hesi neuro, Questions with accurate answers, rated A. 2022/2023

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hesi neuro, Questions with accurate answers, rated A. 2022/2023 A client with a history of stabbing pain in the eyes and blurring and gradual loss of vision is examined by an ophthalmologist, a n... eurologist, and an internist, all of whom find no organic cause. When eye complaints increase, the client is admitted to a mental health unit. What is the priority nursing intervention? - ✔✔Focusing on daily activities while avoiding discussion of the eye discomfort A client is admitted to the hospital with the diagnosis of a right-sided brain attack (stroke). The client is right-handed. Which task will be most difficult for this client? - ✔✔Dressing every morning If the client is right-handed, there will be difficulty with dressing because it requires the use of two hands, and some clothing requires movement of both sides of the body when dressing. A right-handed client is able to continue to use the right hand for eating meals, writing letters, and combing the hair because it is the left side that is affected by a lesion on the right side of the brain. A client is diagnosed with hyperopia and has insufficient corneal thickness for a LASIK flap. Which surgical procedure should the nurse anticipate being most likely performed by the primary healthcare provider in this condition? - ✔✔Photorefractive keratectomy (PRK) Photorefractive keratectomy (PRK) is suitable for clients who have insufficient corneal thickness and have hyperopia. In this procedure the epithelium is removed and the laser sculpts the cornea to correct the refractive error. Phakic intraocular lenses are referred to as implantable contact lenses; they are implanted without removing the eye's natural lens. These are used for clients with a high degree of myopia or hyperopia. A refractive intraocular lens is an implant which is used for clients with a high degree of myopia or hyperopia. It involves removal of the client's natural lens and implantation of an intraocular lens. In laser-assisted in situ keratomileusis (LASIK), a laser or a surgical blade is used to create a flap in the cornea. arcus senilis - ✔✔which is characterized by a milky, white-gray ring encircling the periphery of the cornea. This occurs due to cholesterol deposits in the peripheral cornea. A client with a head injury is admitted to the hospital. Which assessment finding alerts the nurse to increasing intracranial pressure? - ✔✔Widening pulse pressure Pressure on the vital centers in the brain causes an increase in the systolic blood pressure, widening the difference between the systolic and diastolic pressures. The client will be lethargic and have a lowered level of consciousness. The pupils will be unequal or dilated, not constricted. Pressure on the vital centers in the brain results in a decreased, not increased, heart rate. A client is awaiting surgery for a ruptured lumbar nucleus pulposus. Which activities should the nurse inform the client will most likely increase pain? . - ✔✔ Bearing down when having a bowel movement Coughing excessively A client is admitted to the emergency department with a head injury. A computed tomography (CT) scan shows a subdural hematoma. How should the nurse interpret this finding of a subdural hematoma? - ✔✔Blood between the dura mater and the arachnoid layer Discharge planning for an ambulatory client with Parkinson disease (PD) includes recommending equipment for home use that will help with activities of daily living. To foster independence, the nurse should promote the use of which equipment? - ✔✔A raised toilet seat -will reduce strain on the back muscles and make it easier for the client to rise from the seat without injury. The client is not bedridden and will not need side rails for the bed or a trapeze above the bed. Clients with Parkinson disease have poor balance and a propulsive gait, which makes it unsafe to use crutches. A client who is diagnosed as having a herniated nucleus pulposus reports pain. What should the nurse most likely conclude is the cause of this client's pain? - ✔✔Compression of the spinal cord by the extruded nucleus pulposus A nurse is caring for a client with Parkinson disease. Which clinical indicators does the nurse expect to find upon assessment? . - ✔✔Resting tremors flatten effect Slow voluntary movements Parkinson disease involves destruction of the neurons of the substantia nigra, reducing dopamine. The cause of this destruction is unknown. Disintegration of the myelin sheath is associated with multiple sclerosis. Breakdown of upper and lower motor neurons is associated with Lou Gehrig disease or amyotrophic lateral sclerosis. Reduced acetylcholine receptors at synapses are associated with myasthenia gravis. Goldman's applanation tonometer - ✔✔which is the most common method used to determine intraocular pressure. A nurse begins planning for the discharge of a client who had a brain attack (cerebrovascular accident, CVA) with residual hemiparesis and hemianopsia. Which information should the nurse include in the discharge teaching plan for this client? - ✔✔Significance of a safe environment A nurse is teaching a client with multiple sclerosis (MS) about how to manage urinary retention. Which instructions should the nurse include in the teaching session? - ✔✔Using Credé maneuver Monitoring for and reporting signs of urinary tract infection keratoconjunctivitis sicca, or dry eye syndrome - ✔✔dullness of the corneal light reflex and tears with mucus strands. Which is a clinical manifestation of a cluster headache? - ✔✔Ipsilateral tearing of the eye severe right-sided headache with runny nose, droopy eyelids, and tearing of the eye on the right side Oral glucosamine and lithium are specifically prescribed to treat cluster headache. "Pulsating pain is the characteristic type of pain that occurs in cluster headaches." The registered nurse (RN) is teaching new nurses how to obtain information when introducing themselves to clients suspected of having nervous system disorders. Which statement made by a new nurse indicates the need for further learning? - ✔✔ "I should observe the client's ability to perform hand hygiene." "I should wait to assess the speech of the client until later." During a health fair, the nurse takes an adult's blood pressure, and it is 200/120 mm Hg. The nurse should base the next nursing intervention on what understanding? - ✔✔There is an increased risk for having a cerebrovascular accident (brain attack). This client is in stage 3 hypertension and needs immediate medical intervention. Exercise would not have increased the blood pressure to this level. The "white coat syndrome" would not increase the blood pressure to this level. Obtaining information regarding prescribed medications will delay obtaining emergency care; the client needs medical care regardless of what medications are being taken. When a disaster occurs, the nurse may have to first treat mass hysteria that is indicated by what response? - ✔✔Panic [Show More]

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