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MSII Quiz 9 Exam with complete detailed solutions, Exams of Medicine

Southwest Virginia Community CollegeMedicine

MSII Quiz 9 Exam with complete detailed solutions

Typology: Exams

2024/2025

Available from 07/07/2025

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MSII |! Quiz |! 9 |! Exam |! with |! complete |!
detailed |! solutions
A |! patient |! has |! weakness |! on |! the |! right |! side |! and |! impaired |! reasoning |! after |!
having |! a |! cerebrovascular |! accident |! (CVA). |! What |! part |! of |! the |! brain |! is |!
affected?
Left |! hemisphere |! of |! the |! cerebrum
Taking |! care |! of |! a |! client |! with |! dysphagia |! who |! has |! left |! sided |! weakness |!
following |! stroke- |! nursing |! action?
Thickened |! liquids |! to |! prevent |! aspiration
Assisting |! a |! client |! who |! is |! recovering |! from |! a |! left |! sided |! stroke, |! appropriate |!
nursing |! interventions?
Reestablish |! communication
Which |! patient |! is |! at |! the |! greatest |! risk |! for |! a |! CVA?
A |! 65-year-old |! African-American |! man |! with |! hypertension
A |! patient |! experienced |! a |! period |! of |! momentary |! confusion, |! dizziness, |! and |!
slurred |! speech |! but |! recovered |! in |! 2 |! hours. |! Which |! assessment |! in |! the |! diagnosis |!
of |! this |! episode |! would |! be |! most |! helpful?
Results |! of |! MRI
Pt |! recovering |! from |! cva, |! what |! is |! the |! purpose |! pt |! is |! prescribed |! warfarin?
Prevents |! formation |! of |! new |! blood |! clots
What |! should |! a |! nurse |! ensure |! as |! a |! priority |! for |! a |! patient |! immediately |! after |! a |!
CVA?
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MSII |! Quiz |! 9 |! Exam |! with |! complete |!

detailed |! solutions

A |! patient |! has |! weakness |! on |! the |! right |! side |! and |! impaired |! reasoning |! after |! having |! a |! cerebrovascular |! accident |! (CVA). |! What |! part |! of |! the |! brain |! is |! affected? Left |! hemisphere |! of |! the |! cerebrum Taking |! care |! of |! a |! client |! with |! dysphagia |! who |! has |! left |! sided |! weakness |! following |! stroke- |! nursing |! action? Thickened |! liquids |! to |! prevent |! aspiration Assisting |! a |! client |! who |! is |! recovering |! from |! a |! left |! sided |! stroke, |! appropriate |! nursing |! interventions? Reestablish |! communication Which |! patient |! is |! at |! the |! greatest |! risk |! for |! a |! CVA? A |! 65-year-old |! African-American |! man |! with |! hypertension A |! patient |! experienced |! a |! period |! of |! momentary |! confusion, |! dizziness, |! and |! slurred |! speech |! but |! recovered |! in |! 2 |! hours. |! Which |! assessment |! in |! the |! diagnosis |! of |! this |! episode |! would |! be |! most |! helpful? Results |! of |! MRI Pt |! recovering |! from |! cva, |! what |! is |! the |! purpose |! pt |! is |! prescribed |! warfarin? Prevents |! formation |! of |! new |! blood |! clots What |! should |! a |! nurse |! ensure |! as |! a |! priority |! for |! a |! patient |! immediately |! after |! a |! CVA?

Airway |! maintenance What |! is |! the |! highest |! priority |! for |! a |! client |! who |! is |! unconscious |! following |! a |! stroke? Suction |! saliva |! from |! client's |! mouth Pneumonia |! is |! the |! most |! frequent |! cause |! of |! death |! after |! a |! stroke. |! Which |! intervention |! would |! be |! contraindicated |! in |! the |! acute |! care |! of |! a |! patient |! with |! a |! hemorrhagic |! CVA? Encourage |! forceful |! coughing |! to |! stimulate |! deep |! breathing Which |! is |! the |! most |! effective |! intervention |! for |! best |! support |! of |! regular |! bowel elimination |! and |! the |! prevention |! of |! constipation? Give |! stool |! softeners |! daily, |! establishing |! a |! consistent |! time |! to |! attempt |! elimination Taking |! care |! of |! a |! client |! who |! has |! aphasia |! following |! a |! stroke, |! how |! to |! educate |! the family |! to |! communicate? Incorporate |! nonverbal |! cues |! in |! conversations. A |! patient |! in |! the |! rehabilitation |! phase |! after |! a |! CVA |! accidentally |! knocks |! the |! adapted |! plate |! from |! the |! table |! and |! bursts |! into |! tears |! after |! failing |! to |! feed |! himself. |! What |! is |! the |! best |! response |! by |! the |! nurse? "Learning |! new |! skills |! is |! hard. |! Let's |! see |! what |! may |! have |! caused |! the |! trouble." The |! wife |! of |! a |! husband |! who |! has |! had |! a |! CVA |! asks |! why |! he |! is |! being |! treated |! with insulin |! since |! he |! has |! no |! history |! of |! diabetes. |! What |! is |! the |! best |! response |! by |! the |! nurse |! as |! to |! why |! hyperglycemia |! occurs |! after |! a |! stroke? Stress Pt |! w/ |! CVA |! and |! pt |! is |! started |! on |! insulin |! with |! no |! hx |! of |! DM. |! Why |! is |! pt |! prescribed insulin?

Allows |! the |! patient |! out |! of |! bed Pt |! with |! spinal |! cord |! injury |! begins |! to |! have |! seizure |! and |! BP |! is |! over |! 200, |! what |! is |! the |! indicator |! of |! autonomic |! dysreflexia? Bradycardia What |! is |! the |! immediate |! intervention |! if |! a |! nurse |! recognizes |! autonomic |! dysreflexia Raise |! the |! HOB |! to |! 45 |! degrees Which |! intervention |! by |! a |! nurse |! is |! effective |! in |! the |! prevention |! of |! autonomic |! dysreflexia |! in |! the |! patient |! with |! an |! SCI? Ensure |! patency |! of |! the |! urinary |! catheter Pt |! has |! spinal |! cord |! injury |! at |! t4, |! what |! are |! interventions |! to |! prevent |! autonomic |! reflexia? Interventions |! to |! prevent |! bladder |! distortion Symptoms |! of |! fluid |! volume |! excess |! assessment |! that |! you |! will |! expect Bounding |! pulse, |! venous |! distention, |! increased |! blood |! pressure, |! crackles |! or |! adventitious |! breath |! sounds |! in |! lungs The |! nurse |! in |! the |! emergency |! department |! is |! preparing |! for |! the |! arrival |! of |! a |! patient |! with |! a |! high |! cervical |! injury. |! The |! nurse |! expects |! this |! patient, |! if |! he |! survives, |! to |! have |! which |! condition?" Tetraplegia What |! is |! the |! rehab |! phase |! of |! spinal |! cord |! injury? Focus |! on |! adjusting |! the |! client |! to |! re-enter |! society |! and |! workplace Risk |! factors |! of |! stroke?A |! nurse |! is |! planning |! care |! for |! several |! client |! and |! is |! considering |! the |! clients' |! risk |! for |! stroke. |! Which |! of |! the |! following |! conditions |! places |! the |! client |! at |! risk |! for |! an |! ischemic |! embolic |! stroke? A |! client |! who |! has |! atrial |! fibrilation

A |! nurse |! is |! reinforcing |! teaching |! to |! a |! female |! client |! who |! has |! risk |! factors |! for |! stroke. |! Which |! of |! the |! following |! statements |! by |! the |! client |! indicates |! an |! understanding |! of |! the |! teaching? "Managing |! my |! cholesterol |! will |! reduce |! my |! chances |! of |! having |! a |! stroke." What |! is |! paraplegia? Paralysis |! of |! both |! lower |! limbs A |! patient |! with |! homonymous |! hemianopsia |! is |! in |! the |! rehabilitation |! phase |! of |! CVA. when |! arranging |! this |! patient's |! environment |! where |! should |! the |! nurse |! assure |! persons |! approaching |! and |! important |! items |! are |! visible |! and |! available? Affected |! side A |! nurse |! is |! caring |! for |! a |! client |! who |! had |! a |! right-sided |! stroke |! and |! is |! exhibiting |! homonymous |! hemianopsia |! when |! eating. |! Which |! of |! the |! following |! actions |! should |! the |! nurse |! take? Remind |! that |! the |! client |! looks |! for |! food |! on |! the |! left |! side |! of |! the |! tray Teaching |! for |! members |! of |! the |! family |! of |! a |! client |! who |! is |! recovering |! from |! stroke? -Remove |! pillows |! prior |! to |! repositions

  • |! Elevate |! bed |! waist |! high
  • |! Stand |! with |! feet |! wide |! apart
  • |! Face |! the |! direction |! of |! movement |! when |! repositioning Which |! outcome |! criterion |! is |! the |! most |! appropriate |! for |! a |! patient |! with |! "Inadequate |! nutrition, |! related |! to |! dysphagia, |! with |! the |! goal |! of |! adequate |! intake |! of |! nutrients"? Maintains |! body |! weight |! of |! 150 |! to |! 155 |! lb A |! nurse |! explains |! that |! the |! spinal |! cord |! extends |! from |! the |! brainstem |! to |! the |! level |! of |! which |! vertebra? Second |! lumbar