position would be appropriate? most The head of the bed elevated 30 to 45 degrees. 1. ■ ■ 2. Trendelenburg’s position. Left Sims position. ■ 3. The head elevated on two pillows. 4. ■ 12. The nurse administers mannitol (Osmitrol) to the client with increased intracranial pressure. Which parameter requires close monitoring? Muscle relaxation. 1. ■ Intake and output. 2. ■ Widening of the pulse pressure. 3. ■ Pupil dilation. 4. ■ 13. A client is being admitted with a spinal cord transection at C7. Which of the following assessments take priority upon the arrival? Select client’s all that apply. Refl exes. 1. ■ Bladder function. 2. ■ Blood pressure. 3. ■ Temperature. 4. ■ Respirations. ■ 5. 14. The nurse is assessing a client for movement after halo traction placement for a C8 fracture. The nurse should document which of the following? The shoulders shrug against downward 1. ■ client’s pressure of the examiner’s hands. The arm pulls up from a resting position 2. ■ client’s against resistance. The arm straightens out from a fl exed 3. ■ client’s position against resistance. The hand-grasp strength is equal. ■ 4. client’s 15. Four days after surgery for internal fi xation of a C3 to C4 fracture, a nurse is moving a client from the bed to the wheelchair. The nurse is checking the wheelchair for correct features for this client. Which of the following features of the wheelchair are appropriate for the needs of this client? Select all that apply. Back at the level of the scapula. 1. ■ client’s Back and head that are high. 2. ■ Seat that is lower than normal. 3. ■ Seat with fi rm cushions. 4. ■ Chair controlled by the breath. ■ 5. client’s 16. A male client with a head injury regains consciousness after several days. Which of the following nursing statements is appropriate as the most client awakens? 1. ■ “I’ll get your family.” your name and where you 2. ■ “Can you tell me live?” a 3. ■ “I’ll bet you’re little confused right now.” are in the hospital. You were in an accident 4. ■ “You
position would be most appropriate? ■ 1. The head of the bed elevated 30 to 45 degrees. ■ 2. Trendelenburg’s position. ■ 3. Left Sims position. ■ 4. The head elevated on two pillows. 12. The nurse administers mannitol (Osmitrol) to the client with increased intracranial pressure. Which parameter requires close monitoring? ■ 1. Muscle relaxation. ■ 2. Intake and output. ■ 3. Widening of the pulse pressure. ■ 4. Pupil dilation. 13. A client is being admitted with a spinal cord transection at C7. Which of the following assessments take priority upon the client’s arrival? Select all that apply. ■ 1. Refl exes. ■ 2. Bladder function. ■ 3. Blood pressure. ■ 4. Temperature. ■ 5. Respirations. 14. The nurse is assessing a client for movement after halo traction placement for a C8 fracture. The nurse should document which of the following? ■ 1. The client’s shoulders shrug against downward pressure of the examiner’s hands. ■ 2. The client’s arm pulls up from a resting position against resistance. ■ 3. The client’s arm straightens out from a fl exed position against resistance. ■ 4. The client’s hand-grasp strength is equal. 15. Four days after surgery for internal fi xation of a C3 to C4 fracture, a nurse is moving a client from the bed to the wheelchair. The nurse is checking the wheelchair for correct features for this client. Which of the following features of the wheelchair are appropriate for the needs of this client? Select all that apply. ■ 1. Back at the level of the client’s scapula. ■ 2. Back and head that are high. ■ 3. Seat that is lower than normal. ■ 4. Seat with fi rm cushions. ■ 5. Chair controlled by the client’s breath. 16. A male client with a head injury regains consciousness after several days. Which of the following nursing statements is most appropriate as the client awakens? ■ 1. “I’ll get your family.” ■ 2. “Can you tell me your name and where you live?” ■ 3. “I’ll bet you’re a little confused right now.” ■ 4. “You are in the hospital. You were in an accident
9-The-Client-with-Neurologic-Health-Problems.docx