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MDC IV exam1 updated version latest upload
1. *A client with a left middle cerebral artery ischemic stroke 2 days
ago is experiencing a visual field deficit. Which nursing intervention
is best to ensure
client
safety?:
Place the call light on the client's left side
2. *A client with a traumatic brain injury is at risk for venous
thromboembolism
(VTE). Which actions should the nurse take? SATA: -
Administer anticoagulant therapy as
prescribed.
-Reposition
client
in
bed
every
2
hours.
-Apply
sequential
compression
devices
(SCDs)
3.
A client has a comminuted fracture of T6-T7, resulting in
paraplegia. The nurse educates the client on preventing autonomic
dysreflexia. Which of the
following is the priority intervention to avoid
this medical emergency?: Preventing
bladder distension
4. A patient with a coup-contrecoup injury reports vision
problems. Which brain area is most likely involved?:
Occipital lobe
5. A patient with a traumatic brain injury (TBI) is exhibiting signs of
increased intracranial pressure (ICP). How should you apply
evidence-based care to
prioritize this patient's needs?:
Position the head of bed at
thirty degrees to promote venous drainage
6. Which orders should the nurse anticipate for immediate
treatment of the
stroke client? SATA: -Peripheral IV access
I-ntravenous
labetalol
-Intravenous
alteplase
-Continuous
cardiac
monitoring
-Swallow
evaluation
-Aspiration
precautions
7.
After a middle cerebral artery stroke, a patient shows difficulty
understand-
ing spoken words. Which brain area is most likely
compromised?: Wernicke's area
