NU 225- Purdue Global University_ Jackson Weber: vSim Pre-Quiz

NU 225- Purdue Global University_ Jackson Weber: vSim Pre-Quiz Jackson Weber: vSim Pre-Quiz 1. A nurse is reviewing lab results and notes that a 5-year-old patient's serum phenobarbital level is 8 μg/mL. Phenobarbital is considered therapeutic at levels between 10 and 40 μg/mL. What is the nurse's best interpretation of this data? 2. The role of the pediatric nurse has many components. Which of the following components includes the nurse's work with the interdisciplinary health care team to integrate the needs of the patient and family into a coordinated plan of care? 3. A nurse is caring for a preschool-aged patient experiencing generalized tonic-clonic seizures. This patient is at greatest risk for which of the following complications? (Select all that apply.) 4. The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. Which of the following principles is correct regarding safety for this age group? 6. The nurse is admitting a pediatric patient with a known seizure history with an order to implement seizure precautions. Which of the following interventions should the nurse include in the patient's plan of care? (Select all that apply.) 7. The nurse is evaluating a school-aged patient brought in for a recent decline in academic performance. The parent reports that the patient has been doing poorly in school and states that the child "wastes time staring at the wall and daydreaming instead of working." The nurse suspects that the patient may be experiencing which type of seizure activity? 8. During an admission assessment, the nurse notes a sudden onset of tonic contractions of the patient's entire body followed by clonic contractions alternating with relaxation of all muscle groups. What actions should the nurse take? (Select all that apply.) 1. The nurse is tending to a stable patient who is in postictal phase following a generalized tonic-clonic seizure. What is the best position in which to place this patient? T 2. A nurse is teaching Jackson's mother about home management of epilepsy. Which statement by Jackson's mother indicates that teaching has been effective? 3. A nurse observes 5-year-old Jackson experiencing a tonic-clonic seizure. When documenting seizure activity, the nurse must include which of the following? (Select all that apply.) 4. The nurse is teaching Jackson's mother about phenobarbital and medication compliance. Which statement by Jackson's mother indicates that teaching has been effective?p 5. A nurse is explaining to Jackson's mother how to respond when Jackson has a seizure at home. Which of the following statements by the mother indicates that teaching has been effective? (Select all that apply.) Ti 6. The nurse is teaching Jackson's mother about when to seek emergency medical attention for Jackson in the event of seizure activity at home. Which response by Jackson's mother indicates that further teaching is needed?08 7. The nurse is called to the bedside of a 5-year-old patient experiencing a tonic-clonic seizure. Upon arrival, seizure activity has ceased. The patient is lethargic with shallow respirations at a rate of 12 breaths per minute and oxygen saturations of 88%. The nurse can hear audible snoring sounds in the upper airway and can see moderate secretions in the oral cavity. Place the following nursing interventions in order. 8. A pediatric patient experienced a prolonged tonic-clonic seizure lasting approximately 5 minutes. Seizure activity ceased following administration of intravenous (IV) phenobarbital. Fifteen minutes later, the patient appears to be in a deep sleep and responds only to painful stimuli. Respirations are shallow at a rate of 16 breaths per minute with oxygen saturations of 90%. What is the most appropriate nursing action at this time? T 9. Jackson experiences a generalized tonic-clonic seizure while the nurse is caring for him. What would be the highest priority and most appropriate nursing diagnosis at this time? 10. The nurse needs to contact the provider regarding a patient who is experiencing a prolonged seizure. When giving a report using the SBAR method, what does the "R" represent in the acronym?