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Ati n222 med surg exam

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Total Questions : 20

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Question 1:

The nurse is caring for a client with a traumatic brain injury following a motor vehicle collision. The client is completely unresponsive to verbal or physical stimuli and does not open the eyes. Which prescription should the nurse clarify with the health care provider?

Answer and Explanation

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Question 2:

The client has increased intracranial pressure with cerebral edema, and mannitol is administered. Which assessment should the nurse make to evaluate if a complication from the mannitol is occurring?

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Question 3:

Which term would the nurse use to document a patient who is comatose from a head injury and displays flexion of the arms, wrists, and fingers, as well as adduction of the upper extremities?

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Question 4:

The nurse is caring for a client with cerebral edema. Which of the following should the nurse recognize as a potential cause of cerebral edema? (Select All that Apply.)

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Question 5:

Which is a priority nonoperative treatment following a spinal cord injury?

Answer and Explanation

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Question 6:

Which patient is the nurse most concerned with developing a subdural hematoma following an injury that resulted with a blow to the head?

Answer and Explanation

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Question 7:

Which intervention would the nurse identify as a priority when monitoring a patient recovering from a craniotomy?

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Question 8:

A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?

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Question 9:

nurse is teaching a group of nursing students about spinal cord injuries in clients who are aged 65 years and older. Which of the following should the nurse identify as the most common cause of spinal cord injuries for this age group?

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Question 10:

To prevent the leading cause of death for clients with spinal cord injury, collaboration with which member of the interprofessional health care team is a nursing priority?

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