A nurse is caring for a client with homonymous hemianopia. The most important information for the nurse to teach the client is:

The nurse is preparing to administer vasopressin to a client who has undergone a hypophysectomy. What is the purpose of the medication?

A client who has undergone a lumbar laminectomy is experiencing frequent voiding of small amounts of urine. The nurse suspects the client may have developed which condition?

A nurse is preparing a client with suspected lumbar herniated nucleus pulposus for magnetic resonance imaging (MRI). The most important action by the nurse would be?

A client is scheduled for chemonucleolysis with chymopapain to relieve the pain of a herniated disk. Which factor should be assessed before the procedure?

A client is newly diagnosed with myasthenia gravis. The nurse is teaching the client about the cause of this disease. The nurse determines that teaching has been effective when the client states:

The nurse is concerned that a client recovering from a brain injury may be developing foot drop and contractures. What is the best intervention for the nurse to implement?

The nurse is aware that a client who had a transsphenoidal hypophysectomy should be observed carefully for hemorrhage. The nurse is most concerned when the client displays:

In caring for a client after cataract surgery, the nurse should notify a physician if the client has which of the following conditions?

A client who has recently experienced a thromboembolic stroke is now stable and will begin warfarin. The client asks the nurse why the treatment was ordered. The best response by the nurse would be?

The nurse is caring for a client experiencing a stroke in evolution. What is the priority nursing intervention?

The nurse has been caring for a client who experienced a stroke and is now asking for food. What is the most important assessment for the nurse to observe before feeding the client?

The nurse is caring for a client who had a stroke and now has residual dysphagia. What is the most appropriate diet for this client?

A client has experienced a brain stem infarction. It is most important for the nurse to assess the client for:

Stool softeners would be given to a client prior to repair of a cerebral aneurysm for which reason?

A client with a subdural hematoma becomes restless and confused, with dilation of the ipsilateral pupil. The physician orders mannitol for which reason?

A client is admitted to the hospital with a subarachnoid hemorrhage and is now experiencing severe headache, nuchal rigidity, and projectile vomiting. The nurse is aware that a lumbar puncture (LP) would be contraindicated if:

A client is admitted to the unit with a thromboembolic stroke. Which medication does the nurse anticipate will be started by day 2?

The nurse is evaluating an arterial blood gas result from a client with a subdural hematoma and notes the PaCO2 is 30 mm Hg. How does the nurse interpret this result?

The nurse assesses clear fluid draining from the nose of a client who experienced head trauma 3 hours ago. The nurse suspects this finding may indicate:

When assessing a client with a spinal injury at C6, the nurse would expect the highest level of functioning to include which of the following?

A client with a subdural hematoma was given mannitol to decrease intracranial pressure (ICP). The nurse assesses the client and determines that the mannitol was effective when:

When prioritizing care, which client should the nurse assess first?

A 19-year-old client with a mild concussion is discharged from the emergency department. Before discharge, he complains of a headache. When offered acetaminophen, his mother tells the nurse she would like her son to have something stronger. The most appropriate response by the nurse is:

A client’s intracranial pressure (ICP) is fluctuating between 20 and 25 mm Hg. Which of the following nursing interventions is the most appropriate?

A nurse is planning care for a 33-year-old client who has just undergone a L4–L5 laminectomy. What is the most important intervention for the nurse to include?

A 40-year-old client asks the nurse what may increase the risk for the development of cataracts. The best response by the nurse is:

A 65-year-old client with a stroke in evolution has been ordered alteplase (t-PA). The order is for 0.9 mg/kg over 1 hour. The client weighs 110 lb. What is the total dose in milligrams (mg) the client will receive?

While assessing a 77-year-old client who had a thromboembolic right stroke, the nurse notes the left arm is swollen. The nurse suspects this finding may indicate:

The nurse is assessing a client with head trauma. The nurse notes a urine output of 300 ml/hour, dry skin, dry mucous membranes, and a high serum sodium. The most important intervention for the nurse to implement would be?