NURS 4 exam 5 practice questions.1. The client has been admitted with new-onset status epilepticus. Which seizure precautions does the nurse put in place?
... [Show More] Select all that apply.
A. Bite block at the bedside
B. Intravenous access
C. Continuous sedation
D. Suction equipment at the bedside
E. Siderails up
2. The parents of a young child report that their child sometimes stares blankly into space for just a few seconds and then gets very tired. The nurse anticipates that the child will be assessed for which seizure disorder?
A. Absence
B. Myoclonic
C. Simple partial
D. Tonic Seizures
3. The client admitted with cerebral edema suddenly begins to have a seizure while the nurse is in the room. What will the nurse do first?
A. Administer phenytoin (Dilantin)
B. Draw blood
C. Assess the need for additional support
D. Start an intravenous (IV) line
4. The nurse is administering the intake assessment for a newly admitted client with a history of seizures. The client suddenly begins to seize. What does the nurse do next?
A. Documents the length and time of the seizure
B. Forces a tongue blade in the mouth
C. Restrains the client
D. Positions the client on the side
5. The nurse is caring for a client diagnosed with partial seizures after encephalitis, who is to receive carbamazepine (Tegretol). The nurse plans to monitor the client for which adverse effects? Select all that apply.
A. Alopecia
B. Headaches
C. Dizziness
D. Diplopia
6. The nurse has received report on a group of clients. Which client requires the nurse's attention first?
A. Adult who is lethargic after a generalized tonic-clonic seizure
B. Young adult who has experienced four tonic-clonic seizures within the past 30 minutes
C. Middle-aged adult with absence seizures who is staring at a wall and does not respond to questions
D. Older adult with a seizure disorder who has a temperature of 101.9° F (38.8° C)
7. The nurse is providing medication instructions for a client for whom phenytoin (Dilantin) has been requested for treatment of epilepsy. The nurse plans to instruct the client to avoid which beverage?
A. Apple juice
B. Grape juice
C. Grapefruit juice
D. Milk
8. A client with a history of seizures is placed on seizure precautions. What emergency equipment will the nurse provide at the bedside? Select all that apply.
A. Padded tongue blade
B. Oxygen setup
C. Nasogastric tube
D. Suction setup
E. Artificial oral airway
9. Following a generalized tonic-clonic seizure, the patient is tired and sleepy. The nurse should:
a) suction the patient before allowing him to rest
b) allow the patient to sleep as long as he feels sleepy
c) stimulate the patient to increase his level of consciousness
d) check the patient's level of consciousness every 15 minutes for an hour
10. The nurse finds a patient in bed having a generalized tonic-clonic seizure. During the seizure activity, the nurse should:
a) turn the patient to the side
b) suction the patient and administer oxygen
c) insert an oral airway into the patient's mouth
d) restrain the patient's extremities to prevent soft tissue and bone injury
11. When teaching a patient with a seizure disorder about the medication regimen, it is most important for the nurse to stress that:
a) the patient should increase the dosage of the medication if stress is increased
b) if gingival hypertrophy occurs the drug should be stopped and the health care provider notified
c) stopping the medication abruptly may increase the intensity and frequency of seizures
d) most over-the-counter and prescription drugs are safe to take with anticonvulsant drugs
12. A patient admitted to the hospital following a generalized tonic-clonic seizure asks the nurse what caused the seizure. The best response by the nurse is:
a) "So many factors can cause epilepsy that it is impossible to say what caused your seizure."
b) "Epilepsy is an inherited disorder. Does anyone else in your family have a seizure disorder?"
c) "In seizures, some type of trigger causes sudden, abnormal bursts of electrical brain activity."
d) "Scar tissue in the brain alters the chemical balance, creating uncontrolled electrical discharges."
13. Generalized seizures differ from partial seizures in that:
a)Partial seizure are confined to one side of the brain and remain focal in nature b)Generalized seizures result in loss of consciousness while partial seizures do not. c)Generalized seizures result in temporary residual deficits during the postictal phase. d)Generalized seizures have no warning because the entire brain is affected at the onset.
14. The client experiences low back pain near the end of each day. The nurse is developing a teaching plan for a client with a history of low back pain. Which instructions will the nurse plan to include in teaching the client about preventing low back pain and injury? Select all that apply. [Show Less]