Nokea
The nurse gives discharge instructions to a client who sustained a brain injury from a motor vehicle accident. His wife is concerned regarding her husband having seizures at home. Which statement from the wife indicates that she understood the nurse's teaching?
- A. I will make sure that my husband does not wet himself.'
- B. I will clear all furniture that might injure him when he has a seizure.'
- C. I will call 911 once he has a seizure lasting about 3 minutes.'
- D. I will ensure he sleeps well after a seizure.'
Correct Answer: B
Rationale: Clearing furniture prevents injury during seizures, indicating understanding of safety measures.
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This nurse is caring for a client who is receiving prescribed carbamazepine. Which of the following findings would indicate a therapeutic response?
- A. Decreased mood lability
- B. Steady gait
- C. Urinary continence
- D. Increased bone mass
Correct Answer: B
Rationale: Carbamazepine is an anticonvulsant used for seizures, and a steady gait indicates reduced seizure activity or improved neurological stability. Mood lability, urinary continence, and bone mass are not primary therapeutic outcomes.
The following scenario applies to the next 1 items
A client presents to the clinic with reports of difficulty with their vision
Item 1 of 1
Nurses' Notes
Diagnostics
A 63-year-old male presents with concerns about difficulty with driving at nighttime. The client states, '1 feel like my vision is blurred, and I cannot change it.' The client reports no pain in either eye. He reports that this problem has 'gotten worse and cannot drive anymore because it is hard to see at night' and it started 'some time ago' and cannot pinpoint an exact start. The assessment showed the pupils were equal, round, and briskly reactive to light. They measured 3 mm. Slight opacity was noted in both eyes. No loss in the visual fields.
The nurse reviews the assessment findings
Click to specify if the assessment findings are consistent with cataracts or glaucoma: Increase in intraocular pressure (IOP)
- A. Vision impairment worse at nighttime
- B. Opacity in the eye
- C. Blurred vision
- D. Increase in intraocular pressure (IOP)
Correct Answer: A,A,A,B
Rationale: Increased IOP is characteristic of glaucoma.
The nurse is caring for a client who was prescribed lamotrigine. The nurse understands that this medication is intended to treat
- A. Acute spinal shock
- B. Epilepsy
- C. Parkinson's disease
- D. Multiple sclerosis
Correct Answer: B
Rationale: Lamotrigine is an anticonvulsant primarily used to treat epilepsy. It is not indicated for spinal shock, Parkinson's disease, or multiple sclerosis.
The nurse is caring for a client newly prescribed ropinirole. The nurse understands that this medication is prescribed to treat which condition?
- A. Multiple Sclerosis
- B. Parkinson disease
- C. Schizophrenia
- D. Guillain-Barré syndrome
Correct Answer: B
Rationale: Ropinirole is a dopamine agonist used to treat Parkinson's disease by improving motor symptoms. It is not indicated for Multiple Sclerosis, Schizophrenia, or Guillain-Barré syndrome, which involve different pathophysiology and treatments.
A 24-year old woman presents to the emergency department and appears as shown in the exhibit. What type of injury does this assessment finding suggest?
- A. CSF leak
- B. Basilar skull fracture
- C. Brown-Sequard syndrome
- D. Subarachnoid hemorrhage
Correct Answer: B
Rationale: Without the exhibit, basilar skull fracture is assumed due to context (e.g., raccoon eyes or CSF leak signs).