Know what the left temporal lobe of brain affects as far as the senses

1. 1. A nurse prepares to teach a client who has experienced damage to the

left temporal lobe of the brain. Which action should the nurse take when

providing education about newly prescribed medications to this client?

a. Help the client identify each medication by its color.

b. Provide written materials with large print size.

c. Sit on the clients right side and speak into the right ear.

d. Allow the client to use a white board to ask questions.

ANS: C

The temporal lobe contains the auditory center for sound interpretation.

The clients hearing will be impaired in the left ear. The nurse should sit on

the clients right side and speak into the right ear. The other interventions

do not address the clients left temporal lobe damage.

Know what hypoactive deep tendon reflexes affect

2. A nurse plans care for a client who has a hypoactive response to a test of

deep tendon reflexes. Which intervention should the nurse include in this clients

plan of care?

a. Check bath water temperature with a thermometer.

b. Provide the client with assistance when ambulating.

c. Place elastic support hose on the clients legs.

d. Assess the clients feet for wounds each shift.

ANS: B

Hypoactive deep tendon reflexes and loss of vibration sense can impair balance

and coordination, predisposing the client to falls. The nurse should plan to

provide the client with ambulation assistance to prevent injury. The other

interventions do not address the clients problem.

Know what things can interfere with MRI scans

10. A nurse obtains a focused health history for a client who is scheduled for

magnetic resonance imaging (MRI). Which condition should alert the nurse to

contact the provider and cancel the procedure?

a. Creatine phosphokinase (CPK) of 100 IU/L

b. Atrioventricular graft

c. Blood urea nitrogen (BUN) of 50 mg/dL

d. Internal insulin pump

ANS: D

Metal devices such as internal pumps, pacemakers, and prostheses interfere

with the accuracy of the image and can become displaced by the magnetic force

generated by an MRI procedure. An atrioventricular graft does not contain any

metal. CPK and BUN levels have no impact on an MRI procedure.

14. After teaching a client who is scheduled for magnetic resonance imaging

(MRI), the nurse assesses the clients understanding. Which client statement