ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 44 : Care of Patients with Problems of the Peripheral Nervous System Questions
Question 1 of 5
A client in the family practice clinic has restless leg syndrome. Routine laboratory work reveals white blood cells 8000 mm3, magnesium 0.8 mg/dL, and sodium 138 mEq/L. What action by the nurse is best?
Correct Answer: D
Rationale: Iron and magnesium deficiencies can exacerbate symptoms of restless leg syndrome. The client's magnesium level is low, and the client should be advised to add a magnesium supplement. The other actions are not needed based on the laboratory results.
Question 2 of 5
A client has undergone a percutaneous stereotactic rhizotomy. What instruction by the nurse is most important on discharge from the ambulatory surgical center?
Correct Answer: C
Rationale: The affected side is left without sensation after this procedure. The client should avoid putting harsh chemicals on the affected side to prevent injury. The other instructions are not necessary.
Question 3 of 5
A client has trigeminal neuralgia and has begun skipping meals and not brushing his teeth. What action by the nurse is best?
Correct Answer: A
Rationale: Clients with trigeminal neuralgia are often afraid of causing pain, so they may limit eating, talking, dental hygiene, and socializing. The nurse first assesses the client for feelings related to having the disorder to determine if a psychosocial link is involved. The other options may be needed depending on the outcome of the initial assessment.
Question 4 of 5
A client is receiving plasmapheresis. What action by the nurse best prevents infection in this client?
Correct Answer: C
Rationale: Plasmapheresis is an invasive procedure, and the nurse uses good hand hygiene before and after client contact to prevent infection. Antibiotics are not necessary. Monitoring vital signs does not prevent infection but could alert the nurse to its possibility. The client does not need isolation.
Question 5 of 5
An older client is hospitalized with Guillain-Barr?© syndrome. A family member tells the nurse the client is restless and seems confused. What action by the nurse is best?
Correct Answer: A
Rationale: In an older adult, an early sign of hypoxia is often confusion and restlessness. The nurse should first assess the client's oxygen saturation. The other actions are appropriate but only after this assessment occurs.