Med Surg 2 - Neuro Test Questions and Correct Answers
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Course
Med Surg 2
Institution
Med Surg 2
Med Surg 2 - Neuro Test Questions and Correct
Answers
Med Surg 2 - Neuro Test Questions and Correct
Answers
Med Surg 2 - Neuro Test Questions and Correct
Answers
Med Surg 2 - Neuro Test Questions and Correct
Answers
Med Surg 2 - Neuro Test Questions and Correct
Answers
Med Surg 2 - N...
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Med Surg 2 - Neuro Test Questions and Correct
Answers
The nurse see a client walking in the hallway who begins to have a seizure. the nurse should
do which of the following in priority order?
a. Maintain a patent airway
b. record the seizure activity observed
c. ease the client to the floor
d. obtain vital signs
✓ ~: c,a,d,b
Which of the following is contraindicated for a client with seizure precautions?
a. Encouraging him to perform his won personal hygeine
b. allowing him to wear his own clothing
c. assessing oral temperature with a glass thermometer
d. encouraging him to be out of bed
✓ ~: c
Which of the following will the nurse observe in the client in the octal phase of a generalized
tonic-clonic seizure?
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a. jerking in one extremity that spreads gradually to adjacent areas
b. vacant staring and abruptly ceasing all activity
c. facial grimaces, patting motions, and lip smacking
d. loss of consciousness, body stiffening, and violent muscle contractions
✓ ~: d
It is the night before a client is to have a computed tomography (CT) scan of the head without
contrast. The nurse should tell the client?
a. "You must shampoo your hair tonight to remove all oil and dirt."
b. "You may drink fluids until midnight, but after that drink nothing until the scan is
completed."
c. "You will have some hair shaved to attach the small electrode to your scalp."
d. "You will need to hold your head very still during the examination."
✓ ~: d
For breakfast on the morning a client is to have an EEG, the client is served a soft-boiled egg,
toast with butter and marmalade, orange juice and coffee. Which of the following should the
nurse do?
a. remove all the food
b. remove the coffee
c. remove the toast, butter and marmalade only
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d. substitute vegetable juice for the orange juice
✓ ~: b
A 20 year old who hit his head while playing football has a tonic-clonic seizure. Upon
awakening from the seizure, the client asks the nurse, "What caused me to have a seizure?
I've never had one before." Which case should the nurse include in the response as a primary
cause of tonic-clonic seizures in adults older than 20?
a. head trauma
b. electrolyte imbalance
c. congenital defect
d. epilepsy
✓ ~: a
Which of the following should the nurse include in the teaching plan for a client with seizures
who is going home with a prescription for gabapentin (Neurontin)?
a. take all the medication until it is gone
b. notify the physician if vision changes occur
c. store gabapentin in the refrigerator
d. take gabapentin with an antacid to protect against ulcers
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✓ ~: b
What is the priority nursing intervention in the postictal phase of a seizure?
a. reorient the client to time, person, and place
b. determine the client's level of sleepiness
c. assess the client's breathing pattern
d. position the client comfortably
✓ ~: c
which intervention is most effective in minimizing the risk of seizure activity in a client who
is undergoing diagnostic studies after having experienced several episodes of seizures?
a. maintain the client on bedrest
b. administer phenobarbital 30 minutes 3x/day
c. close the door to the room to minimize stimulation
d. administer tegretol 200 mg twice per day
✓ ~: d
What nursing assessments should be documented at the beginning of the ictal phase of a
seizure?
a. Heart rate, respirations, pulse oximeter, and blood pressure.
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