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Question 1 of 5

The nurse is caring for a client with a Brown-Sequard spinal cord injury. The nurse should expect the client to have:

Correct Answer: D

Rationale: Brown-Sequard syndrome causes loss of sensation contralateral to the injury and motor loss ipsilateral to the injury.

Question 2 of 5

A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan?

Correct Answer: D

Rationale: Tetracycline can reduce the efficacy of oral contraceptives, necessitating backup contraception.

Question 3 of 5

A client with a T6 injury 6 months ago develops facial flushing and a BP of 210/106. After elevating the head of the bed, which is the most appropriate nursing action?

Correct Answer: B

Rationale: The symptoms suggest autonomic dysreflexia, often triggered by a distended bladder in spinal cord injury patients. Assessing and relieving the bladder is the priority after elevating the bed.

Question 4 of 5

The physician has diagnosed a client with cirrhosis characterized by asterixis. If the nurse assesses the client with asterixis, he can expect to find:

Correct Answer: A

Rationale: Asterixis is characterized by irregular, flapping movements of the wrist due to hepatic encephalopathy, often seen in cirrhosis.

Question 5 of 5

Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

Correct Answer: B

Rationale: Pregnant nurses should avoid caring for clients with radium implants due to the risk of radiation exposure to the fetus.

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