Med Surg Test 1 Davis Advantage Questions And Answers Well Illustrated.
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Course
Medsurg
Institution
Medsurg
Med Surg Test 1 Davis Advantage Questions And Answers Well Illustrated.
The nurse would expect to place the patient who just had a seizure in which position?
Right-lying (lateral)
Left-lying (lateral)
Supine
Supine with head elevated 15° - correct answer. Left-lying (latera...
Med Surg Test 1 Davis Advantage
Questions And Answers Well Illustrated.
The nurse would expect to place the patient who just had a seizure in which position?
Right-lying (lateral)
Left-lying (lateral)
Supine
Supine with head elevated 15° - correct answer. Left-lying (lateral)
The adult who has had his first complex partial seizure is asking the nurse when he can
drive again. What is the best response to the patient regarding this question?
"The doctor usually lets patients drive upon discharge."
"You will need to notify the Department of Motor Vehicles about your condition. Each
state has different rules and regulations."
"You will need to notify the national Department of Motor Vehicles about your condition.
The rules are the same for every state."
"I doubt you will ever drive again, but there are public transportation options that you
can explore." - correct answer. "You will need to notify the Department of Motor
Vehicles about your condition. Each state has different rules and regulations."
The patient's mother is asking what foods could be included in a ketogenic diet for her
school-aged child. The nurse would explain a dietitian would work with the family, but
which of the following types of foods would be included on the diet?
High carbohydrate and low protein
Low carbohydrate and high protein
Low fat, high carbohydrate, and low protein
High fat, low carbohydrate, and low protein - correct answer. High fat, low
carbohydrate, and low protein
,Which statements would the nurse include in the patient and family teaching about the
postictal phase of seizures? Select all that apply.
-The postictal phase occurs after the seizure.
-The patient in the postictal phase may exhibit -automatisms such as lip smacking,
rhythmic muscle movements, or chewing.
-The patient may exhibit confusion and disorientation during the postictal phase.
-The postictal phase can last from 5-30 minutes.
-The postictal phase patient may state seeing visualizations, hallucinations, or smell
odors that are not present. - correct answer. -The postictal phase occurs after the
seizure.
-The patient may exhibit confusion and disorientation during the postictal phase.
-The postictal phase can last from 5-30 minutes.
The nurse is providing patient teaching regarding the use of phenytoin and is aware the
patient requires further teaching when the patient makes which statement?
"I know that I must follow my medication regimen."
"If I feel ill, it is okay for me to stop taking this medication."
"I should refill my prescription before it runs out."
"I should have regular dental checkups." - correct answer. "If I feel ill, it is okay for me
to stop taking this medication."
You are the nurse caring for a teenager, James, who has been diagnosed with a
seizure disorder. James has recently been admitted to your neurological unit with a
diagnosis of tonic-clonic seizure. You realize his is in the postictal phase and may
exhibit which of the following symptoms? Select all that apply.
You are aware that James is having a tonic-clonic seizure because he exhibits which of
the following characteristics?
A generalized seizure with brief loss of consciousness
A generalized seizure with no loss of consciousness
A generalized seizure with phases of rigidity and rhythmic jerking of extremities
A generalized seizure where the patient may or may not lose consciousness - correct
answer. A generalized seizure with phases of rigidity and rhythmic jerking of
extremities
, A tonic-clonic seizure exhibits phases of rigidity and rhythmic jerking of extremities. An
absence seizure is definite as a generalized seizure with brief loss of consciousness. A
myoclonic seizure is defined as a generalized seizure with no loss of consciousness. An
atonic seizure is a seizure where the patient may or may not lose consciousness.
Which of the following teaching points would you include when educating James's
parents about caring for a person with seizures? Select all that apply.
If possible, turn the person on the left side during or immediately after a seizure to
reduce the risk of aspiration.
Attempt to restrain the person to reduce the risk of injury during the seizure.
Do not force any object into the mouth during the seizure.
Offer the person a drink of water immediately following the seizure.
Document specifics of the seizure activity to report to the person's healthcare provider. -
correct answer. The person should be turned on his left side during or immediately
after the seizure to reduce the risk of aspiration.
Do not force any object into the mouth during the seizure.
Document specifics of the seizure activity to report to the person's healthcare provider.
James has been prescribed phenytoin (Dilantin). You are providing patient teaching
regarding this medication. You know the teaching has been effective when he makes
which of the following statements?
"I understand the medication will turn my urine orange."
"It is important for me to have regular dental checkups."
"I will not have to have any blood work to check the level of medicine in my blood with
this medicine."
"If I run out of medicine, it is OK not to take it for a couple of days until I can get my
prescription filled." - correct answer. "It is important for me to have regular dental
checkups."
The patient teaching has been noted as effective when James states it is important to
have regular dental checkups. A side effect of phenytoin is gingival hyperplasia,
enlargement of the gum tissue in the mouth. This condition can lead to gum and tooth
issues and should be monitored by a dentist. James should also understand that he
cannot stop taking the medication for any reason. He should have plans in advance to
have the prescription refilled before running out. He will have regularly scheduled lab
work ordered to check phenytoin levels.
The patient's mother has heard a certain type of diet can help to improve seizure
control. Although usually used with children, the doctor believes a ketogenic diet may be
effective for James. When asked by the mother to explain a ketogenic diet, what
information would you provide?
"A ketogenic diet is high in protein, but low in carbohydrates and fats."
"A ketogenic diet is high in carbohydrates and fats, but low in protein."
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