NUR 102 TEST #4 QUESTIONS AND CORRECT ANSWERS

NUR 102 TEST #4 QUESTIONS AND
CORRECT ANSWERS
WhichA2adverseA2effectA2mayA2occurA2duringA2phenytoinA2(Dilantin)A2therapy?A2-A2Ans--
Toxicity,A2GingivalA2Hyperplasia,A2Somnolence

AA2therapeuticA2phenytoinA2levelsA2isA210A2toA220A2mg/dL.
TrueA2orA2FalseA2-A2Ans--True

AA2clientA2tellsA2theA2nurseA2thatA2theyA2recalledA2aA2warmA2sensationA2beforeA2herA2seizu
re.A2WhichA2termA2describesA2this?A2-A2Ans--Aura

WhichA2nursingA2interventionA2takeA2priorityA2forA2clientA2experiencingA2aA2tonic-
clonicA2seizure?A2-A2Ans--MaintainingA2aA2patentA2airway

WhenA2reinforcingA2teachingA2withA2theA2client,A2theA2nurseA2knowsA2thatA2alcoholA2shoul
dA2beA2avoidedA2withA2clientsA2takingA2phenytoinA2because?A2-A2Ans--
AlcoholA2decreasesA2theA2effectivenessA2ofA2theA2phenytoin

AA2clientA2inA2statusA2epilepticusA2arrivesA2atA2theA2emergencyA2department.A2TheA2family
A2isA2interviewedA2toA2determineA2theA2causeA2ofA2thisA2problem.A2WhichA2eventA2mayA2ha
veA2predisposedA2theA2clientA2toA2thisA2condition?A2-A2Ans--
AbruptlyA2stoppingA2antiA2convulsantA2therapy

AA2clientA2isA2takingA2pregabalinA2(Lyrica)A2butA2doesA2notA2haveA2aA2historyA2ofA2seizures
.A2TheA2nurseA2recognizesA2thatA2thisA2drugA2isA2alsoA2indicatedA2forA2whichA2ofA2these?
A2-A2Ans--Fibromyalgia


TheA2nurseA2knowsA2thatA2theseA2areA2someA2ofA2theA2causesA2ofA2peripheralA2neuropath
y?A2-A2Ans--
PoorlyA2controlledA2diabetes,A2VitaminA2BA2Deficiency,A2KidneyA2Failure,A2Smoking,A2Alc
oholism

TheA2clientA2knowsA2thatA2thisA2canA2helpA2withA2fibromyalgia:A2-A2Ans--
Acupuncture,A2Stretching,A2Mediation,A2StressA2Management,A2PhysicalA2Exercise

AA2nurseA2isA2takingA2careA2ofA2aA2patientA2whoA2suddenlyA2beginsA2toA2haveA2aA2seizure.
A2WhichA2responseA2byA2theA2nurseA2wouldA2beA2appropriate?
A)A2RunA2toA2theA2telephone,A2andA2callA2forA2help
B)A2ObserveA2andA2recordA2theA2seizureA2activity
C)A2ApplyA2softA2restraintsA2untilA2theA2seizureA2activityA2ceases
D)A2PryA2theA2jawA2openA2toA2placeA2aA2paddedA2tongueA2bladeA2intoA2theA2patientA2mout
hA2-A2Ans--B)A2ObserveA2andA2recordA2theA2seizureA2activity

,WhichA2nursingA2interventionA2shouldA2beA2implementedA2immediatelyA2atA2onsetA2ofA2aA2
seizureA2toA2ensureA2theA2safetyA2ofA2aA2patientA2withA2tonic-clonicA2seizures?
A)A2PlaceA2aA2tongueA2bladeA2inA2theA2patientsA2mouth
B)A2RestrainA2theA2patientsA2armsA2andA2legs
C)A2ElevateA2theA2headA2ofA2theA2patientsA2bed
D)A2TakeA2measuresA2toA2preventA2headA2injuryA2-A2Ans--
D)A2TakeA2measuresA2toA2preventA2headA2injury

TheA2nurseA2isA2repeatingA2instructionsA2toA2aA2patientA2withA2epilepsyA2aboutA2theA2careA
2toA2beA2takenA2afterA2discharge.A2WhichA2statementA2madeA2byA2theA2patientA2indicatesA2
theA2needA2forA2furtherA2teaching?
A)A2"IA2haveA2toA2maintainA2goodA2oralA2hygiene"
B)A2"IA2shouldA2abstainA2fromA2anythingA2withA2alcoholA2inA2it"
C)A2"IA2mayA2stopA2takingA2myA2seizureA2medicationsA2ifA2IA2haveA2notA2hadA2aA2seizureA2i
nA230A2days"
D)A2"IA2shouldA2wearA2theA2medicalA2alertA2braceletA2provided"A2-A2Ans--
C)A2"IA2mayA2stopA2takingA2myA2seizureA2medicationsA2ifA2IA2haveA2notA2hadA2aA2seizureA2i
nA230A2days"

WhichA2descriptionA2identifiesA2fibromyalgiaA2syndrome?
A)A2PsychiatricA2disorder
B)A2MoodA2disorderA2ofA2depression,A2irritability,A2andA2hostility
C)A2MusculokeletalA2chronicA2painA2ofA2unknownA2cause
D)A2DisorderA2thatA2usuallyA2affectsA2menA2betweenA2theA2agesA2ofA220A2andA250A2yearsA2
-A2Ans--C)A2MusculoskeletalA2chronicA2painA2ofA2unknownA2cause

AA2patientA2arrivesA2atA2theA2clinicA2complainingA2ofA2chronicA2painA2andA2comments,A2"A2
MyA2neckA2andA2lowerA2backA2hurtA2allA2theA2time.A2MyA2bodyA2isA2stifferA2inA2theA2mornin
g,A2andA2theA2achinessA2andA2stiffnessA2areA2alwaysA2muchA2worseA2afterA2aA2hardA2dayA2
ofA2work."A2WhichA2diagnosisA2doesA2theA2nurseA2interpretA2theseA2symptomsA2toA2beA2as
sociatedA2with?
A)A2Fibromyalgia
B)A2Osteomyelitis
C)A2Osteoarthritis
D)A2RheumatoidA2arthritisA2-A2Ans--A)A2Fibromyalgia

AA2patientA2withA2long-
term,A2poorlyA2controlledA2typeA22A2diabetesA2mellitusA2comesA2toA2theA2clinicA2complainin
gA2ofA2tinglingA2andA2burningA2inA2theA2legsA2andA2numbnessA2inA2theA2toes.A2TheA2nurseA
2anticipatesA2whichA2diagnosis?
A)A2PhantomA2limbA2pain
B)A2TrigeminalA2neuralgia
C)A2DiabeticA2neuropathy
D)A2PostherpeticA2neuralgiaA2-A2Ans--C)A2DiabeticA2neuropathy

, AA2patientA2diagnosedA2withA2seizuresA2isA2advisedA2toA2takeA2phenytoin.A2WhichA2comm
onA2sideA2effectsA2ofA2phenytoinA2shouldA2theA2nurseA2informA2theA2patientA2about?
A)A2WeightA2gin
B)A2Neuropathy
C)A2MemoryA2loss
D)A2GingivalA2hyperplasiaA2-A2Ans--D)A2GingivalA2hyperplasia

WhileA2assessingA2anA2olderA2patient,A2theA2nurseA2findsA2thatA2theA2patientA2hasA2seizur
esA2andA2tetany.A2WhichA2laboratoryA2valueA2alterationA2doesA2theA2nurseA2inferA2fromA2th
is?
A)A2SodiumA2deficiency
B)A2CalciumA2deficiency
C)A2ChlorineA2excess
D)A2MagnesiumA2excessA2-A2Ans--B)A2CalciumA2deficiency

TheA2caregiversA2ofA2aA2patientA2withA2acuteA2seizuresA2askA2theA2nurseA2whatA2theyA2sh
ouldA2doA2ifA2anotherA2episodeA2ofA2seizureA2occursA2atA2homeA2afterA2discharge.A2Which
A2instructionsA2shouldA2theA2nurseA2provideA2inA2responseA2toA2theA2question?
A2SelectA2allA2thatA2apply.
A)A2LoosenA2constrictiveA2clothes
B)A2EaseA2theA2patientA2toA2theA2floor
C)A2RestrainA2theA2patientA2toA2theA2bed
D)A2ProtectA2theA2patientA2fromA2injury
E)A2BringA2theA2patientA2toA2theA2hospitalA2immediatelyA2-A2Ans--
A)A2LoosenA2constrictiveA2clothes
B)A2EaseA2theA2patientA2toA2theA2floor
D)A2ProtectA2theA2patientA2fromA2injury

WhichA2interventionsA2areA2includedA2inA2aA2patient'sA2planA2ofA2careA2toA2reduceA2theA2sy
mptomsA2ofA2fibromyalgiaA2syndrome?
A)A2LongA2napsA2andA2restA2periods
B)A2Dark,A2quietA2sleepA2environment
C)A2YogaA2andA2relaxationA2techniques
D)A2StretchingA2exercisesA2andA2swimming
E)A2WarmA2bathA2withinA22A2hoursA2ofA2bedtimeA2-A2Ans--
B)A2Dark,A2quietA2sleepA2environment
C)A2YogaA2andA2relaxationA2techniques
D)A2StretchingA2exercisesA2andA2swimming
E)A2WarmA2bathA2withinA22A2hoursA2ofA2bedtime

AA2pregnantA2patientA2callA2theA2clinicA2andA2explainsA2toA2theA2nurseA2thatA2sheA2isA2expe
riencingA2painA2withA2noA2distinctiveA2pattern,A2theA2painA2variesA2inA2lengthA2andA2intensit
y,A2andA2itA2stopsA2whenA2sheA2getsA2upA2andA2movesA2around.A2WhichA2inferenceA2canA2
theA2nurseA2makeA2outA2aboutA2theA2patient'sA2condition?
A)A2TrueA2laborA2hasA2begun
B)A2BraxtonA2HicksA2contractionsA2areA2occurring