ACTUAL EXAM 200 QUESTIONS AND 100

Nur 242 exam 5 LATEST UPDATE -

ACTUAL EXAM 200 QUESTIONS AND 100%

VERIFIED CORRECT ANSWERS GUARANTEED

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A 2-year-old child is admitted to the pediatric unit with a diagnosis of bacterial meningitis. Which is the most important safety measure for the nurse to institute immediately after the child has a seizure? - CORRECT ANSWER: Placing the child in the side-lying position

A 6-year-old child has not been feeling well, is weak and lethargic, and has a poor appetite, headaches, and smoky-colored urine. Which additional information would the nurse obtain that will aid the child's diagnosis? - CORRECT ANSWER: Strep throat in the past 2 weeksThe smoky urine and the stated symptoms would lead the nurse to suspect glomerulonephritis, which usually occurs after a recent streptococcal infection.

A 7-year-old child who is taking medication to prevent seizures has been seizure free for 2 years. The child's parents ask the nurse, "How much longer will my child need to take the medication?" Which answer will the nurse provide? - CORRECT ANSWER: "This is usually attempted after 2 years, but medications must be gradually decreased."

A 9-year-old child who has cerebral palsy, scoliosis, contractures of elbows and wrists and is also incontinent. Which nursing action will best achieve the goal of skin integrity?

- CORRECT ANSWER: Changing disposable diapers every 2 to 3 hours

A child becomes cyanotic during a generalized tonic-clonic seizure. Which is the most

appropriate action by the nurse? - CORRECT ANSWER: Continuing to observe the

seizure

• the child's status and the progression of the seizure should be monitored; the child will

not breathe until the seizure is over, and cyanosis should subside at that time.

A child is weak and lethargic, has headaches, has no appetite, and has dark, cloudy urine. The nurse suspects acute poststreptococcal glomerulonephritis (APSGN). Which question would the nurse ask the mother? - CORRECT ANSWER: "Did your child have a sore throat during the past 3 weeks?"If the response to the question indicates a recent sore throat, the health care provider may decide to prescribe specific tests to confirm a diagnosis of ASPGN. Weight loss usually occurs in children with type 1 diabetes, not glomerulonephritis. This kind of pain is reported in rheumatic fever and scarlet fever, which do not result in the smoky urine associated with hematuria. A rash on the palms and soles is not associated with APSGN.

A child sitting on a chair starts having a tonic-clonic seizure with a clenched jaw. Which would be the initial action by the nurse? - CORRECT ANSWER: Placing the child on the floor 1 / 3

A child with a seizure disorder has a generalized seizure shortly after admission to the hospital. Which nursing actions are most appropriate? Select all that apply. One, some, or all responses may be correct. - CORRECT ANSWER: Assessing the seizure, turning the child on the side, pulling the padded side rails up

A child with cerebral palsy (CP) is to be taught the four-point alternate crutch gait. The parents ask why this gait was chosen. How would the nurse respond? - CORRECT

ANSWER: provides for equal but partial weight-bearing on each limb."

A child with cerebral palsy undergoes a tendon-lengthening procedure. The parents ask why their child must wear braces and shoes for at least 12 hours a day, even while in bed. Which is the best response by the nurse? - CORRECT ANSWER: "They maintain body alignment and help prevent foot drop

A client develops a seizure disorder as a result of a traumatic fall. During a clinic visit, the client states, "I have not had a seizure in 2 years. When can I stop taking my antiseizure medications?" Which response would the nurse provide? - CORRECT

ANSWER: A gradual reduction in seizure medication may be considered.

A client experienced a tonic-clonic seizure. Which nursing intervention is the priority during the tonic-clonic stage of the seizure? - CORRECT ANSWER: Protect the client from injury

A client has a tonic-clonic seizure at work and is admitted to the emergency department.Which question is most useful when planning nursing care related to the client's

seizure? - CORRECT ANSWER: Were you aware of anything different or unusual just

before your seizure began?

A client has a tonic-clonic seizure caused by an overdose of aspirin. Which action would

the nurse take next? - CORRECT ANSWER: Monitor vital signs every 15 minutes

A client has a tonic-clonic seizure. The nurse anticipates that the health care provider will prescribe the intravenous administration of which medication? - CORRECT

ANSWER: Diazepam

A client has been receiving phenytoin for epilepsy and is newly prescribed haloperidol.The nurse would include which information when teaching the client about the interaction of these medications? - CORRECT ANSWER: Potentiation of haloperidol's central nervous system depressant effect

A client has primary open-angle glaucoma. Which ophthalmic preparation is indicated to

manage this condition? - CORRECT ANSWER: Timolol maleate

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A client is admitted to the emergency department after experiencing a seizure. Which action would the nurse take first? - CORRECT ANSWER: Obtain a history of seizure type and incidence

A client is admitted to the hospital after having a tonic-clonic seizure and is diagnosed with a seizure disorder. Which is most important for the nurse to include in a teaching

program? - CORRECT ANSWER: Explain strategies a client may use to prevent

physical trauma from occurring during a seizure.

A client is admitted to the hospital with a tonic-clonic seizure after his seizures had been well controlled by phenytoin for 6 months. The client says to the nurse, "I am so upset. I didn't think I was going to have more seizures." Which response would the nurse make?

- CORRECT ANSWER: You are worried about having more seizures

A client on antidepressant therapy develops hyperthermia, seizures, and a heart rate of 200 beats per minute. Which medication would the nurse suspect is responsible for the

condition? - CORRECT ANSWER: Sertraline

A client on bupropion therapy for depression experiences seizures. Which actions are used to reduce the risk for seizures? Select all that apply. One, some, or all responses

may be correct. - CORRECT ANSWER: Discouraging rapid dose titration, avoiding

administration of the medication with paroxetine, avoiding concomitant use of fluoxetine

A client reports a severe, sharp, stabbing headache and intense pain in and around the eye that lasts for up to 1 hour. History reveals that the client had similar episodes of headaches previously that lasted for 10 weeks. Which other symptoms may be manifested by the client? Select all that apply. One, some, or all responses may be

correct. - CORRECT ANSWER: Cluster headaches are associated with other

symptoms, including rhinorrhea (a runny nose), tearing of eyes (lacrimation), myosis (pupillary constriction), and ptosis (drooping eyelids)

A client reports feeling nauseated immediately after cataract surgery. Which action

would the nurse take? - CORRECT ANSWER: Administer the prescribed antiemetic

A client who has a history of seizures is scheduled for an arteriogram at 10:00 AM and is to have nothing by mouth before the test. The client is scheduled to receive an anticonvulsant medication at 9:00 AM. Which action would the nurse take? - CORRECT

ANSWER: Ask the health care provider to prescribe an alternative

A client with a seizure disorder is receiving phenytoin and phenobarbital. Which client statement indicates that the instructions regarding the medications are understood? - CORRECT ANSWER: "Stopping the medications can cause continuous seizures and i may die"

A client with a seizure disorder will begin taking phenytoin. Which instructions will the nurse give to the client? - CORRECT ANSWER: Provide meticulous oral hygiene."

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