MED SURG 4- EXAM 1 (ch.42)

A nurse is teaching a client who experiences migraine headaches and is prescribed a beta blocker. Which statement should the nurse include in this client’s teaching?

A nurse assesses a client who has a history of migraines. Which clinical manifestation should the nurse identify as an early sign of a migraine with aura?

A nurse obtains a health history on a client prior to administering prescribed sumatriptan succinate (Imitrex) for migraine headaches. Which condition should alert the nurse to hold the medication and contact the health care provider?

A nurse assesses a client with a history of epilepsy who experiences stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. How should the nurse document this activity?

A nurse witnesses a client begin to experience a tonic-clonic seizure and loss of consciousness. Which action should the nurse take?

A nurse cares for a client who is experiencing status epilepticus. Which prescribed medication should the nurse prepare to administer?

After teaching a client who is diagnosed with new-onset status epilepticus and prescribed phenytoin (Dilantin), the nurse assesses the client’s understanding. Which statement by the client indicates a correct understanding of the teaching?

After teaching a client newly diagnosed with epilepsy, the nurse assesses the client’s understanding. Which statement by the client indicates a need for additional teaching?

A nurse obtains a focused health history for a client who is suspected of having bacterial meningitis. Which question should the nurse ask?

. 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 she correctly understands changes associated with this disease?

. A nurse plans care for a client with Parkinson disease. Which intervention should the nurse include in this client’s plan of care?

A nurse is teaching the daughter of a client who has Alzheimer’s disease. The daughter asks, “Will the medication my mother is taking improve her dementia?” How should the nurse respond?

A nurse assesses a client with Alzheimer’s disease who is recently admitted to the hospital. Which psychosocial assessment should the nurse complete?

A nurse witnesses a client with late-stage Alzheimer’s disease eat breakfast. Afterward the client states, “I am hungry and want breakfast.” How should the nurse respond?

A nurse assesses a client after administering prescribed levetiracetam (Keppra). Which laboratory tests should the nurse monitor for potential adverse effects of this medication?

A nurse cares for a client with advanced Alzheimer’s disease. The client’s caregiver states, “She is always wandering off. What can I do to manage this restless behavior?” How should the nurse respond?

A nurse prepares to discharge a client with Alzheimer’s disease. Which statement should the nurse include in the discharge teaching for this client’s caregiver?

A nurse assesses a client with Huntington disease. Which motor changes should the nurse monitor for in this client?

A nurse cares for a client who has been diagnosed with the Huntington gene but has no symptoms. The client asks for options related to family planning. What is the nurse’s best response?

A nurse is teaching a client with chronic migraine headaches. Which statement related to complementary therapy should the nurse include in this client’s teaching?

A nurse delegates care for a client with Parkinson disease to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating this client’s care?

A nurse delegates care for a client with early-stage Alzheimer’s disease to an unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating this client’s care?