NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3
NEWEST 2026 COMPLETE 100 QUESTIONS AND
CORRECT ANSWERS|| VERIFIED EXAM!!! (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION!!!
A nurse witnesses a client begin to experience a tonic-
clonic seizure and loss of consciousness. Which action
should the nurse take?
a. Start fluids via a large-bore catheter.
b. Turn the clients head to the side.
c. Administer IV push diazepam.
d. Prepare to intubate the client. - ANSWER-B
Rationale: The nurse should turn the clients head to the
side to prevent aspiration and allow drainage of
secretions. Anticonvulsants are administered on a routine
basis if a seizure is sustained. If the seizure is sustained
(status epilepticus), the client must be intubated and
should be administered oxygen, 0.9% sodium chloride,
and IV push lorazepam or diazepam.
A nurse cares for a client who is experiencing status
epilepticus. Which prescribed medication should the nurse
prepare to administer?
a. Atenolol (Tenormin)
b. Lorazepam (Ativan)
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c. Phenytoin (Dilantin)
d. Lisinopril (Prinivil) - ANSWER-B
Rationale: Initially, IV lorazepam is administered to stop
motor movements. This is followed by the administration of
phenytoin. Atenolol, a beta blocker, and lisinopril, an
angiotensin-converting enzyme inhibitor, are not
administered for seizure activity. These medications are
typically administered for hypertension and heart failure.
After teaching a client who is diagnosed with new-onset
status epilepticus and prescribed phenytoin (Dilantin), the
nurse assesses the clients understanding. Which
statement by the client indicates a correct understanding
of the teaching?
a. To prevent complications, I will drink at least 2 liters of
water daily.
b. This medication will stop me from getting an aura before
a seizure.
c. I will not drive a motor vehicle while taking this
medication.
d. Even when my seizures stop, I will continue to take this
drug. - ANSWER-D
Rationale: Discontinuing antiepileptic drugs can lead to the
recurrence of seizures or status epilepticus. The client
does not need to drink more water and can drive while
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taking this medication. The medication will not stop an
aura before a seizure.
After teaching a client newly diagnosed with epilepsy, the
nurse assesses the clients understanding. Which
statement by the client indicates a need for additional
teaching?
a. I will wear my medical alert bracelet at all times.
b. While taking my epilepsy medications, I will not drink
any alcoholic beverages.
c. I will tell my doctor about my prescription and over-the-
counter medications.
d. If I am nauseated, I will not take my epilepsy
medication. - ANSWER-D
Rationale: The nurse must emphasize that antiepileptic
drugs must be taken even if the client is nauseous.
Discontinuing the medication can predispose the client to
seizure activity and status epilepticus. The client should
not drink alcohol while taking seizure medications. The
client should wear a medical alert bracelet and should
make the doctor aware of all medications to prevent
complications of polypharmacy.
After teaching the wife of a client who has Parkinson's
disease, the nurse assesses the wife's understanding.
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Which statement by the clients wife indicates she correctly
understands changes associated with this disease?
a. His masklike face makes it difficult to communicate, so I
will use a white board.
b. He should not socialize outside of the house due to
uncontrollable drooling.
c. This disease is associated with anxiety causing
increased perspiration.
d. He may have trouble chewing, so I will offer bite-sized
portions. - ANSWER-D
Rationale: Because chewing and swallowing can be
problematic, small frequent meals and a supplement are
better for meeting the clients nutritional needs. A masklike
face and drooling are common in clients with Parkinson's
disease. The client should be encouraged to continue to
socialize and communicate as normally as possible. The
wife should understand that the clients masklike face can
be misinterpreted and additional time may be needed for
he client to communicate with her or others. Excessive
perspiration is also common in clients with Parkinson's
disease and is associated with the autonomic nervous
system response.
A nurse plans care for a client with Parkinson disease.
Which intervention should the nurse include in this clients
plan of care?