1
Galen Med Surg Exam 1,2,3,4 $ 5
BUNDLED Questions And Correct
Answers Graded A+
Galen Med Surg Exam 2|161 Questions
And Correct Answers Graded A+…
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. - Correct answerb. 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 - Correct answera. 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 - Correct answerd. 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. - Correct answera. Turn the client's head
to the side.
, 1
Galen Med Surg Exam 1,2,3,4 $ 5
BUNDLED Questions And Correct
Answers Graded A+
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 - Correct answerd. 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 - Correct answerb. Inability to recognize his family members
The right hemisphere is involved with visual and spatial awareness.
A white lipid covering of axons - Correct answermyelin 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 - Correct answera. Sweet potatoes
d. broccoli
This is the area in the brain which controls speech - Correct answerBroca's area
This is the area in the brain which controls language processing - Correct
answerWernicke's area
Area at the base of the brain where the anterior, middle, and posterior cerebral arteries
join together - Correct answerCircle of Willis
Involves altered LOC. Patient may have amnesia after the seizure. Hard to diagnose
because it can resemble dementia - Correct answerComplex epilepsy
, 1
Galen Med Surg Exam 1,2,3,4 $ 5
BUNDLED Questions And Correct
Answers Graded A+
Affects entire brain - Correct answerGeneralized epilepsy
Generalized seizure involving sudden, brief LOC, usually in children. Appears that they
are staring off into space - Correct answerAbsence epilepsy
Brief muscle jerks, lasts seconds - Correct answerMyoclonic
Involves brief loss of tone. Can be confused with fainting - Correct answerAtonic
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. - Correct answer2-4
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? -
Correct answerNasal cannula
Which nursing intervention would you use to prevent injury in the client receiving oxygen
therapy by continuous nasal cannula? - Correct answerProviding 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." -
Correct answera. "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 - Correct
answerEpilepsy
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?
, 1
Galen Med Surg Exam 1,2,3,4 $ 5
BUNDLED Questions And Correct
Answers Graded A+
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." -
Correct answerC
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." - Correct answerA
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
effective in later stages of the disease because reality orientation only increases
agitation.
After teaching the wife of a client who has Parkinson disease, the nurse assesses the
wife's understanding. Which statement by the client's wife indicates that she correctly
understands changes associated with this disease?
a."His masklike face makes it difficult to communicate, so I will use a white board."
b."He should not socialize outside of the house due to uncontrollable drooling."
c."This disease is associated with anxiety causing increased perspiration."
d."He may have trouble chewing, so I will offer bite-sized portions." - Correct
answerD
Because chewing and swallowing can be problematic, small frequent meals and a
supplement are better for meeting the client's nutritional needs. A masklike face and
drooling are common in clients with Parkinson disease. The client would be encouraged
to continue to socialize and communicate as normally as possible. The wife should
understand that the client's masklike face can be misinterpreted and additional time may
be needed for the client to communicate with her or others. Excessive perspiration is
also common in clients with Parkinson disease and is associated with the autonomic
nervous system's response.
Galen Med Surg Exam 1,2,3,4 $ 5
BUNDLED Questions And Correct
Answers Graded A+
Galen Med Surg Exam 2|161 Questions
And Correct Answers Graded A+…
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. - Correct answerb. 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 - Correct answera. 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 - Correct answerd. 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. - Correct answera. Turn the client's head
to the side.
, 1
Galen Med Surg Exam 1,2,3,4 $ 5
BUNDLED Questions And Correct
Answers Graded A+
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 - Correct answerd. 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 - Correct answerb. Inability to recognize his family members
The right hemisphere is involved with visual and spatial awareness.
A white lipid covering of axons - Correct answermyelin 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 - Correct answera. Sweet potatoes
d. broccoli
This is the area in the brain which controls speech - Correct answerBroca's area
This is the area in the brain which controls language processing - Correct
answerWernicke's area
Area at the base of the brain where the anterior, middle, and posterior cerebral arteries
join together - Correct answerCircle of Willis
Involves altered LOC. Patient may have amnesia after the seizure. Hard to diagnose
because it can resemble dementia - Correct answerComplex epilepsy
, 1
Galen Med Surg Exam 1,2,3,4 $ 5
BUNDLED Questions And Correct
Answers Graded A+
Affects entire brain - Correct answerGeneralized epilepsy
Generalized seizure involving sudden, brief LOC, usually in children. Appears that they
are staring off into space - Correct answerAbsence epilepsy
Brief muscle jerks, lasts seconds - Correct answerMyoclonic
Involves brief loss of tone. Can be confused with fainting - Correct answerAtonic
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. - Correct answer2-4
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? -
Correct answerNasal cannula
Which nursing intervention would you use to prevent injury in the client receiving oxygen
therapy by continuous nasal cannula? - Correct answerProviding 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." -
Correct answera. "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 - Correct
answerEpilepsy
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?
, 1
Galen Med Surg Exam 1,2,3,4 $ 5
BUNDLED Questions And Correct
Answers Graded A+
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." -
Correct answerC
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." - Correct answerA
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
effective in later stages of the disease because reality orientation only increases
agitation.
After teaching the wife of a client who has Parkinson disease, the nurse assesses the
wife's understanding. Which statement by the client's wife indicates that she correctly
understands changes associated with this disease?
a."His masklike face makes it difficult to communicate, so I will use a white board."
b."He should not socialize outside of the house due to uncontrollable drooling."
c."This disease is associated with anxiety causing increased perspiration."
d."He may have trouble chewing, so I will offer bite-sized portions." - Correct
answerD
Because chewing and swallowing can be problematic, small frequent meals and a
supplement are better for meeting the client's nutritional needs. A masklike face and
drooling are common in clients with Parkinson disease. The client would be encouraged
to continue to socialize and communicate as normally as possible. The wife should
understand that the client's masklike face can be misinterpreted and additional time may
be needed for the client to communicate with her or others. Excessive perspiration is
also common in clients with Parkinson disease and is associated with the autonomic
nervous system's response.
