Reference no: EM133909797
Question
1. When caring for a client receiving an immunosuppressant agent, the nurse should report which of the following values?
A. Neutrophil count over 500 cells/mm3??
B. Hb 15 g/dL
C. WBC count of 1,100 cells/mm3
D. Hematocrit 41%
E. Neutrophil count <450 cells/mm3
2. A client has global aphasia. Which of the following most accurately describes and covers this client's limitations?
A. Difficulty understanding spoken words
B. Difficulty speaking
C. Reading and writing ability are equally affected
D. Speech often meaningless
3. A nurse is caring for a client who has a mild traumatic brain injury (TBI). Which of the following manifestations should the nurse immediately report to the provider? (?SATA)
A. A drop-in heart rate from 76 to 70/min
B. Behavior changes and disorientation
C. A decrease in arousal
D. A change in the Glasgow Coma Scale score from 11 to 13
E. Ataxia
4. A client has just received a liver transplant and is receiving azathioprine. What does the nurse monitor as possible side effects? (?SATA)
A. hypertension
B. nephrotoxicity
C. anemia
D. thrombocytopenia
E. malignancies
5. A nurse assesses a client who is recovering from a heart transplant. Which assessment findings would alert the nurse to the possibility of heart transplant rejection? (?SATA)
A. Shortness of breath
B. New-onset bradycardia
C. Increased ejection fraction
D. Hypertension
E. Abdominal bloating
6. A nurse is assessing a client who has a concussion from a sports injury. Which of the following manifestations should the nurse expect? (?SATA)
A. Nuchal rigidity
B. Vomiting and headache
C. Loss of consciousness lasting 30 to 60 min
D. Sensitivity to light
E. Glasgow Coma Scale score of 11
7. A nurse is caring for a client following surgical treatment for a supratentorial brain tumor. Which of the following interventions should the nurse take? (?SATA)
A. Elevate the head of the bed to 30 degrees.
B. Provide passive range-of-motion exercises to the neck.
C. Place the client in a flat, lateral position.
D. Notify the provider for drainage greater than 30 to 50 mL/hr.
E. Turn the client side to side or supine.