Nokea
A nurse is teaching a client with cerebellar function impairment. Which statement should the nurse include in this client's teaching?
- A. Connect a light to flash when your doorbell rings.
- B. Label your faucet knobs with hot and cold signs.
- C. Ask a friend to drive you to your follow-up appointments.
- D. Use a natural gas detector with an audible alarm.
Correct Answer: B
Rationale: Cerebellar impairment affects coordination and balance, not vision or hearing, so labeling faucets helps the client safely navigate daily tasks. The other options address sensory impairments unrelated to cerebellar dysfunction.
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After teaching a client who is scheduled for magnetic resonance imaging (MRI), the nurse assesses the client's understanding. Which client statement indicates a correct understanding of the teaching?
- A. I must increase my fluids because of the dye used for the MRI.
- B. My urine will be radioactive so I should not share a bathroom.
- C. I can return to my usual activities immediately after the MRI.
- D. My gag reflex will be tested before I can eat or drink anything.
Correct Answer: C
Rationale: No post-procedure restrictions are imposed after an MRI, allowing the client to resume normal activities. No dyes or radioactive materials are used, and the gag reflex is unaffected by the procedure.
A nurse cares for a client who is recovering from a single-photon emission computed tomography (SPECT) with a radiopharmaceutical agent. Which statement should the nurse include when discussing the plan of care with this client?
- A. You may return to your previous activity level immediately.
- B. You are radioactive and must use a private bathroom.
- C. Frequent assessments of the injection site will be completed.
- D. We will be monitoring your renal function closely.
Correct Answer: A
Rationale: No special precautions are needed after SPECT, as radioisotopes are eliminated in urine without requiring monitoring or activity restrictions. The other options are unnecessary.
A nurse prepares a client for lumbar puncture (LP). Which assessment finding should alert the nurse to contact the health care provider?
- A. Shingles on the client's back
- B. Client is claustrophobic
- C. Absence of intravenous access
- D. Paroxysmal nocturnal dyspnea
Correct Answer: A
Rationale: Shingles at the puncture site increases infection risk, requiring the nurse to notify the provider. Claustrophobia, lack of IV access, or dyspnea can be managed without canceling the procedure.
A nurse assesses a client recovering from a cerebral angiography via the client's right femoral artery. Which assessment should the nurse complete?
- A. Palpate bilateral lower extremity pulses.
- B. Obtain orthostatic blood pressure readings.
- C. Perform a fundoscopic examination.
- D. Assess the gag reflex prior to eating.
Correct Answer: A
Rationale: Cerebral angiography involves threading a catheter through the femoral artery, and the extremity is immobilized post-procedure. Checking bilateral lower extremity pulses ensures adequate circulation. Orthostatic blood pressure readings are not feasible due to bedrest, and fundoscopic examination or gag reflex assessment is unrelated to the procedure.
A nurse assesses a client with a brain tumor. Which newly identified assessment findings should alert the nurse to urgently communicate with the health care provider? (Select all that apply.)
- A. Glasgow Coma Scale score changes
- B. Abnormal flexion or extension
- C. Changes in cognition or speech
- D. Pinpoint, dilated, and nonreactive pupils
- E. Stable vital signs
Correct Answer: A,B,C,D
Rationale: Changes in Glasgow Coma Scale score, abnormal posturing, altered cognition or speech, and nonreactive pupils indicate neurological deterioration, requiring urgent provider notification. Stable vital signs do not necessitate immediate action.