NUR 445 EXAM 3 NEWEST ACTUAL EXAM

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NUR 445 EXAM 3 NEWEST ACTUAL EXAM

COMPLETE 80 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

|ALREADY GRADED A+/ARIZONA COLLEGE OF

NURSING

A client is hospitalized in ICU after a drug overdose. Which statement would the nurse interpret as indicating the client has normal mentation? (Select all that apply.)

• "Which part of the hospital am I in?"
• "I just want to die."
• "I should have swallowed the pills with bourbon."
• "Get that cat out of here."
• "My feet are cold."

ANSWER: 1, 2, 3, 5

A client reports feeling very anxious and not being able to sleep.The nurse anticipates initially administering a drug from which class to treat these disorders?

• Opiate narcotics
• Benzodiazepines
• Antidepressants
• Neuromuscular blockers

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ANSWER: 2

Which characteristics would the nurse attribute to delirium rather than dementia? (Select all that apply.)

• The client's mentation was clear until he was hospitalized last

week.

• The client does not recognize his children.
• The client has periods of clarity that alternate with confusion.
• The client's family reports his confusion has become steadily

more pronounced over the last year

• The client continually tries to get out of bed stating, "I've got

to get off this

ANSWER: 1, 3

A nurse is concerned that a hospitalized client may be developing delirium. Which interventions are indicated? (Select all that apply.)

• Ask the family to bring the client's eyeglasses from home.
• Turn room lights down at night to encourage sleep.
• Maintain bed rest until mentation improves.
• Remove the television from the room.

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• Review the client's medication list.

ANSWER: 1, 2, 5

The nurse discovers a client having a seizure. What should be the nurse's initial action?

• Roll the client onto his or her side.
• Intubate the client immediately.
• Administer pentobarbital.
• Establish an IV line.

ANSWER: 1

A client experiencing continued seizure activity is to be given propofol. The nurse should prepare for which other intervention?

• Administration of insulin
• Mechanical ventilation
• Placement of an oral airway
• Administration of a neuromuscular blocking agent

ANSWER: 2

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A client experienced an episode of vision loss and right-side weakness that lasted 4 hours before totally resolving. What information should the nurse provide to this client?

• "Your symptoms indicate that you have had a subarachnoid

hemorrhage."

• "While these symptoms have resolved, your risk for a stroke

is higher."

• "These symptoms often occur in older clients and are nothing

to worry about."

• "Your stroke involved the occipital lobe and your vision will

dim over the next few weeks."

ANSWER: 2

A client suffered a stroke yesterday and has recovered partial function. The client's spouse says, "I don't understand what is happening. When my mother had a stroke, she was left in a coma for years before she died." What is the nurse's best response?

• "All strokes are different."
• "Each client responds differently."
• "There are different levels of damage done by strokes."