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Galen Med Surg Exam 2 with correct answers

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Galen Med Surg Exam 2 with correct answers

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Galen Med Surg Exam 2 with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




answers

A male client has been experiencing seizures and is in the hospital for tests. While in the
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hospital setting, the client experiences a seizure. Which of the following should the nurse do?
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a. Restrain the client's arms and legs.
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b. Take measures to prevent injury.
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c. Place a tongue blade in the client's mouth.
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d. Elevate the head of the bed. - correct answer✔✔b. Take measures to prevent injury.
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The nurse is managing a client with new-onset seizure activity and is to provide phenytoin. The
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nurse should be aware that Phenytoin
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a. causes tissue vesication if infiltrated
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b. has the most rapid onset of action of seizure medications
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c. must be administered in dextrose
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d. administration can result in hypertension - correct answer✔✔a. causes tissue vesication if
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infiltrated



The nurse is performing patient education regarding medications used to prevent migraines.
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Which of the following medications should the nurse explain as potential treatments?
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a. Anti-seizure drugs
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b. Anti-depressant drugs
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c. Beta-blockers
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,d. All of these - correct answer✔✔d. All of these
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A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the
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following actions should the nurse take first? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




a. Turn the client's head to the side.
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b. Check the client's motor strength.
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c. Loosen the clothing around the client's waist.
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d. Document the time the seizure began. - correct answer✔✔a. Turn the client's head to the
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side.



A nurse is caring for a client who has Parkinson's disease and is taking diphenhydramine 25 mg
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PO TID. Which of the following therapeutic outcomes should the nurse expect to see?
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a. Delay in disease progression
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b. Improved bladder function
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c. Relief of depression
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d. Decreased tremors - correct answer✔✔d. Decreased tremors
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A nurse is caring for a client who who has had a stroke involving the right hemisphere. Which
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of the following alterations in function should the nurse expect?
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a. Difficulty reading
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b. Inability to recognize his family members
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c. Right hemiparesis
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d. Aphasia - correct answer✔✔b. Inability to recognize his family members
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The right hemisphere is involved with visual and spatial awareness.
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,A white lipid covering of axons - correct answer✔✔myelin sheath
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As the nurse you are providing care for a client who has a diagnosis of macular degeneration.
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Which of the following foods should the nurse recommend for this client? Select all that apply.
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a. Sweet potatoes
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b. red meat |||\\\ |||\\\




c. chicken |||\\\




d. broccoli - correct answer✔✔a. Sweet potatoes
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d. broccoli |||\\\




This is the area in the brain which controls speech - correct answer✔✔Broca's area
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This is the area in the brain which controls language processing - correct answer✔✔Wernicke's
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area
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Area at the base of the brain where the anterior, middle, and posterior cerebral arteries join
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together - correct answer✔✔Circle of Willis |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Involves altered LOC. Patient may have amnesia after the seizure. Hard to diagnose because it
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can resemble dementia - correct answer✔✔Complex epilepsy
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Affects entire brain - correct answer✔✔Generalized epilepsy |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Generalized seizure involving sudden, brief LOC, usually in children. Appears that they are |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




staring off into space - correct answer✔✔Absence epilepsy |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

, Brief muscle jerks, lasts seconds - correct answer✔✔Myoclonic
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Involves brief loss of tone. Can be confused with fainting - correct answer✔✔Atonic
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A patient has a history of chronic obstructive pulmonary disease. The patient's oxygen flow rate
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should be set to no more than _____ L/min. - correct answer✔✔2-4
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The client is prescribed to have 80% oxygen administered continuously in a noninvasive
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manner. Which type of delivery system should you select to meet these criteria? - correct
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answer✔✔Nasal cannula |||\\\




Which nursing intervention would you use to prevent injury in the client receiving oxygen
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therapy by continuous nasal cannula? - correct answer✔✔Providing mouth care every 8 hours
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When teaching a patient who will be receiving antihistamines, the nurse will include which
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instructions? (Select all that apply.) |||\\\ |||\\\ |||\\\ |||\\\




a. "Avoid activities that require alertness until you know how adverse effects are tolerated."
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b. "Drink extra fluids if possible."
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c. "Take the medication with food to minimize gastrointestinal distress."
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d. "Antihistamines are generally safe to take with over-the-counter medications."
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e. "Antihistamines may cause restlessness and disturbed sleep."
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f. "Take the medication on an empty stomach to maximize absorption of the drug." - correct
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answer✔✔a. "Avoid activities that require alertness until you know how adverse effects are |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




tolerated."

b. "Drink extra fluids if possible."
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c. "Take the medication with food to minimize gastrointestinal distress."
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