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The client is a young male who appears to be 25-30 years old. He was found unconscious on a sidewalk by a jogger who was passing. The jogger called an ambulance, and the EMT's transported the ent to the hospital. The client is arousable but unable to say what his name is or what happened to him. A STAT CT of the head in the emergency room showed no abnormalities, so the client will be admitted to the medical floor for observation and further tests.

The PN reinforces education about seizures to the client and asks him to explain what he understands about his condition.

Which statements indicate understanding?

Select all that apply

"I don't need to go to the hospital if I have another seizure unless it is a very long seizure or if I have several in a row."

"There are really no lifestyle changes that I can do that will affect my risk of having another seizure."

"I may never know why I started having seizures."

"Having a medic alert bracelet might be a good idea, but it is up to me to decide if I want it or not."

"I can stop taking the phenytoin if I go for a while and don't have a seizure."

Answer and Explanation

Correct Answer : A,C,D

A. "I don't need to go to the hospital if I have another seizure unless it is a very long seizure or if I have several in a row." This statement demonstrates an understanding that certain characteristics of seizures, such as prolonged duration or multiple seizures in succession, may require medical attention and evaluation.
C. "I may never know why I started having seizures." This statement acknowledges the possibility that the underlying cause of the seizures may remain unknown. Seizure etiology can vary, and in some cases, the specific cause cannot be determined despite diagnostic tests.
D. "Having a medic alert bracelet might be a good idea, but it is up to me to decide if I want it or not." This statement recognizes the potential benefits of wearing a medic alert bracelet, which can provide crucial information about the client's condition in case of emergencies. It emphasizes the client's autonomy in making the decision, showing an understanding of the role and significance of the bracelet.
The following statement does not indicate understanding:

"There are really no lifestyle changes that I can do that will affect my risk of having another seizure." This statement is incorrect, as there are lifestyle modifications that can help reduce the risk of seizures, such as getting enough sleep, managing stress, avoiding triggers (if known), and taking prescribed medications as directed.
Regarding the statement "I can stop taking the phenytoin if I go for a while and don't have a seizure," it is not included in the given options.

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Correct Answer is ["591.4"]

Explanation

To calculate the total intake in milliliters (mL), we need to convert the given measurements from ounces to milliliters and then sum them up.

1 ounce (oz) is approximately equal to 29.57 milliliters (mL).

Given intake: 4 ounces apple juice = 4 oz * 29.57 mL/oz = 118.28 mL 8 ounces milk = 8 oz *

29.57 mL/oz = 236.56 mL 4 ounces broth = 4 oz * 29.57 mL/oz = 118.28 mL 4 ounces tea = 4 oz

* 29.57 mL/oz = 118.28 mL

Total intake = 118.28 mL + 236.56 mL + 118.28 mL + 118.28 mL = 591.4 mL

A. An older client whose blood pressure (BP) is 100/70 after receiving meperidine for pain related to a hip fracture. B. A client who has pink urine draining from the indwelling urinary catheter following transurethral prostatectomy. C. A client who is having bright red drainage from the rectum following a colonoscopy with polyp removal. D. A client who has brown-green bile draining from a T-tube after cholecystectomy for cholelithiasis.

Correct Answer is C

Explanation

The client finding that necessitates immediate attention by the practical nurse (PN) is a client who is having bright red drainage from the rectum following a colonoscopy with polyp removal. Bright red rectal bleeding can indicate active bleeding and immediate intervention is required to assess the severity of the bleeding, control the bleeding if possible, and prevent further complications.
A. The older client with a blood pressure of 100/70 after receiving meperidine for pain may require further assessment, but it does not indicate an immediate life-threatening condition.
B. Pink urine draining from the indwelling urinary catheter following a transurethral prostatectomy may be expected due to the surgical procedure, but it should still be monitored.
D. Brown-green bile draining from a T-tube after cholecystectomy for cholelithiasis is also an expected finding.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["591.4"]

Explanation

After the change-of-shift report, the practical nurse (PN) makes rounds on a postoperative unit. Which client finding necessitates the Immediate attention of the PN?

Correct Answer is C

Explanation

The practical nurse (PN) is providing care for a client who is receiving an intravenous antibiotic to treat an infection. Which assessment findings require the most immediate action by the PN?

Exhibits here Review H and P and nurse's notes. What other assessment techniques can the nurse use to identify the potential source of the client's new-onset confusion and decreased appetite? Select all that apply.

The practical nurse (PN) observes unlicensed assistive personnel (UAP) bathing a bedfast client with the bed in a high position. Which action should the PN take?

A client with a compound fracture of the left ankle is being discharged with a below-the-knee cast. Which instruction should the practical nurse (PN) provide to the client prior to discharge?

At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it. Which response by the PN to the client's silence is best?

In caring for a client who requires seizure precautions, the practical nurse (PN) should ensure the ready availability of equipment to perform which procedure?

A male client with a chronic medical condition tells the practical nurse (PN) that he wants no heroics to prolong his life if anything should happen to him. Which action should the PN take?