If an individual suffers a traumatic event and has a neurological disorder that means they may be unable to recall anything from the moment of the injury or to retain memories of recent events. This is known as:
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ATI RN · Neurological System Questions
Question 2 of 111
The temperature & pin sense loss usually develops with disease in:
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Question 3 of 111
During muscle strength testing, the patient has active movement against gravity and some resistance to pressure. What score should the nurse give this finding?
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ATI RN · Neurological System Questions
Question 4 of 111
After talking with the health care provider, the patient asks what the blood-brain barrier does. What is the best description that the nurse can give the patient?
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Question 5 of 111
When Mr. Jones develops an attack of autonomic dysreflexia, it is initially most important to
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Question 6 of 111
In initial stage of Parkinson disease the most typical involuntary movement is the following:
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Question 7 of 111
During treatment of the patient with an acute attack of gout, the nurse would expect to administer which drug?
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Question 8 of 111
What characteristics are common in spondyloarthritides associated with human leukocyte antigen (HLA)€“B27?
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ATI RN · Neurological System Questions
Question 9 of 111
To assess a patient's ability to follow commands, the nurse should:
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Question 10 of 111
An action potential:
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Question 11 of 111
One important nursing intervention for the patient with fibromyalgia is to teach the patient to do what?
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ATI RN · Neurological System Questions
Question 12 of 111
Which is the CORRECT myotome?
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Question 13 of 111
Which technique is used to assess the cerebellum?
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Question 14 of 111
Which of the following statements is FALSE regarding amphibian and mammalian visual systems?
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Question 15 of 111
A woman wears a size 7 shoe. She says, My feet are huge. I've asked three orthopedists to surgically reduce my feet. The patient tries to buy shoes to make her feet look smaller and, in social settings, conceals both feet under a table or chair. Which health problem is likely?
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ATI RN · Neurological System Questions
Question 16 of 111
What are the two major divisions of the nervous system?
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Question 17 of 111
The patient asks, 'What does the doctor mean when he says that I have an avulsion fracture in my leg? I thought I had a sprain!' What is the best response by the nurse?
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Question 18 of 111
What is an appropriate nursing intervention to promote communication during rehabilitation of the patient with aphasia?
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Question 19 of 111
Within how many hours does tissue plasminogen activator (TPA) need to be given to be most successful for a client with an ischemic stroke?
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Question 20 of 111
For a patient with a stroke and right-sided hemiplegia, what should the nurse teach the family?
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Question 21 of 111
Nurse Thompson is reviewing the neurological assessment of Mr. Johnson, a 70-year-old patient who exhibits tremors and slow movements. She recalls that these symptoms are often linked to a specific neurological disorder characterized by reduced dopamine levels due to the loss of pigmented neurons in the substantia nigra region of the basal ganglia. Which disease does Nurse Thompson recognize as associated with these findings?
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Question 22 of 111
Control of temperature, endocrine activity, metabolism, and thirst are functions associated with the:
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Question 23 of 111
A positive Plantar reflex in an adult is:
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Question 24 of 111
There are ________ layers of meninges around the brain and spinal cord.
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Question 25 of 111
In most cases, when diagnosing a neurological disorder such as dementia, the clinician will endeavour to classify it according to its cause. Which of the following is a specific cause that has been identified?:
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Question 26 of 111
Following a T2 spinal cord injury, the patient develops paralytic ileus. While this condition is present, what should the nurse anticipate that the patient will need?
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Question 27 of 111
How can the nurse examine the client for stiffness and rigidity of the neck?
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Question 28 of 111
Excitatory signals have a ________ effect.
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Question 29 of 111
The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the __________ lobe.
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Question 30 of 111
Crutchfield tongs are inserted into Joe's scalp and 20 lb of weight are attached to the traction. The main goals of this treatment measure are to
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Question 31 of 111
Which patient should the nurse assess first after change-of-shift report?
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Question 32 of 111
In helping Mrs. Iris plan her diet, which of the following foods would the nurse help her to select?
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Question 33 of 111
The LPN/LVN, under your supervision, is providing nursing care for a patient with GBS. What observation would you instruct the LPN/LVN to report immediately?
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Question 34 of 111
You are caring for a patient who has just had open carpal tunnel release surgery. The surgeon has requested that the patient's hand and arm remain elevated above the level of the heart after the surgery. This is to
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Question 35 of 111
Which of these physiological changes would not be considered part of the sympathetic fight-or-flight response?
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Question 36 of 111
What is a common neurotransmitter?
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Question 37 of 111
A week following a spinal cord injury at T2, a patient experiences movement in his leg and tells the nurse that he is recovering some function. What is the nurse's best response to the patient?
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Question 38 of 111
A 70-year-old alcoholic patient with acute lethargy, confusion, and incontinence is admitted to the hospital ED. His wife tells you that he fell down the stairs about a month ago, but 'he didn't have a scratch afterward.' She feels that he has become gradually less active and sleepier over the last 10 days or so. Which of the following collaborative interventions will you implement first?
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Question 39 of 111
The action potential of a neuron
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Question 40 of 111
For what purpose would the nurse use the Mini-Mental State Examination to evaluate a patient with cognitive impairment?
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Question 41 of 111
Mrs. C. has a right hemiplegia secondary to a cerebrovascular accident. To avoid aspiration during meals she would be instructed to avoid
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Question 42 of 111
In reviewing Mrs. Post's laboratory results, which abnormal test is most likely to confirm the diagnosis?
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Question 43 of 111
A cylinder cast needs to be applied to a client with a fracture. What is the role of the nurse during the procedure?
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Question 44 of 111
A myelogram is ordered for Mr. Tucker to determine the extent of injury. Which of the following would be avoided following this procedure?
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Question 45 of 111
What does an abnormal finding in the assessment of the patient's motor function suggest?
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Question 46 of 111
Which patient should be assigned to the traveling nurse, new to neurologic nursing care, who has been on the neurologic unit for 1 week?
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Question 47 of 111
Which of the following nursing interventions may reduce hemostasis and decrease the potential for thrombophlebitis for a client with neurologic disorder?
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Question 48 of 111
Which of the following can NOT be prevented with a vaccine?
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Question 49 of 111
The male client diagnosed with multiple sclerosis states he has been investigating alternative therapies to treat his disease. Which intervention is most appropriate by the nurse?
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Question 50 of 111
When assessing a patient's level of consciousness, the nurse should:
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Question 51 of 111
The Broca's area is located in the lobe:
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Question 52 of 111
The medilla oblongata:
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Question 53 of 111
A client who is treated for a meniscal injury to the knee is advised prolonged immobility. To help prevent skin breakdown and infections, the nurse should instruct the client to increase the intake of which of the following?
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Question 54 of 111
Patients who work in settings that require repetition of the same hand movements over a long period of time have an increased risk for which of the following disorders?
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Question 55 of 111
The 'sodium-potassium pump' pumps ___________.
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Question 56 of 111
A 71-year-old patient has had PD for 8 years and is currently taking pramipexole 1.5 mg three times a day and carbidopa/levodopa 25/100 mg four times a day. His wife claims that he is complaining of seeing spiders and bugs running across the floor and imaginary children in their house. The first thing to do is:
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Question 57 of 111
What is the priority nursing diagnosis for a patient experiencing a migraine headache?
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Question 58 of 111
A 70-year-old patient is admitted after falling from his roof. He has a spinal cord injury at the C7 level. What findings during the assessment identify the presence of spinal shock?
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Question 59 of 111
What nursing interventions are most critical for a client diagnosed with encephalitis?
When the nursing student asks the RN what an arthroplasty is, what is the best description the RN can give the student?
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Question 62 of 111
Injury to which segment of the spine results in damage to the chest and abdominal muscles?
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Question 63 of 111
Dysdiadochokinesia refers to ___________.
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Question 64 of 111
Mrs. Rollo has been instructed to check her urine with a multiple test stick. For which abnormal finding should she be particularly alert and report to you when the test is positive?
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Question 65 of 111
A neurologist asks a patient to stick out the tongue. Which cranial nerve (CN) is being tested?
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Question 66 of 111
Within what approximate time frame does necrosis (cell death) occur because of lack of blood, oxygen, and glucose supplied to the brain?
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Question 67 of 111
A patient taking ibuprofen (Motrin) for treatment of OA has good pain relief but is experiencing increased dyspepsia and nausea with the drug's use. The nurse consults the patient's primary care provider about doing what?
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Question 68 of 111
A previously healthy 26-year-old male is brought to the emergency department due to muscle weakness. He reports mild weakness in his legs that has progressively worsened over a few days to the point that he can barely move his legs. He has some numbness in his legs and his arms feel weak. He has recently recovered from a respiratory infection. 1/5 muscle strength is noted throughout the lower extremities, as well as absent patellar and ankle reflexes. 3 to 4-/5 muscle strength is appreciated throughout his upper extremities. A lumbar puncture is performed, which shows the following: Cell count: 4 cells/mm3, Glucose: 67 mg/dL, Protein: 187 mg/dL Gram stain: no organisms Spirometry is performed, which shows a forced vital capacity of 0.85 L. Which of the following is the best next step in management?
A young male client visits a nurse with a complaint of chronic tension headaches. Which of the following is the most appropriate nursing instruction to manage the client?
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Question 71 of 111
A patient in traction frequently voices discomfort. Which one of the following complaints by Mrs. Iris would indicate beginning decubitus formation?
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Question 72 of 111
Which statement by a patient with osteoporosis indicates the need for additional teaching?
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Question 73 of 111
The patient works on a computer 8 hours each day. What kind of repetitive strain injury would be expected in this patient?
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Question 74 of 111
Pupil dilatation occurs with:
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Question 75 of 111
Which chronic neurologic disorder involves a deficiency of the neurotransmitters acetylcholine and γ-aminobutyric acid (GABA) in the basal ganglia and extrapyramidal system?
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Question 76 of 111
The change in electrical charge that occurs in a neuron when a nerve impulse is transmitted is known as the:
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Question 77 of 111
What best describes the manifestations of OA?
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Question 78 of 111
Mitoxantrone (Novantrone) is being considered as treatment for a patient with progressive-relapsing MS. The nurse explains that a disadvantage of this drug compared with other drugs used for MS is what?
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Question 79 of 111
A patient says, I know I have a brain tumor despite the results of the magnetic resonance image (MRI). The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day. Which response by the nurse fosters cognitive restructuring?
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Question 80 of 111
Radicular pain that radiates down the buttock and below the knee, along the distribution of the sciatic nerve, generally indicates what?
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Question 81 of 111
For the patient who has expressive aphasia following a cerebrovascular accident, the most therapeutic nursing intervention would be to
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Question 82 of 111
What central fiber tract connects forebrain and brain stem structures with the hypothalamus?
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Question 83 of 111
The ________ ________ consists of glands that secrete hormones:
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Question 84 of 111
MRS. Post is being discharged tomorrow on a regimen of prednisone and aspirin to control her symptoms of systemic lupus erythematosus. She should be told to call her physician immediately if which one of the following occurs?
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Question 85 of 111
Which statement accurately describes dementia?
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Question 86 of 111
With regard to the cutaneous innervation of the thorax and abdomen
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Question 87 of 111
A patient who had a below-the-knee amputation is to be fitted with a temporary prosthesis. It is most important for the nurse to teach the patient to do what?
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Question 88 of 111
At the scene of the accident in which position should Joe be placed before being transported by ambulance to the emergency room?
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Question 89 of 111
What should be included in the management during the first 48 hours after an acute soft tissue injury of the ankle (select one that doesn't apply)?
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ATI RN · Neurological System Questions
Question 90 of 111
The following may cause an elevated blood urea:
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Question 91 of 111
The nurse will document which reflex is present when there is dorsiflexion of the great toe with fanning of other toes?
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Question 92 of 111
An alternative approach to dealing with attention deficits is not to try and improve attention itself, but to provide the client with some compensatory skills that will allow them to effectively manage their slowed information processing. This is knwn as:
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Question 93 of 111
A client who has been immobile from a neurological deficit is moved to another bed in the nursing home and, following the move, complains of pain in his leg. Which complication is possible?
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Question 94 of 111
Which number in the diagram corresponds to the renal pelvis? (Figure 2)
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Question 95 of 111
The woman with osteoporosis slipped on the ice and now her wrist hurts. If there is a fracture, what type of fracture is expected?
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Question 96 of 111
Which statement describes osteosarcoma?
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Question 97 of 111
Which test evaluates a patient's coordination and balance?
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Question 98 of 111
A client with relapsing-remitting multiple sclerosis tells the nurse that even though the primary symptoms of exacerbation are leg spasms and blurred vision, the hardest part is trying to get through the day because of being so tired. Which diagnosis should the nurse identify as a priority for this client?
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Question 99 of 111
When is a fat embolism most likely to occur?
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Question 100 of 111
The x-ray shows that the patient's fracture is at the remodeling stage. What characteristics of the fracture healing process are happening at this stage (select one that doesn't apply)?
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Question 101 of 111
A patient becomes startled when the alarm rings for a fire drill. After reassuring the patient that there is no danger, an assessment is completed. Which finding may be related to a sympathetic response?
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Question 102 of 111
The nurse practitioner is assessing an adult patient with a seizure disorder that is well controlled on phenytoin (Dilantin). What new finding indicates that a phenytoin drug level assessment is needed?
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Question 103 of 111
The septum of the nasal cavity is innervated by
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Question 104 of 111
A 40-year-old client presents with a complaint of morning stiffness in her hands, and painful joints of about 3 months duration. On physical examination, you note deviation of the fingers of both hands toward the ulnar side, and swelling and thickening of the proximal interphalangeal joints. You refer the client to a physician for diagnosis and treatment of what you expect to be
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Question 105 of 111
A client is monitored for complications after having surgery to repair a fracture. Which of the following symptoms would indicate an arterial obstruction in the affected area?
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Question 106 of 111
The following are true about parathyroid hormone:
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Question 107 of 111
A 78-year-old woman has a physiologic change related to aging in her joints. What is an appropriate nursing intervention related to common changes of aging in the musculoskeletal system?
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Question 108 of 111
A patient who has been admitted to the medical unit with new-onset angina also has a diagnosis of Alzheimer's disease. Her husband tells you that he rarely gets a good night's sleep because he needs to be sure she does not wander during the night. He insists on checking each of the medications you give her to be sure they are the same as the ones she takes at home. Based on this information, which nursing diagnosis is most appropriate for this patient?
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Question 109 of 111
A patient has an atherosclerotic plaque in the middle cerebral artery. What does the nurse recognize about this patient's situation?
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Question 110 of 111
A husband visiting his wife in the hospital suddenly becomes confused and has difficulty with speech and starts slurring his words. The physician caring for his wife recognizes this as a cerebrovascular accident. What would you expect the physician to do?
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Question 111 of 111
A client with a skeletal traction reports a throbbing pain. Which of the following actions should the nurse take to relieve the pain?
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