Content text EVAL EXAM - NEURO (KEY)
TOP RANK REVIEW ACADEMY, INC. Page 4 | 1 and regains consciousness immediately. It will be most important for the nurse to A. assess the patient for a possible head injury. B. give the scheduled dose of divalproex (Depakote). C. document the timing and description of the seizure. D. notify the patients health care provider about the seizure. 47. Which of these prescribed interventions will the nurse implement first for a hospitalized patient who is experiencing continuous tonic-clonic seizures? A. Give phenytoin (Dilantin) 100 mg IV. B. Monitor level of consciousness (LOC). C. Administer lorazepam (Ativan) 4 mg IV. D. Obtain computed tomography (CT) scan. 48. When the home health RN is planning care for a patient with a seizure disorder, which nursing action can be delegated to an LPN/LVN? A. Make referrals to appropriate community agencies. B. Place medications in the home medication organizer. C. Teach the patient and family how to manage seizures. D. Assess for use of medications that may precipitate seizures. 49. A patient with Parkinsons disease has decreased tongue mobility and an inability to move the facial muscles. Which nursing diagnosis is of highest priority? A. Imbalanced nutrition: less than body requirements B. Activity intolerance C. Self-care deficit: toileting D. Ineffective self-health management 50. A patient who has a history of a transient ischemic attack (TIA) has an order for aspirin 160 mg daily. When the nurse is administering the medications, the patient says, I dont need the aspirin today. I dont have any aches or pains. Which action should the nurse take? A. Document that the aspirin was refused by the patient. B. Tell the patient that the aspirin is used to prevent aches. C. Explain that the aspirin is ordered to decrease stroke risk. D. Call the health care provider to clarify the medication order.