NUR 320: Comprehensive EAQ on
Intracranial Conditions pactice exam
2024
A client with a seizure disorder is receiving phenytoin and phenobarbital. What client statement
indicates that the instructions regarding the medications are understood?
"Stopping the drugs can cause continuous seizures and I may die."
Which information should be included in the teaching plan for the client diagnosed with epilepsy?
People taking phenytoin must floss regularly.
Rational: Gingival hyperplasia is a common side effect of phenytoin
A client has a tonic-clonic seizure. Which is the priority nursing intervention during the tonic-clonic stage
of the seizure?
Protect the client from injury
A client is admitted to the hospital after having a tonic-clonic seizure and is diagnosed with a seizure
disorder. Which is most important for the nurse to include in a teaching program?
, Explain ways to prevent physical trauma from occurring during a seizure.
A 2-year-old toddler is admitted to the pediatric unit with a diagnosis of bacterial meningitis. What is the
most important safety measure for the nurse to institute immediately after the child has a seizure?
Placing the child in the side-lying position
A client has a tonic-clonic seizure at work and is admitted to the emergency department. Which
question is most useful when planning nursing care related to the client's seizure?
"Were you aware of anything different or unusual just before your seizure began?"
Rationale: Identification of a sensation that occurs before each seizure (aura) is helpful in identifying the
cause of the seizure and planning how to identify and avoid a future seizure.
Warfarin is prescribed for the client who takes phenytoin for a seizure disorder. Why must the nurse
observe the client closely during the initial days of treatment with warfarin?
Warfarin affects the metabolism of phenytoin.
What action should the nurse take when caring for a client who has a possible skull fracture as a result
of trauma?
Monitor the client for signs of brain injury.
We have an expert-written solution to this problem!
A client is admitted to the hospital with a head injury sustained while playing soccer. For which early sign
of increased intracranial pressure should the nurse monitor this client?
Lethargy
Intracranial Conditions pactice exam
2024
A client with a seizure disorder is receiving phenytoin and phenobarbital. What client statement
indicates that the instructions regarding the medications are understood?
"Stopping the drugs can cause continuous seizures and I may die."
Which information should be included in the teaching plan for the client diagnosed with epilepsy?
People taking phenytoin must floss regularly.
Rational: Gingival hyperplasia is a common side effect of phenytoin
A client has a tonic-clonic seizure. Which is the priority nursing intervention during the tonic-clonic stage
of the seizure?
Protect the client from injury
A client is admitted to the hospital after having a tonic-clonic seizure and is diagnosed with a seizure
disorder. Which is most important for the nurse to include in a teaching program?
, Explain ways to prevent physical trauma from occurring during a seizure.
A 2-year-old toddler is admitted to the pediatric unit with a diagnosis of bacterial meningitis. What is the
most important safety measure for the nurse to institute immediately after the child has a seizure?
Placing the child in the side-lying position
A client has a tonic-clonic seizure at work and is admitted to the emergency department. Which
question is most useful when planning nursing care related to the client's seizure?
"Were you aware of anything different or unusual just before your seizure began?"
Rationale: Identification of a sensation that occurs before each seizure (aura) is helpful in identifying the
cause of the seizure and planning how to identify and avoid a future seizure.
Warfarin is prescribed for the client who takes phenytoin for a seizure disorder. Why must the nurse
observe the client closely during the initial days of treatment with warfarin?
Warfarin affects the metabolism of phenytoin.
What action should the nurse take when caring for a client who has a possible skull fracture as a result
of trauma?
Monitor the client for signs of brain injury.
We have an expert-written solution to this problem!
A client is admitted to the hospital with a head injury sustained while playing soccer. For which early sign
of increased intracranial pressure should the nurse monitor this client?
Lethargy
