Exam 3) NUR 426 Test 3: Questions & Answers: Updated A+ Guide Solution

A nurse is caring for a client who has MS. Which of the following findings should the nurse expect? 1. Hypoactive DTR 2. ascending paralysis 3. intention tremors 4. increased lacrimation (Ans- 3 A nurse is assessing a client who has a seizure disorder. The client reports he thinks he is about to have a seizure. Which of the following actions should the nurse implement? Select all that apply. 1. provide safety 2. ease the patient to the floor if standing 3. move furniture away from the patient 4. loosen the patient's clothing 5. protect the patient's head with padding 6. restrain the patient. (Ans- 1, 2, 3, 4, & 5 A nurse is caring for a client who just had a generalized seizure. WHich of the following actions should the nurse first perform? 1. keep the client in a side-lying position 2. monitor client's vital signs 3. reorient the client to the environment 4. check the client for injuries. (Ans- 1 A nurse is providing discharge instructions to a female client who has a prescription for phenytoin. Which of the following information should the nurse include? 1. consider taking oral contraceptives when on this medication 2. watch for receding gums when taking this medicine 3. take the medicine at the same time everyday 4. provide a urine sample to determine therapeutic levels of the medicine (Ans- 3 A nurse is reviewing trigger factors that can cause seizures with a client who has a new diagnosis of generalized seizures. Which of the following information should the nurse include in this review? select all that apply. 1. overwhelming fatigue should be avoided 2. caffeinated products should be removed from the diet 3. looking at flashing lights should be limited 4. aerobic exercise may be performed 5. episodes of hypoventilation should be limited 6. use of aerosol hairspray is recommended (Ans- 1, 2, & 3 A nurse is completing discharge teaching to a client who has seizures and received a vagal nerve stimulator to decrease seizure activity. Which of the following information should the nurse include in the teaching? 1. The use of a microwave to heat food is permitted 2. Inform a provider to order only MRI when a scan is needed 3. place a magnet over the implantable devices when an aura occurs 4. the use of ultrasound diathermy for pain management is recommended. (Ans- 3 A patient has been receiving scheduled doses of phenytoin and begins to experience diplopia. The nurse immediately assess the patient for: 1. an aura or focal seizure 2. nystagmus or confusion 3. abdominal pain or cramping 4. irregular pulse or palpitations (Ans- 2 Which characteristic of a pati