Dunphy Exam 2 - Primary Care: Test Questions with 100% Correct Answers

Dunphy Exam 2 - Primary Care: Test Questions with 100% Correct Answers A client is diagnosed with seizures occurring because of hepatic encephalopathy. The nurse realizes that the cause for this clients seizures would be: 1. physiological 2. iatrogenic. 3. idiopathic. 4. psychokinetic - Correct Answer ️️ -1. Physiological A client tells the nurse that he sees flashing lights that occur prior to the onset of a seizure. Which of the following phases of a seizure is this client describing to the nurse? 1. Prodromal phase 2. Aural phase 3. Ictal phase 4. Postictal phase - Correct Answer ️️ -2. Aura A client is experiencing a grand mal seizure. Which of the following should the nurse do during this seizure? 1. Protect the clients head. 2. Leave the client alone. 3. Give water to the client to avoid dehydration. 4. Place a finger in the clients mouth to avoid swallowing the tongue. - Correct Answer ️️ -1. Protect the clients head A client is prescribed phenytoin (Dilantin) for a seizure disorder. Which of the following would indicate that the client is adhering to the medication schedule? 1. The client is sleepy. 2. The client is not experiencing seizures. 3. The client no longer has headaches. 4. The client is eating more food - Correct Answer ️️ -2. The client is not experiencing seizures. The nurse is unable to insert an intravenous access line into a client who is currently experiencing a seizure. Which of the following routes can the nurse use to provide medication to the client at this time? 1. Oral 2. Intranasal 3. Rectal 4. Intramuscular - Correct Answer ️️ -2. intranasal One of the most important things a nurse can teach a client about seizure control is to: 1. take the medication every day as prescribed by the doctor. 2. eat a balanced diet. 3. get lots of exercise. 4. take naps during the day - Correct Answer ️️ -1. take the medication every day as prescribed by the doctor For the client who is at risk for stroke, the most important guideline the nurse should teach is to: 1. increase drinks with caffeine. 2. monitor blood pressure. 3. increase amounts of sodium in the diet. 4. monitor weight and activity. - Correct Answer ️️ -2. monitor blood pressure. The family of a client diagnosed with a stroke asks the nurse if this health problem is very common. The nurse should respond that in the United States a person has a stroke every: 1. 40 seconds. 2. 1 minutes. 3. 2 minutes. 4. 5 minutes. - Correct Answer ️️ -1. 40 seconds. A client is being evaluated for a stroke. The nurse knows that one of the easiest and most common diagnostic tests used to differentiate between strokes is: 1. computed tomography (CT). 2. magnetic resonance imaging (MRI). 3. electrocardiography (EEG). 4. positron emission tomography (PET). - Correct Answer ️️ -1. computed tomography (CT). While instructing a client on stroke prevention, the nurse mentions medications that are useful in stroke prevention. The following medications are effective in preventing a stroke, EXCEPT: 1. anticoagulants. 2. antiplatelets. 3. anticholinergics. 4. neuroprotective agents. - Correct Answer ️️ -3. anticholinergics. A client is being seen in the emergency department experiencing symptoms of a stroke. The nurse realizes that the administration of a medication to break clots, such as tPA, should be administered within how many minutes of the client presenting to the emergency department? 1. 30 minutes 2. 60 minutes 3. 90 minutes 4. 120 minutes - Correct Answer ️️ - A client diagnosed with an embolic stroke is not a candidate for tPA. The nurse realizes that the client might be eligible for which of the following forms of trea