HEALTH

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ACTIVITY II

1. A male client in the emergency department has a suspected neurologic disorder. To


assess gait, the nurse asks the client to take a few steps; with each step, the client’s feet
make a half-circle. To document the client’s gait, the nurse should use which term?
Helicopod.
2. A client, age 22, is admitted with bacterial meningitis. Which hospital room would be the
best choice for this client? An isolation room three doors from the nurses’ station.
3. A female client is admitted to the facility for investigation of balance and coordination
problems, including possible Ménière’s disease. When assessing this client, the nurse
expects to note: vertigo, tinnitus, and hearing loss.
4.  A male client with a conductive hearing disorder caused by ankylosis of the stapes in the
oval window undergoes a stapedectomy to remove the stapes and replace the impaired
bone with a prosthesis. After the stapedectomy, the nurse should provide which client
instruction? Don’t fly in an airplane, climb to high altitudes, make sudden
movements, or expose yourself to loud sounds for 30 days.
5. Nurse Oliver is monitoring a client for adverse reactions to dantrolene (Dantrium). Which
adverse reaction is most common? Muscle weakness.
6. The nurse is monitoring a male client for adverse reactions to atropine sulfate (Atropine
Care) eyedrops. Systemic absorption of atropine sulfate through the conjunctiva can
cause which adverse reaction? Tachycardia.
7. A male client is admitted with a cervical spine injury sustained during a diving accident.
When planning this client’s care, the nurse should assign highest priority to which
nursing diagnosis? Ineffective breathing pattern.
8. Female client with amyotrophic lateral sclerosis tells the nurse, "Sometimes I feel so
frustrated. I can’t do anything without help." This comment best supports which nursing
diagnosis? Powerlessness.
9. A female client who was found unconscious at home is brought to the hospital by a
rescue squad. In the intensive care unit, the nurse checks the client’s oculocephalic (doll’s
eye) response by: turning the client’s head suddenly while holding the eyelids open.
10. A male client is color blind. The nurse understands that this client has a problem with:
cones

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