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In monitoring a patient recovering from a craniotomy for treatment of a brain tumor, which assessment findings require the nurse to notify the surgeon? Select all that apply.


A) Heart rate 52 bpm
B) Temperature 99.2°F
C) Respiratory rate 10 and irregular
D) Urine output 200 mL over 4 hours
E) Systolic blood pressure 198 mm Hg

F) A) and B)
G) A) and C)

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A patient with a seizure disorder asks the purpose of staying awake all night before having an electroencephalogram (EEG) in the morning. What should the nurse explain to this patient?


A) "You will be expected to sleep during the test."
B) "Most people with seizure disorders receive too much sleep."
C) "This is the only way to confirm that you really have a seizure disorder."
D) "Sleep deprivation can cause a seizure, which will be helpful during the test."

E) A) and C)
F) B) and C)

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A patient with a seizure disorder is prescribed a 1,900-calorie ketogenic diet of which 80% should be consumed as fat. How many calories should the patient consume as fat? Record your answer as a whole number. _____

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A patient with Parkinson's disease is prescribed carbidopa/levodopa (Sinemet) . Which clinical manifestation should the nurse expect to be most affected with this medication?


A) Tremors
B) Mood instability
C) Impaired balance
D) Behavioral changes

E) A) and D)
F) A) and C)

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The nurse is preparing material for a community health fair. What should the nurse identify as being the most common type of headache in adults?


A) Mixed
B) Cluster
C) Tension
D) Migraine

E) A) and D)
F) A) and C)

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The nurse suspects that a patient is in the premonitory phase of a migraine headache. What findings did the nurse use to make this clinical decision? Select all that apply.


A) Yawning
B) Confusion
C) Food cravings
D) Flashing lights
E) Increased urine output

F) B) and E)
G) All of the above

Correct Answer

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During morning care a patient with a seizure disorder asks why the room has suddenly turned green. What should the nurse do?


A) Ask the patient to explain.
B) Prepare for a seizure to begin.
C) Turn on the overhead room lights.
D) Document visual hallucinations.

E) A) and D)
F) B) and D)

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The nurse is preparing medications for a client with encephalitis. Which medication does the nurse question before administering?


A) Furosemide (Lasix)
B) Phenytoin (Dilantin)
C) Docusate sodium (Colace)
D) Prochlorperazine (Compazine)

E) All of the above
F) A) and C)

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The nurse monitors for which clinical manifestations in the patient diagnosed with a left temporal node brain tumor?


A) Sensory loss
B) Motor weakness
C) Expressive speech difficulty
D) Comprehensive speech difficulty

E) A) and B)
F) A) and C)

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The nurse correlates which data as placing a patient at risk for experiencing a metabolic seizure?


A) Serum magnesium 3.2 mg/dL
B) Serum calcium 14 mg/dL
C) Serum potassium 3.2 mEq/L
D) Serum sodium 115 mEq/L

E) A) and D)
F) C) and D)

Correct Answer

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During a home visit the nurse considers physical therapy for a patient recovering from encephalitis. What would be the best explanation for this referral?


A) Rehabilitation from hemiparesis
B) Deconditioning from extended bedrest
C) Improve use of limbs because of paresthesias
D) Improve balance because of cerebellum dysfunction

E) B) and C)
F) None of the above

Correct Answer

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