ATI MEDSURG 2 NUR 265 ACTUAL EXAM LATEST VERSION QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ / SHOCK & BURNS PRACTICE

KARIMIKEVIN42




ATI MEDSURG 2 NUR 265 ACTUAL
EXAM LATEST VERSION QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+ / SHOCK & BURNS
PRACTICE



. A nurse is performing discharge teaching for a client who has seizures and a
new prescription for phenytoin. Which of the following statements by the
client indicates a need for further teaching?

A. "I will notify my doctor before taking any other medications."

Rationale: Many medication interactions can occur with phenytoin;
therefore, the client's provider should be notified that the client
is taking phenytoin.

B. "I have made an appointment to see my dentist next week."

Rationale: The client understands that phenytoin causes an overgrowth
of the gums that makes dental monitoring important.

C. "I know that I cannot switch brands of this medication."

Rationale: The client understands that bioavailability varies with
different brands, so no substitutions should be made.

D. "I'll be glad when I can stop taking this medicine."

Rationale: Phenytoin is an anticonvulsant used to treat various types of
seizures. Clients on anticonvulsant medications commonly
require them for lifetime administration, and phenytoin should
not be stopped without the advice of the client's provider.

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3. A nurse at an ophthalmology clinic is providing teaching to a client who has
open angle glaucoma and a new




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prescription for timolol eye drops. Which of the following instructions should the
nurse provide?

A. The medication is to be applied when the client is experiencing eye pain.

Rationale: The client needs to take the medications daily to reduce
intraocular pressure and preserve remaining eyesight.

B. The medication will be used until the client's intraocular pressure returns to
normal.

Rationale: Treatment for open-angle glaucoma is to continue for life. Abrupt
discontinuation can worsen the client's condition.

C. The medication should be applied on a regular schedule for the rest of the
client's life.

Rationale: Medications prescribed for open angle glaucoma are
intended to enhance aqueous outflow, or decrease its
production, or both. The client must continue the eye drops on
an uninterrupted basis for life to maintain intraocular pressure
at an acceptable level.

D. The medication is to be used for approximately 10 days, followed by a
gradual tapering off.

Rationale: Treatment for open-angle glaucoma is to continue for life.




4. A nurse is in a client's room when the client begins having a tonic-clonic
seizure. Which of the following actions should the nurse take first?

A. Turn the client's head to the side.

Rationale: The first action the nurse should take when using the airway,
breathing, circulation approach to client care is to turn the
client's head to the side. This action keeps the client's airway
clear of secretion to prevent aspiration.

B. Check the client's motor strength.

Rationale: The nurse should check the client's motor strength as part of
a neurovascular assessment following the seizure; however,
there is another action the nurse should take first.

C. Loosen the clothing around the client's waist.

Rationale: The nurse should loosen the clothing around the client's

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waist to protect the client from injury; however, there is another
action the nurse should take first.

D. Document the time the seizure began.

Rationale: The nurse should document the time the seizure began and
ended to provide information to the provider about the severity
of the seizure; however, there is another action the nurse should
take first.




5. A nurse is caring for a client following cataract surgery. Which of the
following comments from the client should the nurse report to the client's
provider?

A. "My eye really itches, but I'm trying not to rub it."

Rationale:



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