Galen Med Surg Exam 2 Questions and
answers
A |male |client |has |been |experiencing |seizures |and |is |in |the |hospital |for |tests. |While |in |the
|hospital |setting, |the |client |experiences |a |seizure. |Which |of |the |following |should |the |nurse
|do?
a. Restrain |the |client's |arms |and |legs.
b. Take |measures |to |prevent |injury.
c. Place |a |tongue |blade |in |the |client's |mouth.
d. Elevate |the |head |of |the |bed. |- b. |Take |measures |to |prevent |injury.
The |nurse |is |managing |a |client |with |new-onset |seizure |activity |and |is |to |provide |phenytoin.
|The |nurse |should |be |aware |that |Phenytoin
a. causes |tissue |vesication |if |infiltrated
b. has |the |most |rapid |onset |of |action |of |seizure |medications
c. must |be |administered |in |dextrose
d. administration |can |result |in |hypertension |- a. |causes |tissue |vesication |if |infiltrated
The |nurse |is |performing |patient |education |regarding |medications |used |to |prevent
|migraines. |Which |of |the |following |medications |should |the |nurse |explain |as |potential
|treatments?
a. Anti-seizure |drugs
b. Anti-depressant | drugs
c. Beta-blockers
d. All |of |these |- d. |All |of |these
A |nurse |is |in |a |client's |room |when |the |client |begins |having |a |tonic-clonic |seizure. |Which |of |the
|following |actions |should |the |nurse |take |first?
a. Turn |the |client's |head |to |the |side.
b. Check |the |client's |motor |strength.
c. Loosen |the |clothing |around |the |client's |waist.
d. Document |the |time |the |seizure |began. |- a. |Turn |the |client's |head |to |the |side.
A |nurse |is |caring |for |a |client |who |has |Parkinson's |disease |and |is |taking |diphenhydramine |25
|mg |PO |TID. |Which |of |the |following |therapeutic |outcomes |should |the |nurse |expect |to |see?
a. Delay |in |disease |progression
b. Improved |bladder |function
c. Relief |of |depression
d. Decreased |tremors |- d. |Decreased |tremors
,A |nurse |is |caring |for |a |client |who |who |has |had |a |stroke |involving |the |right |hemisphere. |Which
|of |the |following |alterations |in |function |should |the |nurse |expect?
a. Difficulty |reading
b. Inability |to |recognize |his |family |members
c. Right |hemiparesis
d. Aphasia |- b. |Inability |to |recognize |his |family |members
The |right |hemisphere |is |involved |with |visual |and |spatial |awareness. |A
| white |lipid |covering |of |axons |- myelin |sheath
As |the |nurse |you |are |providing |care |for |a |client |who |has |a |diagnosis |of |macular
|degeneration. |Which |of |the |following |foods |should |the |nurse |recommend |for |this |client?
|Select |all |that |apply.
a. Sweet |potatoes
b. red |meat
c. chicken
d. broccoli |- a. |Sweet |potatoes
d. |broccoli
This |is |the |area |in |the |brain |which |controls |speech |- Broca's |area
This |is |the |area |in |the |brain |which |controls |language |processing |- Wernicke's |area
Area |at |the |base |of |the |brain |where |the |anterior, |middle, |and |posterior |cerebral |arteries
|join |together |- Circle |of |Willis
Involves |altered |LOC. |Patient |may |have |amnesia |after |the |seizure. |Hard |to |diagnose
|because |it |can |resemble |dementia |- Complex |epilepsy
Affects |entire |brain |- Generalized |epilepsy
Generalized |seizure |involving |sudden, |brief |LOC, |usually |in |children. |Appears |that |they
|are |staring |off |into |space |- Absence |epilepsy
Brief |muscle |jerks, |lasts |seconds |- Myoclonic
Involves |brief |loss |of |tone. |Can |be |confused |with |fainting |- Atonic
A |patient |has |a |history |of |chronic |obstructive |pulmonary |disease. |The |patient's |oxygen
|flow |rate |should |be |set |to |no |more |than ____ L/min. |- 2-4
, The |client |is |prescribed |to |have |80% |oxygen |administered |continuously |in |a |noninvasive
|manner. |Which |type |of |delivery |system |should |you |select |to |meet |these |criteria? |- Nasal
|cannula
Which |nursing |intervention |would |you |use |to |prevent |injury |in |the |client |receiving |oxygen
|therapy |by |continuous |nasal |cannula? |- Providing |mouth |care |every |8 |hours
When |teaching |a |patient |who |will |be |receiving |antihistamines, |the |nurse |will |include |which
|instructions? |(Select |all |that |apply.)
a. "Avoid |activities |that |require |alertness |until |you |know |how |adverse |effects |are
|tolerated."
b. "Drink |extra |fluids |if |possible."
c. "Take |the |medication |with |food |to |minimize |gastrointestinal |distress."
d. "Antihistamines |are |generally |safe |to |take |with |over-the-counter |medications."
e. "Antihistamines |may |cause |restlessness |and |disturbed |sleep."
f. "Take |the |medication |on |an |empty |stomach |to |maximize |absorption |of |the |drug." |- a.
|"Avoid |activities |that |require |alertness |until |you |know |how |adverse |effects |are |tolerated."
b. |"Drink |extra |fluids |if |possible."
c. |"Take |the |medication |with |food |to |minimize |gastrointestinal |distress."
Chronic |disorder |with |2 |or |more |seizures |experienced |by |the |patient |- Epilepsy
The |nurse |is |teaching |the |daughter |of |a |client |who |has |middle-stage |Alzheimer |disease.
|The |daughter |asks, |"Will |the |sertraline |my |mother |is |taking |improve |her |dementia?" |How
|would |the |nurse |respond |about |the |purpose |of |the |drug?
a. "It |will |allow |your |mother |to |live |independently |for |several |more |years."
b. "It |is |used |to |halt |the |advancement |of |Alzheimer |disease |but |will |not |cure |it."
c. "It |will |not |improve |her |dementia |but |can |help |control |emotional |responses."
d. "It |is |used |to |improve |short-term |memory |but |will |not |improve |problem |solving." |-
C
|Drug |therapy |is |not |effective |for |treating |dementia |or |halting |the |advancement |of
|Alzheimer |disease. |However, |certain |psychoactive |drugs |may |help |suppress |emotional
|disturbances |and |manage |depression, |psychoses, |or |anxiety.
The |nurse |observes |a |client |with |late-stage |Alzheimer |disease |eat |breakfast. |Afterward |the
|client |states, |"I |am |hungry |and |want |breakfast." |What |is |the |nurse's |best |response?
a. "I |see |you |are |still |hungry. |I |will |get |you |some |toast."
b. "You |ate |your |breakfast |30 |minutes |ago."
c. "It |appears |you |are |confused |this |morning."
d. "Your |family |will |be |here |soon. |Let's |get |you |dressed." |- A
Use |of |validation |therapy |with |clients |who |have |late-stage |Alzheimer |disease |involves
|acknowledgment |of |the |client's |feelings |and |concerns. |This |technique |has |proved |more
answers
A |male |client |has |been |experiencing |seizures |and |is |in |the |hospital |for |tests. |While |in |the
|hospital |setting, |the |client |experiences |a |seizure. |Which |of |the |following |should |the |nurse
|do?
a. Restrain |the |client's |arms |and |legs.
b. Take |measures |to |prevent |injury.
c. Place |a |tongue |blade |in |the |client's |mouth.
d. Elevate |the |head |of |the |bed. |- b. |Take |measures |to |prevent |injury.
The |nurse |is |managing |a |client |with |new-onset |seizure |activity |and |is |to |provide |phenytoin.
|The |nurse |should |be |aware |that |Phenytoin
a. causes |tissue |vesication |if |infiltrated
b. has |the |most |rapid |onset |of |action |of |seizure |medications
c. must |be |administered |in |dextrose
d. administration |can |result |in |hypertension |- a. |causes |tissue |vesication |if |infiltrated
The |nurse |is |performing |patient |education |regarding |medications |used |to |prevent
|migraines. |Which |of |the |following |medications |should |the |nurse |explain |as |potential
|treatments?
a. Anti-seizure |drugs
b. Anti-depressant | drugs
c. Beta-blockers
d. All |of |these |- d. |All |of |these
A |nurse |is |in |a |client's |room |when |the |client |begins |having |a |tonic-clonic |seizure. |Which |of |the
|following |actions |should |the |nurse |take |first?
a. Turn |the |client's |head |to |the |side.
b. Check |the |client's |motor |strength.
c. Loosen |the |clothing |around |the |client's |waist.
d. Document |the |time |the |seizure |began. |- a. |Turn |the |client's |head |to |the |side.
A |nurse |is |caring |for |a |client |who |has |Parkinson's |disease |and |is |taking |diphenhydramine |25
|mg |PO |TID. |Which |of |the |following |therapeutic |outcomes |should |the |nurse |expect |to |see?
a. Delay |in |disease |progression
b. Improved |bladder |function
c. Relief |of |depression
d. Decreased |tremors |- d. |Decreased |tremors
,A |nurse |is |caring |for |a |client |who |who |has |had |a |stroke |involving |the |right |hemisphere. |Which
|of |the |following |alterations |in |function |should |the |nurse |expect?
a. Difficulty |reading
b. Inability |to |recognize |his |family |members
c. Right |hemiparesis
d. Aphasia |- b. |Inability |to |recognize |his |family |members
The |right |hemisphere |is |involved |with |visual |and |spatial |awareness. |A
| white |lipid |covering |of |axons |- myelin |sheath
As |the |nurse |you |are |providing |care |for |a |client |who |has |a |diagnosis |of |macular
|degeneration. |Which |of |the |following |foods |should |the |nurse |recommend |for |this |client?
|Select |all |that |apply.
a. Sweet |potatoes
b. red |meat
c. chicken
d. broccoli |- a. |Sweet |potatoes
d. |broccoli
This |is |the |area |in |the |brain |which |controls |speech |- Broca's |area
This |is |the |area |in |the |brain |which |controls |language |processing |- Wernicke's |area
Area |at |the |base |of |the |brain |where |the |anterior, |middle, |and |posterior |cerebral |arteries
|join |together |- Circle |of |Willis
Involves |altered |LOC. |Patient |may |have |amnesia |after |the |seizure. |Hard |to |diagnose
|because |it |can |resemble |dementia |- Complex |epilepsy
Affects |entire |brain |- Generalized |epilepsy
Generalized |seizure |involving |sudden, |brief |LOC, |usually |in |children. |Appears |that |they
|are |staring |off |into |space |- Absence |epilepsy
Brief |muscle |jerks, |lasts |seconds |- Myoclonic
Involves |brief |loss |of |tone. |Can |be |confused |with |fainting |- Atonic
A |patient |has |a |history |of |chronic |obstructive |pulmonary |disease. |The |patient's |oxygen
|flow |rate |should |be |set |to |no |more |than ____ L/min. |- 2-4
, The |client |is |prescribed |to |have |80% |oxygen |administered |continuously |in |a |noninvasive
|manner. |Which |type |of |delivery |system |should |you |select |to |meet |these |criteria? |- Nasal
|cannula
Which |nursing |intervention |would |you |use |to |prevent |injury |in |the |client |receiving |oxygen
|therapy |by |continuous |nasal |cannula? |- Providing |mouth |care |every |8 |hours
When |teaching |a |patient |who |will |be |receiving |antihistamines, |the |nurse |will |include |which
|instructions? |(Select |all |that |apply.)
a. "Avoid |activities |that |require |alertness |until |you |know |how |adverse |effects |are
|tolerated."
b. "Drink |extra |fluids |if |possible."
c. "Take |the |medication |with |food |to |minimize |gastrointestinal |distress."
d. "Antihistamines |are |generally |safe |to |take |with |over-the-counter |medications."
e. "Antihistamines |may |cause |restlessness |and |disturbed |sleep."
f. "Take |the |medication |on |an |empty |stomach |to |maximize |absorption |of |the |drug." |- a.
|"Avoid |activities |that |require |alertness |until |you |know |how |adverse |effects |are |tolerated."
b. |"Drink |extra |fluids |if |possible."
c. |"Take |the |medication |with |food |to |minimize |gastrointestinal |distress."
Chronic |disorder |with |2 |or |more |seizures |experienced |by |the |patient |- Epilepsy
The |nurse |is |teaching |the |daughter |of |a |client |who |has |middle-stage |Alzheimer |disease.
|The |daughter |asks, |"Will |the |sertraline |my |mother |is |taking |improve |her |dementia?" |How
|would |the |nurse |respond |about |the |purpose |of |the |drug?
a. "It |will |allow |your |mother |to |live |independently |for |several |more |years."
b. "It |is |used |to |halt |the |advancement |of |Alzheimer |disease |but |will |not |cure |it."
c. "It |will |not |improve |her |dementia |but |can |help |control |emotional |responses."
d. "It |is |used |to |improve |short-term |memory |but |will |not |improve |problem |solving." |-
C
|Drug |therapy |is |not |effective |for |treating |dementia |or |halting |the |advancement |of
|Alzheimer |disease. |However, |certain |psychoactive |drugs |may |help |suppress |emotional
|disturbances |and |manage |depression, |psychoses, |or |anxiety.
The |nurse |observes |a |client |with |late-stage |Alzheimer |disease |eat |breakfast. |Afterward |the
|client |states, |"I |am |hungry |and |want |breakfast." |What |is |the |nurse's |best |response?
a. "I |see |you |are |still |hungry. |I |will |get |you |some |toast."
b. "You |ate |your |breakfast |30 |minutes |ago."
c. "It |appears |you |are |confused |this |morning."
d. "Your |family |will |be |here |soon. |Let's |get |you |dressed." |- A
Use |of |validation |therapy |with |clients |who |have |late-stage |Alzheimer |disease |involves
|acknowledgment |of |the |client's |feelings |and |concerns. |This |technique |has |proved |more
