MS II Exam I Practice

A client with spinal cord injury has an increased risk of developing a deep vein thrombosis (DVT). Which of the following would be included as an appropriate nursing intervention to prevent a DVT from occurring?

• Assisting the client with passive range of motion (PROM) exercises

• Placing the client on a fluid restriction as ordered

• Applying thigh-high elastic stockings

• Administering an antifibrinolytic agent

A client with Parkinson disease asks what can be done to prevent joint stiffness. The nurse should recommend that the client perform which activity?

• Lift weights

• Perform yoga

• A. Engage in tai chi

• Ride a stationary bicycle

The nurse is reviewing prescriptions written for a client recovering from surgery. Which pain medication should the nurse question as an option for this client?

• Codeine

• Morphine

• Hydrocodone

• Hydromorphone

A client with glaucoma has an allergy to sulfa. The nurse should question the administration of which medications?

(Select all that apply.)

• Brimonidine

• Dorzolamide

• Apraclonidine

• Acetazolamide

• Timolol maleate

The nurse is providing discharge instructions to a client who is taking corticosteroids. The nurse should tell the client to monitor for signs of which of the following?

• Fatigue

• Weight loss

• Increase in temperature

• Low blood sugar

The nurse is providing class to clients with multiple sclerosis on the risk factors for osteoporosis. Which of the following risk factors should be included?

• . History of depression

• Inability to walk

• Prolonged use of antibiotics

• Demyelination of neurons

The nurse is providing discharge teaching to a client who had middle ear surgery. Which of the following instructions for the post-operative period should be included?

• "Any loss of hearing should be reported immediately."

• "Be sure to blow your nose softly 3-4 times a day."

• "Open the mouth when sneezing or coughing."

• "Gently irrigate the ear canal with warm water daily."

Which of the following increases the risk for hearing loss? (Select all that apply)

• Migraine headaches

• Use of loop diuretics

• Chronic exposure to loud noises

• Frequent ear infections

• Absence of cerumen

Which test is most likely to help the primary healthcare provider to evaluate the extent of opacity present in a client with cataracts?

• Tonometer

• Amsler Grid

• Weber test

• Slit lamp examination

Which of the following are included in the Wong-Baker pain rating scale? (Select all that apply)

• Cartoon faces

• Numbers

• Colors

• Blank circles

• Stick figures