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AH2 FINAL EXAM LATEST 2025 QUESTIONS AND DETAILED CORRECT ANSWERS (VERIFIED ANSWERS) | A+ GRADE
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AH2 FINAL EXAM LATEST 2025 QUESTIONS AND DETAILED CORRECT ANSWERS (VERIFIED ANSWERS) | A+ GRADE
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AH2 FINAL EXAM LATEST 2025QUESTIONS AND DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) | A+
GRADE
A patient, age 27, has been admitted to the neurological
department because of seizures of unknown cause. The
nurse should take precautions by
a. placing the patient in protective restraints.
b. being certain padded side rails are present.
c. suggesting that the family monitor the patient.
d. placing the patient with one-on-one nursing service.
Correct Answer being certain padded side rails are
present.
A client is brought to the healthcare provider's office. The
client has been receiving phenytoin (Dilantin) for seizure
activity. The family reports that despite the client's
previously reported controlled seizures, the client has
been seizing two or three times a day. The nurse would
anticipate that the:
a. client's medication will be changed.
b. client will be admitted to the hospital.
c. client will be placed on nasogastric medications.
d. client's phenytoin level will be drawn. Correct Answer
client's phenytoin level will be drawn.
A client enters the emergency department. The
paramedics report that the client has been having a
,seizure that lasted for 45 minutes. In addition to securing
and maintaining an airway, what is a priority intervention
on the part of the nurse?
A. phenobarbital
B. diazepam
C. phenytoin
D. valproic acid Correct Answer diazepam
The nurse is providing medication teaching to a client with
a new prescription of phenytoin (Dilantin). Which
statement made by the client requires further teaching?
A. I will not stop taking this medication until i check with
my healthcare provider
B.I will take my Dilantin with a glass of grapefruit juice
every morning
C. I will have to have my serum drug levels checked in 2
weeks
D. If I miss a dose, I need to take it as soon as possible
without doubling up Correct Answer I will take my Dilantin
with a glass of grapefruit juice every morning
A patient has a history of tonic-clonic seizures. She was
admitted to the neurological unit after having had three
tonic-clonic seizures in the past 2 days. Her husband
reported that she had been sleeping for long periods after
each seizure. The nurse explains to him that this rest
period after a tonic-clonic seizure is called a
a. convalescent period.
b. post-status epilepticus period.
c. post-tonic-clonic period.
d. postictal period. Correct Answer postictal period.
,A client has received a transfusion of platelets. The nurse
evaluates that the client is benefiting most from this
therapy if the client exhibits which of the following?
a. Increased hematocrit level
b. Increased hemoglobin level
c. Decline of elevated temperature to normal
d. Decreased oozing of blood from puncture sites and
gums Correct Answer Decreased oozing of blood from
puncture sites and gums
Following infusion of a unit of packed red blood cells, the
client has developed new onset of tachycardia, bounding
pulses, crackles, and wheezes. Which action should the
nurse implement FIRST?
1) Maintain bed rest with legs elevated
2) Place the client in high-Fowler's position
3) Increase the rate of infusion of intravenous fluids
4) Consult with the HCP regarding initiation of oxygen
therapy. Correct Answer Place the client in high-Fowler's
position
Packed red blood cells have been prescribed for a female
client with a hemoglobin level of 7.6 g/dL and a hematocrit
level of 30%. The nurse takes the clients temperature
before hanging the blood transfusion and records 100.6F
orally. Which action should the nurse take?
1. Begin the transfusion as prescribed
2. administer an antihistamine and begin the transfusion
3. delay hanging the blood and notify the health care
provider
, 4. administer 2 tablets of acetaminophen and begin the
transfusion Correct Answer delay hanging the blood and
notify the health care provider
The nurse is caring for a client who is receiving a blood
transfusion and is complaining of a cough. The nurse
checks the client's vital signs, which include
temperature of 97.2° F (36.2° C), pulse of 108 bpm,
BP of 152/76,
respiratory rate of 24 breaths/min, and an oxygen
saturation level of 95% on room air.
The client denies pain at this time. Based on this
information, what initial action should the nurse take?
1. collect a urine sample for analysis
2. place the client in an upright position
3. compare current data to baseline data
4. slow the rate of the blood transfusion Correct Answer
compare current data to baseline data
The nurse is caring for a client with meningitis and
implements which transmission-based
precaution for this client?
a. Private room or cohort client
b. Personal respiratory protection device
c. Private room with negative airflow pressure
d. Mask worn by staff when the client needs to leave the
room Correct Answer Private room or cohort client
A nurse is developing a plan of care for a child who is at
risk for seizures. Which interventions apply if the child has
a seizure? Select all that apply.
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