NSG MISC Adult Health lll Exam 4 Questions and Answers

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The nurse on the neurological unit is positioning a client who had a stroke two days ago and had left-sided hemiparesis. Which of the following actions by the nurse would be appropriate? Select all ... that apply. a. Positioning a rolled washcloth in the client’s left hand b. Placing a foam abduction wedge between the client’s legs c. Grasping the client’s left arm to pull the client from supine to a right side-lying position d. Securing the left arm in a sling e. Putting a trochanter roll on the outside of the client’s left hip when the client is supine. 2. The nurse is caring for a client who has expressive aphasia following a stroke. The nurse has taught the client’s spouse about ways to facilitate communication. Which of the following comments by the client’s spouse would require follow-up? a. “I wait after I ask my spouse a question, to give as much time as needed to answer.” b. “I ask my spouse questions like, ‘Do you like this movie?’ instead of ‘What do you think of this movie?’” c. “I act like I understand when I do not, so that my spouse will not become frustrated.” d. “I tell my spouse, ‘Point to what you want” so I do not get frustrated trying to understand.” 3. The nurse is caring for a client with increased intracranial pressure (ICP) who has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following prescribed interventions should the nurse implement? a. Electrolyte restriction b. Electrolyte replacement c. Fluid replacement d. Fluid restriction 4. The nurse is planning care for a client who has a recent diagnosis of multiple sclerosis (MS). Which of the following interventions should the nurse include in the client’s care plan? a. Instruct the client on daily muscle stretching exercises b. Provide total assistance with all activities of daily living (ADLs) c. Encourage the client to follow a low-residue diet d. Encourage client to void every hour 5. The nurse is caring [Show More]

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