The nurse suspects that an older client with symptoms that the family think are signs of dementia and old age has Parkinson disease. What three cardinal signs did the nurse assess in this client?
1. Constipation, urinary retention, and memory loss
2. Memory loss, brittle nails, and decreased pulses
3. Rapid pulse, wheezing, and tremors
4. Tremors, rigidity, and slow voluntary movements and speech
Question 2A client recovering from a right sided carotid endarterectomy is returning to the care area. What care should the nurse provide for this client? (Select all that apply.)
1. Assess respiratory rate
2. Position on the left side
3. Monitor for shoulder sag
4. Assess the wound for drainage
5. Monitor blood pressure every 8 hours
Question 3The nurse is asked by the client with multiple sclerosis (MS) to explain the cause of MS, because there is no family history of it in the client's family. What should the nurse explain to the client?
1. It is an auto-recessive gene that causes the disease.
2. It is thought that a viral infection causes an autoimmune response.
3. The disease tends to follow from a strep infection.
4. The disease is caused by poor eating habits and obesity.
Question 4The nurse is caring for a client with a cerebral aneurysm who is awaiting the decision to perform surgery. Which actions are priorities to prevent increasing ICP and rebleeding? (Select all that apply.)
1. Restrict visitors to two at a time.
2. Assign the client to a private room.
3. Provide aspirin-based analgesics for pain control.
4. Instruct to call for help to move self up in the bed.
5. Keep the lights off and minimize noise in the room.
Question 5When caring for a client with left-sided hemianopia, the nurse should:
1. keep the client positioned on the back or left side only.
2. place the food tray on the client's left side.
3. place the client's personal belongings on the client's right side.
4. check the left side of the mouth for food pocketing.
Question 6When caring for a client who has had a subarachnoid hemorrhage, the nurse should focus nursing interventions to prevent:
1. aphasia.
2. seizures.
3. meningitis.
4. rebleeding.
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