Quiz Questions May (#1) 2020 Posted on May 12, 2020 by Web Admin Welcome to your Quiz Questions May 2020 (#1) 1) An adult is admitted with a head injury following an accident. He has a severe headache and asks the nurse why he cannot have something for pain. The nurse understands that the primary reason for not giving the client a narcotic analgesic is: Narcotic analgesics cause mydriasis, which is contraindicated for him. Narcotic analgesics are not effective for pain caused by brain trauma. Narcotic analgesics would cause a change in the client's level of consciousness. Narcotic analgesics may depress respirations, which would cause acidosis and further brain damage. 2) The nurse is caring for a client who had a craniotomy. The day after surgery the client's temperature rises to 106 degrees F. What is the primary adverse effect of hyperpyrexia for this client? Hyperpyrexia causes increased discharge of neurons and the possibility of seizures. Shivering as the temperature rises may cause the intracranial pressure to rise. Fever causes an increased metabolic rate and increases oxygen need in the brain. Skin breakdown is more apt to occur in the client with a fever. 3) An adult who had a craniotomy has a temperature of 105 degrees F. What nursing action is essential because of the temperature elevation? Administer aspirin immediately. Maintain strict intake and output. Observe for skin breakdown. Place him in supine position. 4) The nurse is caring for an adult woman who had a CVA resulting in right hemiplegia and homonymous hemianopia. Which nursing actions are important in planning to assist her to compensate for this loss? Select all that apply. Place frequently used items on the unaffected side. Position the client so her affected side is toward the activity in the room. Encourage her to turn her head from side to side to scan the environment on the affected side. Stand on the affected side while assisting her in ambulating. Put the client’s meal tray on the unaffected side. 5) The doctor orders an edrophonium (Tensilon) test for a person suspected of having myasthenia gravis. Which statement is true about this test? A positive result will be evident within one minute of injection of edrophonium (Tensilon) if she has myasthenia gravis. This is of diagnostic value in only about 25% of patients with myasthenia gravis. Administration of edrophonium (Tensilon) causes an immediate decrease in muscle strength for about an hour in persons with myasthenia gravis. Edrophonium (Tensilon) works by blocking the action of acetylcholine at the myoneural junction. Time is Up!