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Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank- All Chapters with Answers and Rationals
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Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition Linda S. Williams Test Bank Chapter 1-57 | 9781719644587 | All Chapters with Answers and Rationals

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  • August 20, 2024
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  • davis medical surgical
  • davis advantage for understanding medical surgical
  • understanding medical surgical

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Davis Advantage for Understanding Medical-Surgical Nursing
7th Edition Linda S. Williams Test Bank Chapter 1-57 |
9781719644587 | All Chapters with Answers and Rationals
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° - 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." -
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 - 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. - 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." - 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.

Confusion
Alertness
Disorientation
Drowsiness
Hunger - ANSWER: Confusion
Disorientation
Drowsiness

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 - 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. - 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." - 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

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