Medsurg test 1 davis advantage questions
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1. The nurse would expect to place the patient Left-lying (lateral)
who just had a seizure in which position?
Right-lying (lateral)
Left-lying (lateral)
Supine
Supine with head elevated 15°
2. The adult who has had his first complex "You will need to notify the Department of
partial seizure is asking the nurse when he Motor Vehicles about your condition. Each
can drive again. What is the best response state has different rules and regulations."
to the patient regarding this question?
"The doctor usually lets patients drive upon
discharge."
"You will need to notify the Department of
Motor Vehicles about your condition. Each
state has different rules and regulations."
"You will need to notify the national De-
partment of Motor Vehicles about your con-
dition. The rules are the same for every
state."
"I doubt you will ever drive again, but there
are public transportation options that you
can explore."
3. The patient's mother is asking what foods High fat, low carbohydrate, and low protein
could be included in a ketogenic diet for her
school-aged child. The nurse would explain
a dietitian would work with the family, but
which of the following types of foods would
be included on the diet?
, Medsurg test 1 davis advantage questions
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High carbohydrate and low protein
Low carbohydrate and high protein
Low fat, high carbohydrate, and low pro-
tein
High fat, low carbohydrate, and low protein
4. Which statements would the nurse include -The postictal phase occurs after the
in the patient and family teaching about the seizure.
postictal phase of seizures? Select all that -The patient may exhibit confusion and dis-
apply. orientation during the postictal phase.
-The postictal phase can last from 5-30 min-
-The postictal phase occurs after the utes.
seizure.
-The patient in the postictal phase may ex-
hibit -automatisms such as lip smacking,
rhythmic muscle movements, or chewing.
-The patient may exhibit confusion and dis-
orientation during the postictal phase.
-The postictal phase can last from 5-30 min-
utes.
-The postictal phase patient may state see-
ing visualizations, hallucinations, or smell
odors that are not present.
5. The nurse is providing patient teaching re- "If I feel ill, it is okay for me to stop taking
garding the use of phenytoin and is aware this medication."
the patient requires further teaching when
the patient makes which statement?
"I know that I must follow my medication
regimen."
"If I feel ill, it is okay for me to stop taking
, Medsurg test 1 davis advantage questions
Study online at https://quizlet.com/_60yqu9
this medication."
"I should refill my prescription before it
runs out."
"I should have regular dental checkups."
6. You are the nurse caring for a teenager, Confusion
James, who has been diagnosed with a Disorientation
seizure disorder. James has recently been Drowsiness
admitted to your neurological unit with a
diagnosis of tonic-clonic seizure. You realize
his is in the postictal phase and may exhibit
which of the following symptoms? Select all
that apply.
Confusion
Alertness
Disorientation
Drowsiness
Hunger
7. You are aware that James is having a ton- A generalized seizure with phases of rigidity
ic-clonic seizure because he exhibits which and rhythmic jerking of extremities
of the following characteristics?
A tonic-clonic seizure exhibits phases of
A generalized seizure with brief loss of con- rigidity and rhythmic jerking of extremities.
sciousness An absence seizure is definite as a gener-
A generalized seizure with no loss of con- alized seizure with brief loss of conscious-
sciousness ness. A myoclonic seizure is defined as a
A generalized seizure with phases of rigidity generalized seizure with no loss of con-
and rhythmic jerking of extremities sciousness. An atonic seizure is a seizure
A generalized seizure where the patient where the patient may or may not lose con-
may or may not lose consciousness sciousness.
, Medsurg test 1 davis advantage questions
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8. Which of the following teaching points The person should be turned on his left
would you include when educating James's side during or immediately after the seizure
parents about caring for a person with to reduce the risk of aspiration.
seizures? Select all that apply. Do not force any object into the mouth dur-
ing the seizure.
If possible, turn the person on the left side Document specifics of the seizure activity to
during or immediately after a seizure to re- report to the person's healthcare provider.
duce the risk of aspiration.
Attempt to restrain the person to reduce
the risk of injury during the seizure.
Do not force any object into the mouth dur-
ing the seizure.
Offer the person a drink of water immedi-
ately following the seizure.
Document specifics of the seizure activity to
report to the person's healthcare provider.
9. James has been prescribed phenytoin (Di- "It is important for me to have regular den-
lantin). You are providing patient teaching tal checkups."
regarding this medication. You know the
teaching has been effective when he makes The patient teaching has been noted as ef-
which of the following statements? fective when James states it is important to
have regular dental checkups. A side effect
"I understand the medication will turn my of phenytoin is gingival hyperplasia, en-
urine orange." largement of the gum tissue in the mouth.
"It is important for me to have regular den- This condition can lead to gum and tooth
tal checkups." issues and should be monitored by a den-
"I will not have to have any blood work to tist. James should also understand that he
check the level of medicine in my blood with cannot stop taking the medication for any
this medicine." reason. He should have plans in advance
"If I run out of medicine, it is OK not to take to have the prescription refilled before run-
Study online at https://quizlet.com/_60yqu9
1. The nurse would expect to place the patient Left-lying (lateral)
who just had a seizure in which position?
Right-lying (lateral)
Left-lying (lateral)
Supine
Supine with head elevated 15°
2. The adult who has had his first complex "You will need to notify the Department of
partial seizure is asking the nurse when he Motor Vehicles about your condition. Each
can drive again. What is the best response state has different rules and regulations."
to the patient regarding this question?
"The doctor usually lets patients drive upon
discharge."
"You will need to notify the Department of
Motor Vehicles about your condition. Each
state has different rules and regulations."
"You will need to notify the national De-
partment of Motor Vehicles about your con-
dition. The rules are the same for every
state."
"I doubt you will ever drive again, but there
are public transportation options that you
can explore."
3. The patient's mother is asking what foods High fat, low carbohydrate, and low protein
could be included in a ketogenic diet for her
school-aged child. The nurse would explain
a dietitian would work with the family, but
which of the following types of foods would
be included on the diet?
, Medsurg test 1 davis advantage questions
Study online at https://quizlet.com/_60yqu9
High carbohydrate and low protein
Low carbohydrate and high protein
Low fat, high carbohydrate, and low pro-
tein
High fat, low carbohydrate, and low protein
4. Which statements would the nurse include -The postictal phase occurs after the
in the patient and family teaching about the seizure.
postictal phase of seizures? Select all that -The patient may exhibit confusion and dis-
apply. orientation during the postictal phase.
-The postictal phase can last from 5-30 min-
-The postictal phase occurs after the utes.
seizure.
-The patient in the postictal phase may ex-
hibit -automatisms such as lip smacking,
rhythmic muscle movements, or chewing.
-The patient may exhibit confusion and dis-
orientation during the postictal phase.
-The postictal phase can last from 5-30 min-
utes.
-The postictal phase patient may state see-
ing visualizations, hallucinations, or smell
odors that are not present.
5. The nurse is providing patient teaching re- "If I feel ill, it is okay for me to stop taking
garding the use of phenytoin and is aware this medication."
the patient requires further teaching when
the patient makes which statement?
"I know that I must follow my medication
regimen."
"If I feel ill, it is okay for me to stop taking
, Medsurg test 1 davis advantage questions
Study online at https://quizlet.com/_60yqu9
this medication."
"I should refill my prescription before it
runs out."
"I should have regular dental checkups."
6. You are the nurse caring for a teenager, Confusion
James, who has been diagnosed with a Disorientation
seizure disorder. James has recently been Drowsiness
admitted to your neurological unit with a
diagnosis of tonic-clonic seizure. You realize
his is in the postictal phase and may exhibit
which of the following symptoms? Select all
that apply.
Confusion
Alertness
Disorientation
Drowsiness
Hunger
7. You are aware that James is having a ton- A generalized seizure with phases of rigidity
ic-clonic seizure because he exhibits which and rhythmic jerking of extremities
of the following characteristics?
A tonic-clonic seizure exhibits phases of
A generalized seizure with brief loss of con- rigidity and rhythmic jerking of extremities.
sciousness An absence seizure is definite as a gener-
A generalized seizure with no loss of con- alized seizure with brief loss of conscious-
sciousness ness. A myoclonic seizure is defined as a
A generalized seizure with phases of rigidity generalized seizure with no loss of con-
and rhythmic jerking of extremities sciousness. An atonic seizure is a seizure
A generalized seizure where the patient where the patient may or may not lose con-
may or may not lose consciousness sciousness.
, Medsurg test 1 davis advantage questions
Study online at https://quizlet.com/_60yqu9
8. Which of the following teaching points The person should be turned on his left
would you include when educating James's side during or immediately after the seizure
parents about caring for a person with to reduce the risk of aspiration.
seizures? Select all that apply. Do not force any object into the mouth dur-
ing the seizure.
If possible, turn the person on the left side Document specifics of the seizure activity to
during or immediately after a seizure to re- report to the person's healthcare provider.
duce the risk of aspiration.
Attempt to restrain the person to reduce
the risk of injury during the seizure.
Do not force any object into the mouth dur-
ing the seizure.
Offer the person a drink of water immedi-
ately following the seizure.
Document specifics of the seizure activity to
report to the person's healthcare provider.
9. James has been prescribed phenytoin (Di- "It is important for me to have regular den-
lantin). You are providing patient teaching tal checkups."
regarding this medication. You know the
teaching has been effective when he makes The patient teaching has been noted as ef-
which of the following statements? fective when James states it is important to
have regular dental checkups. A side effect
"I understand the medication will turn my of phenytoin is gingival hyperplasia, en-
urine orange." largement of the gum tissue in the mouth.
"It is important for me to have regular den- This condition can lead to gum and tooth
tal checkups." issues and should be monitored by a den-
"I will not have to have any blood work to tist. James should also understand that he
check the level of medicine in my blood with cannot stop taking the medication for any
this medicine." reason. He should have plans in advance
"If I run out of medicine, it is OK not to take to have the prescription refilled before run-
