BSN 315 WEBINAR HESI PRACTICE QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
The client with a seizure disorder is prescribed phenytoin. Which statement
indicates the client understands the medication teaching?
A. "If my urine turns a reddish-brown color, I should call my doctor."
B. "I should take my medication on an empty stomach."
C. "I will use a soft-bristled toothbrush to brush my teeth."
D. "I may get a sore throat when taking this medication."
C. "I will use a soft-bristled toothbrush to brush my teeth."
The client with a seizure disorder who is taking carbamazepine tells the clinic
nurse, "I am taking evening primrose oil for my premenstrual (PMS) cramps, and
it is really working." Which statement is the nurse's best response?
A. "You should inform your HCP about taking this herb."
B. "It is very dangerous to take both the herb and carbamazepine."
C. "Herbs are natural substances, and I am glad it is helping your PMS."
D. "Are you sure you should be taking herbs along with carbamazepine?"
A. "You should inform your HCP about taking this herb."
Evening primrose oil may lower the seizure threshold, and the dose of carbamazepine
,(Tegretol), an anticonvulsant, may need to be modified. Therefore, the client should
notify the HCP.
Which data should the nurse assess for the client with a seizure disorder who is
taking valproate?
A. Creatinine and BUN levels.
B. White blood cell (WBC) count.
C. Liver enzymes.
D. Red blood cell (RBC) count.
C. Liver enzymes.
Hepatotoxicity is one of the possible adverse reactions to Valproate (Depakote), and
anticonvulsant; therefore, the liver enzymes should be monitored.
The client is having status epilepticus and is prescribed IV diazepam. The client
has an IV of D5W 75 mL/hr in the right arm and a saline lock in the left arm. Which
intervention should the nurse implement?
A. Dilute the diazepam and administer over 5 minutes via the existing IV.
B. Do not dilute the medication and administer at the port closest to the client.
C. Question the order because diazepam cannot be administered with D5W.
D. Inject 3 mL of normal saline (NS) in the saline lock and administer diazepam
undiluted.
, D. Inject 3 mL of normal saline (NS) in the saline lock and administer diazepam
undiluted.
The nurse should administer the diazepam (Valium), a benzodiazepine, undiluted
through the saline lock.
The client newly diagnosed with a seizure disorder also has type 2 diabetes. The
HCP prescribes phenytoin for the client. Which intervention should the nurse
implement?
A. Instruct the client to monitor his or her blood glucose more closely.
B. Explain that the phenytoin will not affect the client's antidiabetic medication.
C. Discuss the need to discontinue oral hypoglycemic medication and take
insulin.
D. Call the HCP to discuss prescribing the phenytoin.
A. Instruct the client to monitor his or her blood glucose more closely.
Serum glucose must be monitored more closely because phenytoin may inhibit insulin
release, thus causing an increase in glucose level.
The older adult client diagnosed with Parkinson's disease (PD) has been
prescribed the combination medication carbidopa/levodopa. Which data indicates
the medication is effective?
A. The client has cogwheel motion when swinging arms.
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
The client with a seizure disorder is prescribed phenytoin. Which statement
indicates the client understands the medication teaching?
A. "If my urine turns a reddish-brown color, I should call my doctor."
B. "I should take my medication on an empty stomach."
C. "I will use a soft-bristled toothbrush to brush my teeth."
D. "I may get a sore throat when taking this medication."
C. "I will use a soft-bristled toothbrush to brush my teeth."
The client with a seizure disorder who is taking carbamazepine tells the clinic
nurse, "I am taking evening primrose oil for my premenstrual (PMS) cramps, and
it is really working." Which statement is the nurse's best response?
A. "You should inform your HCP about taking this herb."
B. "It is very dangerous to take both the herb and carbamazepine."
C. "Herbs are natural substances, and I am glad it is helping your PMS."
D. "Are you sure you should be taking herbs along with carbamazepine?"
A. "You should inform your HCP about taking this herb."
Evening primrose oil may lower the seizure threshold, and the dose of carbamazepine
,(Tegretol), an anticonvulsant, may need to be modified. Therefore, the client should
notify the HCP.
Which data should the nurse assess for the client with a seizure disorder who is
taking valproate?
A. Creatinine and BUN levels.
B. White blood cell (WBC) count.
C. Liver enzymes.
D. Red blood cell (RBC) count.
C. Liver enzymes.
Hepatotoxicity is one of the possible adverse reactions to Valproate (Depakote), and
anticonvulsant; therefore, the liver enzymes should be monitored.
The client is having status epilepticus and is prescribed IV diazepam. The client
has an IV of D5W 75 mL/hr in the right arm and a saline lock in the left arm. Which
intervention should the nurse implement?
A. Dilute the diazepam and administer over 5 minutes via the existing IV.
B. Do not dilute the medication and administer at the port closest to the client.
C. Question the order because diazepam cannot be administered with D5W.
D. Inject 3 mL of normal saline (NS) in the saline lock and administer diazepam
undiluted.
, D. Inject 3 mL of normal saline (NS) in the saline lock and administer diazepam
undiluted.
The nurse should administer the diazepam (Valium), a benzodiazepine, undiluted
through the saline lock.
The client newly diagnosed with a seizure disorder also has type 2 diabetes. The
HCP prescribes phenytoin for the client. Which intervention should the nurse
implement?
A. Instruct the client to monitor his or her blood glucose more closely.
B. Explain that the phenytoin will not affect the client's antidiabetic medication.
C. Discuss the need to discontinue oral hypoglycemic medication and take
insulin.
D. Call the HCP to discuss prescribing the phenytoin.
A. Instruct the client to monitor his or her blood glucose more closely.
Serum glucose must be monitored more closely because phenytoin may inhibit insulin
release, thus causing an increase in glucose level.
The older adult client diagnosed with Parkinson's disease (PD) has been
prescribed the combination medication carbidopa/levodopa. Which data indicates
the medication is effective?
A. The client has cogwheel motion when swinging arms.
