inappropriate in head injury and therefore the fluid of choice is NS

SIADH is best treated with fluid restriction and strict I&O

When developing a teaching plan for a patient who had an embolic stroke, the nurse considers which history as a significant risk factor?

hx of atherosclerosis of cerebral arteries

which assessment finding increases the concern that a patient with cerebral vascular accident would aspirate?

continuous clearing of the throat

absence of interest in eating or drinking

continuous clearing of the throat

eating only foods on one side of the tray

refusal to allow the nurse to assist with feeding

A patient with a moderate diffuse head injury is demonstrating a variety of neruo symptoms. What is the priority when caring for this patient?

maintaining adequate fluid volume

An ICU nurse is documenting a high- acuity patient's clinical response following administration of morphine sulfate for anginal pain using PQRST. What data should the nurse expect to document as "s"

patient reports pain has decreased from a 9 to a 6 on pain scale

Patient reports burning in the chest area

patient states that the pain subsided after 10 mins

patient reports pain has decreased from a 9 to a 6 on pain scale

patient reports that the majority of pain is located in left jaw

The nurse is preparing to administer tPA thearpy to a HA patient with an acute ischemic stroke. which findings should cause the nurse to abort procedure

stroke symptoms suddenly appearing an hour ago

evidence of embolic stroke on a ct scan

you are caring for a patient who arrived from the cath lab post PCI. They have an angioseal device to the L femoral artery. Which is your priority nursing action?

maintain patient flat for at least 30 minutes

Maintain head of the bed at 30 degrees

maintain manual pressure to affected area for at least 2 hours

maintain patient flat for at least 30 minutes

the nurse is providing post procedure care for HA patient after a carotid endarterectomy. Which action should the nurse take to facilltate carotid blood flow?

maintain head and neck alignment

elevate the head of the bed 30 degrees

position patient on the non operative side

maintain head and neck alignment

support the head during position change

the nurse is performing an assessment on a HA patient with severe right sided heart failure. Which finding should indicate to the nurse an exacerbation of this condition?

Movement at the fifth intercostal space at the precordium

which of the following is true of the QT interval

measures ventricular depolarization and repolarization. it should be corrected for HR

measures atrial and ventricular depolarization

measures ventricular depolarization and repolarization. it should be corrected for HR

it is an unimportant measure and rarely considered

measurement of resting membrane potential

an adult patient with a heart rate of 50bpm should be?

assessed for his perfusion response to this HR[ this may be perfectly normal in a healthy adult]

worked up for possible bradycardic cardiomyopathy

assessed for his perfusion response to this HR[ this may be perfectly normal in a healthy adult]

given 0.5mg atropine and repeated to a total of 3mg

placed on transcutaneous pacing until HR is at least 60

a patient with a.flutter with a 4:1 block is to be started on medications to convert this new rhythm. Which of the following meds would be appropriate?

calcium channel blocker [like diltiazem] or an antiarrhythmic[amiodrane]

a beta blocker [lopressor or digoxin]

a magnesium salt to buffer the effects of calcium in the atria

an ace inhibitor to affect afterload- addressing cause of rhythm

a patients cardiac monitor frequently sounds false rate alarms. Which nursing intervention is indicated?

adjust the high and low rates on the alarm

shut the room door so the alarm will not disturb the other patients

The nurse has determined that the patients has a bundle branch block. Which condition likely exists?

A QRS segment longer than 0.12 seconds

PR interval longer than .20 seconds

A QRS segment longer than 0.12 seconds

A PR interval that lengthens with each beat

Your Duties As A Nurse- MCQ Test

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| Written by Catherinehalcomb

Catherinehalcomb

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Quizzes Created: 1509 | Total Attempts: 5,225,587

Questions: 28 | Attempts: 2,296 | Updated: Mar 22, 2023

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Are you preparing or aspiring to be a nurse? Or have your nursing exam coming up soon? In that case, you need to have clarity about your duties as a nurse. Do you know enough about it? Well, this MCQ test will clear that out in minutes. All the best!

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Your Duties As A Nurse- MCQ Test

A client who is s/p clipping for an aneurysm in the past 48 hours reports severe intermittent headache. He is notably less alert while he is experiencing the headache. As a nurse, what is your immediate concern?

A client who experienced a minor hemorrhagic stroke from an aneurysm 1 week ago[aneurysm was not repaired] reports a severe headache accompanied by nausea and vomiting. What is your immediate concert.

Your head injury patient develops decreased urinary output 20-30ml/hour, his serum NA+ is < 130mg/dl and they have +3 generalized edema. What is the treatment of this pathology in the head injured patient?

A patient arrives in the ICU with an altered LOC. After an initial assessment of ABCs[including VS and spo2] and GCS, the next test should be...

When developing a teaching plan for a patient who had an embolic stroke, the nurse considers which history as a significant risk factor?

Which assessment finding increases the concern that a patient with cerebral vascular accident would aspirate?

A patient with a moderate diffuse head injury is demonstrating a variety of neruo symptoms. What is the priority when caring for this patient?

A patient with a TBI continues to have increased ICP despite conventional therapeutic interventions. The nurse would anticipate which tier three intervention?

An ICU nurse is documenting a high- acuity patient's clinical response following administration of morphine sulfate for anginal pain using PQRST. What data should the nurse expect to document as "s"

The nurse is preparing to administer tPA thearpy to a HA patient with an acute ischemic stroke. which findings should cause the nurse to abort procedure

You are caring for a patient who arrived from the cath lab post PCI. They have an angioseal device to the L femoral artery. Which is your priority nursing action?

HA patient has a suspected acute stoke. Which patient condition may result in impaired airway clearance

The nurse is providing post procedure care for HA patient after a carotid endarterectomy. Which action should the nurse take to facilltate carotid blood flow?

You have a patient dx with CAD, and is started on simvastatin. What baseline lab test is required prior to initiation of therapy.

The nurse has administered thrombolytic therapy to a 65 yr old female patient diagnosed with STEMI. Ten hours following administration of the thrombolytic, the patient is uncharacteristically irritable and somnolent. Which complication should the nurse suspect?

The nurse is reviewing pharm management for HA patient diagnosed with unstable angina[UA]. Which collaborative therapy should the nurse expect to see in a plan of care?

A pt is admitted to the ED for a suspected MI. Which lab test should the nurse anticipate being performed for this PT[ which is most accurate]

The nurse is performing an assessment on a HA patient with severe right sided heart failure. Which finding should indicate to the nurse an exacerbation of this condition?

What is the first action a nurse should take when they see VT[tachy] on monitor?

Your patient has a HR of 108. The rhythm is regular, patient has a p wave before each QRS complex, PR interval is .20 seconds and the QRS that follows each p is narrow. How would you label this rhythm?

Which of the following is true of the QT interval

An adult patient with a heart rate of 50bpm should be?

A patient with a.flutter with a 4:1 block is to be started on medications to convert this new rhythm. Which of the following meds would be appropriate?

A patients cardiac monitor frequently sounds false rate alarms. Which nursing intervention is indicated?

The nurse has determined that the patients has a bundle branch block. Which condition likely exists?

Which of the following is the priority in treating a patient with pulseless electrical activity [PEA]

A patients admission VS were BP 128/64, HR 86, RR 16, Temp 98.6F. The patient has a spiked temp of 101.6. Which change in heart rate would the nurse anticipate?