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NUR 242 MED SURG EXAM 4 NEWEST 2025
ACTUAL EXAM| COMPLETE 250 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
NEWEST!!
Which rationale would the nurse include in teaching a client with glaucoma about the need for treatment? - ANSWER - Lost vision cannot be restored
Which treatment goal would the nurse emphasize when teaching a client with a diagnosis of open-angle glaucoma? - ANSWER - Control intraocular pressure
Which information would the nurse include in explaining glaucoma to a client? - ANSWER - An increase in the pressure within the eyeball
Which goal is the nurse trying to achieve by reinforcing to the client that it is important to seek treatment for primary open-angle glaucoma (POAG)? - ANSWER - Prevent blindness
While assessing the eyes of a client, a health care provider notices there is an obstruction to the outflow of aqueous humor. Which additional finding would be noted to support a diagnosis of glaucoma? - ANSWER
- Elevated intraocular pressure 1 / 4
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pg. 2 Which medication worsens uncontrolled angle-closure glaucoma when used for the treatment of generalized anxiety disorder? - ANSWER - Duloxetine
The nurse understands that which second-generation antidepressant can worsen uncontrolled angle-closure glaucoma? - ANSWER - Duloxetine
A client has primary open-angle glaucoma. Which ophthalmic preparation is indicated to manage this condition? - ANSWER - Timolol maleate
Which medication would the nurse anticipate may be prescribed to produce diuresis and inhibit formation of aqueous humor for a client with glaucoma? - ANSWER - Acetazolamide
Which clinical indicator is the nurse most likely to identify when exploring the history of a client with open-angle glaucoma? - ANSWER
- Impairment of peripheral vision
Which ocular symptom would the nurse expect a client with a diagnosis of dry age-related macular degeneration to report? - ANSWER - Loss of central vision
Which response reported by an older adult client would the nurse identify as consistent with the diagnosis of macular degeneration? - ANSWER - I can't see objects in the center of my vision field.
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pg. 3 Which instruction would the nurse give to a client with reduced sensory perception? - ANSWER - Use a bath thermometer
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? - ANSWER - Sertraline
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? - ANSWER - "This is usually attempted after 2 years, but medications must be gradually decreased."
The registered nurse (RN) is delegating tasks to the health care team.Which team member is most likely to achieve an effective outcome in the care of a client who is bedridden for long periods with seizures? - ANSWER - Licensed practical nurse (LPN)
During a home visit, the nurse discovers that a child in the household who has a disability has been experiencing seizures. The child's parent appears indifferent to the child's physical, emotional, or medical needs and seems to provoke seizure episodes by harsh verbal exchanges with the child. Where would the nurse direct a referral? - ANSWER - Child Protective Services
During a seizure, a client had sudden loss of muscle tone that lasted for a few seconds followed by confusion. Which statement about this type of seizures is true? Select all that apply. One, some, or all responses may be 3 / 4
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pg. 4 correct - ANSWER - These seizures increase the risk for injuries from a fall. These seizures are most resistant to medication therapy
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? - ANSWER - Ask the health care provider to prescribe an alternative
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? - ANSWER - You are worried about having more seizures
A client with severe abdominal pain is on meperidine treatment and later develops seizures. Which intervention is given highest priority? - ANSWER - Stop administration of meperidine
Which action would the nurse perform immediately according to priority of care for a client with tonic-clonic seizures? - ANSWER - Ensuring a patent airway.
According to priority, in which order would the nurse perform care activities for a client with complete partial seizures? - ANSWER - 1.Maintain airway. 2. Record time and duration of seizure. 3. Assess vital signs. 4. Perform neurological checks
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