Seizures
A nurse is caring for a patient experiencing a tonic-clonic seizure. What is the priority nursing action?
A) Restrain the patient to prevent injury.
B) Place a tongue depressor in the patient’s mouth.
C) Turn the patient to the side and protect the head.
D) Provide 100% oxygen via face mask.
Turn the patient to the side and protect the head.
Question 3:
A nurse is providing education about metabolic syndrome. Which of the following criteria are included in metabolic syndrome? (Select all that apply.)
A) Hypertension
B) High HDL cholesterol
C) Abdominal obesity
D) Hyperglycemia
E) Low triglycerides
A) Hypertension, C) Abdominal obesity, D) Hyperglycemia
A patient is prescribed atorvastatin (Lipitor) for hyperlipidemia. Which laboratory value should the nurse monitor?
A) Serum creatinine
B) Liver function tests (AST, ALT)
C) Blood glucose levels
D) Serum potassium
Liver function tests (AST, ALT)
Which patient statement indicates a need for further teaching about lisinopril (Prinivil)?
A) "I should rise slowly to prevent dizziness."
B) "I will monitor my potassium intake."
C) "If I develop a dry cough, I will tell my doctor."
D) "This medication will cure my hypertension."
"This medication will cure my hypertension."
A nurse is caring for a patient receiving amiodarone (Cordarone) for atrial fibrillation. Which finding should be reported immediately?
A) Blood pressure of 118/78 mmHg
B) A persistent dry cough and shortness of breath
C) Mild nausea after taking the medication
D) Heart rate of 70 bpm
A persistent dry cough and shortness of breath
A patient is prescribed phenytoin (Dilantin) for seizure management. Which statement by the patient indicates a need for further teaching?
A) "I will have my blood levels checked regularly."
B) "I can stop taking this medication once my seizures stop."
C) "I will use good oral hygiene to prevent gum problems."
D) "I should avoid alcohol while taking this medication."
I can stop taking this medication once my seizures stop.
Which lifestyle modifications should the nurse recommend for a patient diagnosed with metabolic syndrome? (Select all that apply.)
A) Increase intake of processed foods.
B) Engage in at least 150 minutes of moderate exercise per week.
C) Reduce saturated fat intake.
D) Consume a high-sodium diet.
E) Maintain a healthy weight.
B) Engage in at least 150 minutes of moderate exercise per week, C) Reduce saturated fat intake, E) Maintain a healthy weight.
A patient taking niacin (Niaspan) reports flushing and itching. What should the nurse recommend?
A) "Stop taking the medication immediately."
B) "Take aspirin 30 minutes before niacin."
C) "Increase your dosage to build tolerance."
D) "Avoid drinking water with your medication."
"Take aspirin 30 minutes before niacin."
A patient with hypertension is prescribed hydrochlorothiazide (HCTZ). What should the nurse include in patient teaching?
A) "Increase potassium-rich foods in your diet."
B) "You do not need to monitor your blood pressure at home."
C) "This medication may cause swelling in your legs."
D) "Avoid drinking fluids after taking this medication."
"Increase potassium-rich foods in your diet."
A patient taking digoxin (Lanoxin) for heart failure reports nausea and blurred vision. What should the nurse do first?
A) Administer an antiemetic for nausea.
B) Check the patient’s blood pressure.
C) Assess the apical pulse and check digoxin levels.
D) Encourage the patient to eat more potassium-rich foods.
Assess the apical pulse and check digoxin levels.
A patient taking carbamazepine (Tegretol) for seizure control should be monitored for:
A) Hypokalemia
B) Leukopenia
C) Hyperglycemia
D) Hypertension
Leukopenia
Which of the following is a major risk factor for metabolic syndrome?
A) Low blood pressure
B) Low triglyceride levels
C) Abdominal obesity
D) High HDL cholesterol
Abdominal obesity
Which lab test should be monitored for a patient on statins?
A) Creatinine
B) AST & ALT
C) Blood glucose
D) Potassium
AST & ALT
Which side effect should a nurse immediately report in a patient taking amlodipine (Norvasc)?
A) Swelling of the face and lips
B) Mild headache
C) Dizziness when standing
D) Fatigue
Swelling of the face and lips
A nurse is reviewing lab results for a patient on digoxin (Lanoxin). Which finding requires immediate action?
A) Digoxin level of 0.8 ng/mL
B) Potassium level of 2.9 mEq/L
C) Blood pressure of 120/70 mmHg
D) Apical pulse of 68 bpm
Potassium level of 2.9 mEq/L
A nurse is providing discharge instructions for a patient taking valproic acid (Depakote). Which side effect should be reported immediately?
A) Hair loss
B) Fatigue
C) Jaundice
D) Weight gain
Jaundice
Which lifestyle change is most effective in reversing metabolic syndrome?
A) Reducing sodium intake
B) Increasing protein intake
C) Regular physical activity and weight loss
D) Drinking more fluids
Regular physical activity and weight loss
Which side effect should be reported immediately in a patient taking atorvastatin (Lipitor)?
A) Muscle pain and weakness
B) Mild headache
C) Constipation
D) Mild nausea
Muscle pain and weakness
A patient with hypertension is prescribed hydrochlorothiazide (HCTZ). What is the priority nursing assessment?
A) Monitor blood glucose levels
B) Check for signs of hypokalemia
C) Assess for bradycardia
D) Monitor for weight gain
Check for signs of hypokalemia
A patient taking procainamide for a dysrhythmia develops a butterfly-shaped rash on the face. What is the nurse’s priority action?
A) Continue the medication as prescribed
B) Report this finding to the healthcare provider
C) Apply a corticosteroid cream to the rash
D) Monitor the patient’s heart rate
Report this finding to the healthcare provider
A patient taking levetiracetam (Keppra) reports mood changes and increased irritability. The nurse should:
A) Reassure the patient this is normal.
B) Discontinue the medication immediately.
C) Report this to the healthcare provider.
D) Increase the dose.
Report this to the healthcare provider.
A nurse is teaching a patient with metabolic syndrome about diet modifications. Which statement by the patient indicates understanding?
A) "I should limit processed and fried foods."
B) "A high-fat diet will help me lose weight."
C) "I can eat as many carbohydrates as I want."
D) "Sugar has no effect on my condition."
I should limit processed and fried foods."
Which lipid-lowering medication is best for lowering LDL cholesterol?
A) Gemfibrozil
B) Niacin
C) Atorvastatin
D) Omega-3 supplements
Atorvastatin
A nurse is teaching a patient with hypertension about lifestyle modifications. Which statement by the patient indicates understanding?
A) "I should consume a diet high in sodium."
B) "I will avoid aerobic exercise to prevent overexertion."
C) "I will follow the DASH diet and reduce my salt intake."
D) "Drinking three glasses of wine per day can help my blood pressure."
I will follow the DASH diet and reduce my salt intake
A patient taking diltiazem (Cardizem) for atrial fibrillation should be monitored for which side effect?
A) Tachycardia
B) Hypotension
C) Hyperkalemia
D) Increased urinary output
Hypotension