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NURS 309 Acute Neuro-1 Questions With Complete Solutions
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NURS 309 Acute Neuro-1 Questions With Complete Solutions
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NURS 309 Acute Neuro-1 Questions With CompleteSolutions
A 23-year-old client with a recent history of encephalitis is
admitted to the medical unit with new-onset generalized tonic-
clonic seizures. Which nursing activities included in the client's
care will be best to assign to an LPN/LVN whom the nurse is
supervising? SATA
A. Observing and documenting the onset and duration of any
seizure activity
B. Administering phenytoin 200 mg PO three times a day
C. Teaching the client about the need for frequent tooth brushing
and flossing
D. Developing a discharge plan that includes referral to the
Epilepsy Foundation
E. Assessing for adverse effects caused by new antiseizure
medications
F. Turning the client to his or her side to avoid aspiration
Correct Answers A. Observing and documenting the onset and
duration of any seizure activity
B. Administering phenytoin 200 mg PO three times a day
F. Turning the client to his or her side to avoid aspiration
A client has a tonic-clonic seizure. What is the priority nursing
intervention during the tonic-clonic stage of the seizure?
A. Go for additional help
B. Establish a patent airway
C. Turn the client on the side
D. Protect the client from injury Correct Answers D. Protect
the client from injury
,A client is receiving phenytoin (Dilantin) for a seizure disorder
and heparin for a deep vein thrombosis. Warfarin (Coumadin) is
added in preparation for discontinuing the heparin. Why must
the nurse observe the client closely during the initial days of
treatment with coumadin?
A. Warfarin affects the metabolism of phenytoin
B. Phenytoin decreases warfarin's anticoagulant effect
C. Warfarin's action is greater in clients with seizure disorders
D. Seizures increase the metabolic degradation rate of warfarin
Correct Answers A. Warfarin affects the metabolism of
phenytoin
A client who has a history of seizures is scheduled for an
arteriogram at 1000 and is to have nothing by mouth before the
test. The client is scheduled to receive an anticonvulsant
medication at 0900. What should the nurse do?
A. Omit the 0900 dose of the drug
B. Give the same dosage of the drug rectally
C. Administer the drug with 30 mL of water at 0900
D. Ask the health care provider if the drug can be given IV
Correct Answers D. Ask the health care provider if the drug can
be given IV
A client who is receiving phenytoin (Dilantin) to control seizure
disorder questions the nurse regarding this medication after
discharge. The nurse's best response is "This medication:
A. will probably be continued for life"
B. prevents the occurrence of seizures"
C. needs to be taken during periods of emotional stress"
D. can usually be stopped after a year's absence of seizures"
Correct Answers A. will probably be continued for life"
, A client who recently started taking phenytoin to control simple
partial seizures is seen in the outpatient clinic. Which
information obtained during the nurse's chart review and
assessment will be of greatest concern?
A. The gums appear enlarged and inflamed
B. The white blood cell count is 2300
C. The client sometimes forgets to take the phenytoin until the
afternoon
D. The client wants to renew her driver's licenses in the next
month Correct Answers B. The white blood cell count is 2300
A client with a history of seizures is admitted with a partial
occlusion of the left common carotid artery. The client has been
taking phenytoin (Dilantin) for 10 years. When planning care for
this client, what should the nurse do first?
A. Place an airway and restraints at the bedside
B. Obtain a history of seizure type and incidence
C. Ask the client to remove any dentures and eyeglasses
D. Observe the client for increased restlessness and agitation
Correct Answers B. Obtain a history of seizure type and
incidence
A nurse is providing instructions for a client who is receiving
phenytoin (Dilantin) but has limited access to healthcare. What
side effect is the basis for the nurse's emphasis on meticulous
oral hygiene?
A. Hyperplasia of the gums
B. Alkalinity of the oral secretions
C. Irritation of the gingiva and destruction of tooth enamel
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