Nursing 200 - Exam 4

What is the earliest sign of deterioration in a patient with a hemorrhagic stroke of which the nurse should be aware?

RN caring for patient w/increasing ICP. What diagnostic test is contraindicated for this patient?

What type of deficiencies cause bone marrow and peripheral blood changes and are both needed for DNA synthesis?

RN caring for pt w Parkinsons disease. The RN should be aware that Tx will focus on what pathophysiological phenomenon

The patho of this disease is a deterioration of motor neurons in the brain and spinal cord.

The RN is planning the care of a pt w/a nutritional deficit & a dx of megaloblasticanemia. This health issue is due to:

Brudzinski's sign and Kernig's sign are two tests that help diagnose which neurological disorder.

This food will help the body absorb iron

10 y.o. boy with a Dx of hemophilia. The RN knows a priority nursing diagnosis for this patient with hemophilia is?

A patient who has had a previous transfusion is at risk for which reaction?

A RN is caring for a client with a diagnosis of trigeminal neuralgia. Which activity is altered as a result of this dx

When providing teaching to a hemophilia client, what would be a contraindication?

What position must the client be in for a lumbar puncture?

Client with a recent stroke has double vision. What nursing intervention is most appropriate?

This potential complication of Ischemic stroke has been associated with poor neurological outcomes

What patient education should the RN prioritize prior to the administration of fresh frozen plasma?

This medication is used to treat Parkinson's Disease

A nurse assessing a pt LOC using Glasgow coma scale. What score indicates severe impairment of neurologic function

Common initial symptoms for this disease include optic neuritis and parasethesia

Which of the following circumstances would most clearly warrant autologous blood donation?

What is nursing care for a client who has a diagnosis of hemophilia and is actively bleeding?

How can you tell if your Vitamin B12 levels have returned to normal after replacement?

A public health nurse gives a lecture on potential outbreaks of infectious meningitis. Which population is most at risk?

Patho: CN V - attacks of sudden pain described as unilateral shooting and stabbing or burning sensation

The client understands the teaching about taking oral iron supplements when she makes this statement

Newly reg. nurse is educating pt about bone marrow biopsy. For which statement will the precepting nurse intervene?

What result will occur if increasing ICP is left untreated?

A client in a chair begins to have a tonic-clonic seizure. The most appropriate nursing response is to

Patients with Pernicious anemia have what type of clinical manifestations?

A patient with Pernicious anemia and low B12 should be educated to do what type of screening?

13-year-old with Sickle Cell asks what they can do to help prevent sickle cell crisis. What is an appropriate response

This disease is autoimmune in nature and affects the acetylcholine receptors.

The RN has a pt with acute leukemia and a fever. Which action could the nurse take that would be best for this client?

A pt EHR states the pt receives regular transfusions of factor IX. TheRN would be justified in suspecting the pt has:

What nutritional approach for seizure management would be beneficial?

For a client with Bell's Palsy, the nurse should discuss this with the client

This disorder involves cranial nerve VII

A pt lives w/a Dx of sickle cell anemia & receives freq. blood transfusions. Pt is at risk for this complication of Tx?

Elevated Methylmalonic acid and homocysteine levels are more sensitive for the dx of what megaloblastic deficiency?

Patient’s most recent bloodwork reveals low levels of albumin. This finding suggests the poss of what nursing diagnosis

This vitamin deficiency may cause numbness in the arms and hands w/tingling sensation & frequent stumbling when walking.

A client's health Hx reveals consumption of 2-3 bottles of wine daily. What hematologic disorder is she at risk for

The nurse is assessing client w/tentative dx of Meningitis. What findings should the Rn associate with meningitis?

Treatment for hemophilia will likely include periodic self-administration of which component?

What type of blood transfusion reaction do you suspect Bob Ross had?

During a blood transfusion pt has dyspnea, orthopnea, tachycardia, & increase BP w/sudden anxiety. What reaction is this

Which neurologic disorder is characterized by progressive degeneration of the cerebral cortex?

This ailment typically manifests as a raging headache and decreased LOC.

An older adult client exhibits characteristic s/s of Fe deficiency. Inaddition to a CBC what Dx should the RN anticipate

Pt w/Alzheimer's has increased confusion, agitation, hallucinations in evening. What can RN implement to lessen episodes

Which patient is likely to have the highest risk for hemorrhagic stroke?

Pt comes to ED w/ left sided weakness & slurred speech. After rooming pt what priority action should the RN anticipate?

What electrolyte imbalance do you need to monitor for in hemorrhagic stroke patients

This medication can be given to a client with Sickle Cell Disease to decrease the formation of sickled cells.

 A pt is being assessed for poss. deficit in intrinsic factor synthesis. What diagnostic finding are u most likely to see

When caring for a pt with altered LOC, how would the RN test cranial nerve VII?

A pt who had bariatric surgery is Dx w/B12 deficiency anemia. How will the doctor order B12 meds for this patient?

During a blood transfusion, Bob Ross has severe dyspnea, orthopnea, nausea, and chills. Which should you do?

This disease blocks acetylcholine receptors leading to muscle weakness.

Which patient is at the highest risk of developing pernicious anemia?

Pt is admitted to ED after MVA. RN noted profuse bleeding on the right side of the abdomen. What should RN implement 1st

Multiple Sclerosis is characterized by

To supplement B12 intake, the client should ingest this high B12 food.

What lab test is used to differentiate between the types of anemias?

Rn is teaching strict vegetarian how to decrease risk of Megaloblastic Anemia. What info should RN provide?

Patho: decreased levels of dopamine resulting from degeneration of dopamine storage cells

Lab tests done for pt w/smooth, reddened tongue & angular cheilosis. What result should RN find if pt has iron def anem

Patho: unilateral inflammation of CNVII resulting in weakness & paralysis of the facial muscles on the affected side

Wife of a pt Dx w/septic meningitis asks "I'm so scared, what is meningitis?" Which statement by the RN is appropriate

A patient with a stroke in the left hemisphere will display these signs:

What type of anemia deficiency should be assessed for neurologic manifestations?

A patient with a Glasgow Coma score of 3 is considered normal.