A client with a seizure disorder is prescribed phenytoin. What is the most important teaching the nurse should provide?- Nurselytic

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HESI RN Exit Exam Capstone Questions

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A client with a seizure disorder is prescribed phenytoin. What is the most important teaching the nurse should provide?

A. Take phenytoin with antacids to reduce stomach upset. B. Maintain a consistent dosing schedule to prevent seizures. C. Monitor for excessive drowsiness and dizziness. D. Take the medication at bedtime to reduce seizure risk.

Correct Answer: B

Rationale: Phenytoin should be taken consistently, as missing doses can increase the risk of seizures. Additionally, clients should be aware of drug interactions, such as with antacids, which can reduce the absorption of phenytoin.

Question 2 of 5

Which activity is most important for a client recovering from a hip replacement to avoid during the first few weeks of recovery?

A. Sitting in a chair for short periods B. Crossing the legs while sitting C. Walking with assistance D. Performing light stretching exercises

Correct Answer: B

Rationale: Crossing the legs after a hip replacement can increase the risk of hip dislocation. Clients should be advised to avoid crossing their legs during recovery to protect the new joint.

Question 3 of 5

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. Which assessment finding indicates that the client's oxygenation is improving?

A. Pulse oximetry reading of 94% B. Heart rate increases from 80 to 90 beats per minute C. Respiratory rate increases from 16 to 20 breaths per minute D. Client reports increased energy levels

Correct Answer: A

Rationale: A pulse oximetry reading of 94% indicates adequate oxygenation. Monitoring oxygen saturation is the most objective way to assess the effectiveness of oxygen therapy.

Question 4 of 5

A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these points is most important to be reinforced by the nurse?

A. Until the health care provider has determined that your ejaculate doesn't contain sperm, continue to use another form of contraception. B. This procedure doesn't impede the production of male hormones or the production of sperm in the testicles. The sperm can no longer enter your semen and no sperm are in your ejaculate. C. After your vasectomy, strenuous activity needs to be avoided for at least 48 hours. If your work doesn't involve hard physical labor, you can return to your job as soon as you feel up to it. The stitches generally dissolve in seven to ten days. D. The health care provider at this clinic recommends rest, ice, an athletic supporter or over-the-counter pain medication to relieve any discomfort.

Correct Answer: A

Rationale: It is important to use contraception until sperm is confirmed absent in the ejaculate.

Question 5 of 5

A client is receiving morphine for postoperative pain. What is the nurse's priority assessment?

A. Monitor the client's respiratory rate. B. Monitor the client's level of consciousness. C. Assess the client's level of pain. D. Monitor the client's blood pressure.

Correct Answer: A

Rationale: Monitoring respiratory rate helps assess for respiratory depression, a common side effect of morphine.

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