Amy Whitten
Ch 56 Med Surg
Brain tumors, Cranial Surgery, Bacterial Meningitis, Viral Meningitis, Brain Abscess, Encephalitis,
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The nurse has administered prescribed IV mannitol (Osmitrol) to an unconscious patient. Which parameter
should the nurse monitor to determine the medications effectiveness?
a.
Blood pressure
b.
Oxygen saturation
c.
Intracranial pressure
d.
Hemoglobin and hematocrit
C
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The nurse admitting a patient who has a right frontal lobe tumor would expect the patient may have
a.
expressive aphasia.
b.
impaired judgment.
c.
right-sided weakness.
d.
difficulty swallowing
b.
impaired judgment
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A 42-year-old patient who has bacterial meningitis is disoriented and anxious. Which nursing action will be
included in the plan of care?
a.
Encourage family members to remain at the bedside.
b.
Apply soft restraints to protect the patient from injury.
c.
Keep the room well-lighted to improve patient orientation.
d.
Minimize contact with the patient to decrease sensory input
a.
Encourage family members to remain at the bedside.
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The public health nurse is planning a program to decrease the incidence of meningitis in adolescents and
young adults. Which action is
most
important?
a.
Encourage adolescents and young adults to avoid crowds in the winter.
b.
Vaccinate 11- and 12-year-old children against
Haemophilus influenzae
.
c.
Immunize adolescents and college freshman against
Neisseria meningitides
.
d.
Emphasize the importance of hand washing to prevent the spread of infection
c.
Immunize adolescents and college freshman against
Neisseria meningitides
.
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A patient has been admitted with meningococcal meningitis. Which observation by the nurse requires
action?
a.
The bedrails at the head and foot of the bed are both elevated.
b.
The patient receives a regular diet from the dietary department.
c.
The lights in the patients room are turned off and the blinds are shut.
d.
Unlicensed assistive personnel enter the patients room without a mask
d.
Unlicensed assistive personnel enter the patients room without a mask
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When assessing a 53-year-old patient with bacterial meningitis, the nurse obtains the following data. Which
finding should be reported
immediately
to the health care provider?
a.
The patient exhibits nuchal rigidity.
b.
The patient has a positive Kernigs sign.
c.
The patients temperature is 101 F (38.3 C).
d.
The patients blood pressure is 88/42 mm Hg.
d.
The patients blood pressure is 88/42 mm Hg.
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The charge nurse observes an inexperienced staff nurse caring for a patient who has had a craniotomy for
resection of a brain tumor. Which action by the inexperienced nurse requires the charge nurse to intervene?
a.
The staff nurse assesses neurologic status every hour.
b.
The staff nurse elevates the head of the bed to 30 degrees.
c.
The staff nurse suctions the patient routinely every 2 hours.
d.
The staff nurse administers an analgesic before turning the patient
c.
The staff nurse suctions the patient routinely every 2 hours.
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A patient being admitted with bacterial meningitis has a temperature of 102.5 F (39.2 C) and a severe
headache. Which order for collaborative intervention should the nurse implement
first
?
a.
Administer ceftizoxime (Cefizox) 1 g IV.
b.
Give acetaminophen (Tylenol) 650 mg PO.
c.
Use a cooling blanket to lower temperature.
d.
Swab the nasopharyngeal mucosa for cultures
d.
Swab the nasopharyngeal mucosa for cultures
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A patient with possible viral meningitis is admitted to the nursing unit after lumbar puncture was
performed in the emergency department. Which action prescribed by the health care provider should the nurse
question?
Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
731
a.
Elevate the head of the bed 20 degrees.
b.
Restrict oral fluids to 1000 mL daily.
c.
Administer ceftriaxone (Rocephin) 1 g IV every 12 hours.
d.
Give ibuprofen (Motrin) 400 mg every 6 hours as needed for headache
b.
Restrict oral fluids to 1000 mL daily.
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Which action will the public health nurse take to reduce the incidence of epidemic encephalitis in a
community?
a.
Encourage the use of effective insect repellents during mosquito season.
b.
Remind patients that most cases of viral encephalitis can be cared for at home.
c.
Teach about the importance of prophylactic antibiotics after exposure to encephalitis.
d.
Arrange for screening of school-age children for West Nile virus during the school yea
a.
Encourage the use of effective insect repellents during mosquito season.
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To assess for functional deficits, which question will the nurse ask a patient who has been admitted for
treatment of a benign occipital lobe tumor?
a.
Do you have difficulty in hearing?
b.
Are you experiencing visual problems?
c.
Are you having any trouble with your balanced
d.
Have you developed any weakness on one side?
b.
Are you experiencing visual problems?
