Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 38, Caring for Clients With Cerebrovascular Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A client presents to the walk-in clinic complaining of a migraine. The client is prescribed a neuronal stabilizer. What should the nurse suggest to the client? | |
| A) | Avoid crowds. | |
| B) | Take drugs only after meals at night. | |
| C) | Avoid caffeine and alcohol. | |
| D) | Use caution while driving or performing hazardous activities. | |
| Ans: | D | |
| Feedback: | ||
| A client who is prescribed a neuronal stabilizer needs to exercise caution while driving and avoid performing hazardous activities. A client taking nonsteroidal anti-inflammatory drugs should be advised against taking caffeine and alcohol. The client need not take the drug only at night after meals or be instructed to avoid crowds. | ||
| 2. | A client has just been diagnosed with a cerebral aneurysm. In planning discharge teaching for this client, what instructions should be delivered by the nurse to the client? | |
| A) | Avoid heavy lifting. | |
| B) | Avoid fiber in the diet. | |
| C) | Take an antacid frequently. | |
| D) | Take an herbal form of feverfew. | |
| Ans: | A | |
| Feedback: | ||
| A client with an aneurysm should be advised to avoid heavy lifting, extreme emotional situations, or straining of stools because these activities increase intracranial pressure and thereby headaches and potential rupture of aneurysm. Avoidance of fiber may lead to constipation and straining with stools and would not be recommended. There would not be a recommendation for antacids or feverfew in the discharge teaching. | ||
| 3. | A client has tension headaches. The nurse recommends massage as a treatment for tension headaches. How does massage help clients with tension headaches? | |
| A) | Reduces hypotension | |
| B) | Increases appetite | |
| C) | Relaxes muscles | |
| D) | Relieves migraines | |
| Ans: | C | |
| Feedback: | ||
| Massaging relaxes tense muscles, causes local dilation of blood vessels, and relieves headache. However, this approach is not likely to help a client with migraine or cluster headaches. Massage is not offered to clients with tension headaches to increase their appetite or reduce hypotension. | ||
| 4. | The nurse is caring for a client with a cerebral aneurysm. Why does the nurse limit the interaction of visitors or family members with the client with an aneurysm? | |
| A) | The interaction may cause the client to become violent. | |
| B) | The interaction may cause migraine in the client. | |
| C) | The stimulation can increase intracranial pressure (ICP) or trigger a seizure. | |
| D) | The client may become emotional and lose interest in the treatment. | |
| Ans: | C | |
| Feedback: | ||
| Although visitors’ and family members’ desire to interact with the client are well intentioned, the stimulation can increase ICP or trigger a seizure. The nurse can suggest that they take turns and stay briefly. Interactions are not likely to make the client violent or emotional, which may cause the client to lose interest in the treatment. The interactions also may not cause migraine in the client. | ||
| 5. | A client is prescribed warfarin. Client teaching has included instructions to avoid a diet rich in foods that contain vitamin K. What sources of food should the nurse instruct the client to avoid? | |
| A) | Fish, meats, and vegetable oils | |
| B) | Citrus fruits | |
| C) | Milk and dairy products | |
| D) | Cereals, soybeans, and spinach | |
| Ans: | D | |
| Feedback: | ||
| Clients who take warfarin (Coumadin) must be informed that they should avoid foods rich in vitamin K. Examples of food sources of vitamin K include cabbage, cauliflower, spinach, and other green leafy vegetables; cereals; and soybeans. Other food groups are not known to contain vitamin K. Milk and dairy products are good sources of calcium, whereas citrus fruits are sources of vitamin C. Fish, meats, and oils are sources of proteins and fats. | ||
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