A nurse is caring for a client who has a seizure disorder select all that apply
A nurse is caring for a client who has a seizure disorder select all that apply. , The nurse is caring for a client who experienced a seizure lasting 2 minutes with A client taking an antiepileptic drug (AED) is considering becoming pregnant. 1. Explore seizure patterns. Protect client from injury. Risk for constipation 4. What nursing intervention takes highest priority? A. Multiple-drug therapy is recommended. " 2) "the med can stain your contact lenses green" 3) "The medication can color your urine dark brown" 4 Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for a client who is unconscious. a sign of poor self-care. 3. ) Loss of consciousness Appearance of daydreaming Dropping held objects Falling to the floor Having a piercing cry, A nurse is caring for a child who just experienced a generalized seizure. which of the following actions should the nurse perform first? A. brief loss of Study with Quizlet and memorize flashcards containing terms like What should the nurse include as a possible adverse effect when teaching a client about phenytoin? Increased white blood cell count Liver toxicity Physical dependence Diarrhea, A client has been prescribed valproic acid for the treatment of myoclonic seizures. Maintain airway. Refer the client to a neurologist. The nurse is caring for a client who is newly diagnosed with a seizure disorder. Which information should the nurse include in the teaching plan? 1. "-"Clients in a vegetative state often open and close their eyes. Anemia d. Blood chemistry E. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a child who has absence seizures. Administer supplemental oxygen to the client B. Maintain a clear liquid diet for 6 to 8 hr prior to ECT B. PTT c. Maintaining a patent airway C. Inserting a nasogastric (NG) tube as prescribed D. The nurse should instruct the client to monitor for which of the following adverse effects. Place the child in a prone position. Which interventions apply if the child has a seizure? Select all that apply. "-"That is a miracle. 1 lb). Apr 30, 2024 · Seizure disorders, also known as epilepsy, are a complex and diverse group of neurological conditions that demand specialized nursing care and support. B) Observe for a flushing of the skin. Which equipment should the nurse ensure is always at the bedside? Select all that apply. The client asks, "What does norepinephrine normally do in the body?" What should the nurse include in the response? Select all that apply. Risk for falls A nurse is caring for a 12-year-old client who has had multiple seizure attacks since she was 5 years of age. Which nursing action is priority? Discuss dietary therapy with the client's caregivers. Restrain the client A client with a history of seizure disorder is receiving phenytoin in the hospital. a symptom of hepatotoxicity. Which of the following measures should the nurse employ when the client is having a seizure? A) Put something in the mouth to keep it open. Which of the following comorbidities Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has chronic pyelonephritis. Complete blood count E. As the nurse, it is important to know how to care for a patient experiencing a seizure, the various types, triggers, medications, and treatments. A nurse is caring for a client that has recently suffered an acute myocardial infarction, which of the following are signs and symptoms of shock for which the nurse should monitor the client? Select all that apply: a. AEDs have teratogenic effects. d. Which of the following actions should the nurse take? (Select all that apply. c. " 2. hold down the client's arms 3. The client states, "I keep seeing commercials on TV for Celebrex and I want to try it and see if it will help my pain. Because of this client's age, the nurse would establish which nursing diagnosis related to the drug's common adverse effects? 1. Assess availability of family/caregiver. What actions will the nurse take at this time? (Select all that apply. 2. , The nurse is caring for a client who experienced a seizure lasting 2 minutes with Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who is scheduled to undergo electroconvulsive treatment (ECT). AEDs cause placenta previa. b. period of sleepiness following the seizure during which arousal is difficult d. The nurse suspects that the client will be diagnosed with _________ as evidenced by the client's _______________. Help the patient identify specific times or triggers of seizure activity and how to recognize symptoms so they can keep themselves safe or alert someone else to monitor them. Single-drug therapy is recommended. See full list on nurseslabs. -Exhibit 1 Nurses' Notes 0800:Client awake, alert, oriented to person, place, and time. ) (NGN) A. ) - Hirsutism - Drowsiness - Headache - Ataxia - Rash Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new prescription for ergotamine. Which Which client statement indicates that the instruction to a client with a seizure disorder receiving phenytoin and phenobarbital is understood? Rationale: Combination therapy this client has seizures that are difficult to control. Which of the following laboratory values should the RN plan to monitor? (select all that apply) a. The best response by the nurse is:-"That is a just a reflexive action. (select all that apply)-hirsutism-downsiness-headache-ataxia-rash Find step-by-step Health solutions and your answer to the following textbook question: A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. The nurse is caring for a 72 year old client taking gabapentin (Neurontin) for a seizure disorder. Allow the client to sleep for 3 to 4 hr following ECT C. The client may stop the Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of seizures in an acute care setting. The nurse is providing care for the client. Which of the following stages of the disease should the nurse document in the clients record? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department. The nurse recognizes this finding as a. Positioning the client to the side, if possible, with the head flexed forward 5. The nurse is caring for a client with myasthenia gravis who has received edrophonium by the intravenous route to test for myasthenic crisis. Protect the child from hitting the arms against the bed. A) The client is not driving. Maintaining accurate records of intake and output B. Turn client to side. Automatisms are the tonic/clonic movement seen in some types of seizures. a nurse is caring for a client who just experienced a generalized seizure. The nurse witnesses the client having a tonic-clonic seizure with increasing salivation. , A nurse is caring for a client. Decreases urinary output b. Insert a padded tongue blade in the child A nurse is caring of a client who has Parkinson's disease , who comes into the clinic every six months for check-ups. (Select all that apply. Alanine aminotransferase (ALT) A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. Encourage the client to restrict daily fluid intake to 1 L. 6. " Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is taking a medication that affects the function of the neurotransmitter norepinephrine. Which of the following interventions should the nurse include? Select all that apply. Bradycardia c. Urine culture D. Administer IM epinephrine to the client prior to Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of seizures in an acute care setting. The nurse notes that the patient has reddened gums that bleed when oral care is given. The nurse should anticipate which diagnostic test to be prescribed? (Select all that apply. The nurse will identify this as which type of seizure?, The cerebrum is divided into right and left hemispheres, which are The nurse is creating a plan of care for a child who is at risk for seizures. " Upon review of scientific The nurse is caring for a client who is newly diagnosed with a seizure disorder. Prepare for A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Notify the primary health care provider immediately. Study with Quizlet and memorize flashcards containing terms like Which action(s) should you delegate to the experienced nursing assistant when caring for a patient with a thrombotic stroke with residual left-sided weakness? Select all that apply. Thyroid panel B. a) Assist the patient to reposition every 2 hours b) Reapply pneumatic compression boots c) Remind the patient to perform active ROM d) Check Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a seizure disorder. , Match each assessment finding to the correlating seizure phase. Which of the following findings should the nurse expect? (Select all that apply. Which of the follwing lab values should the nurse plan to monitor?, A nurse is reviewing the medical history of a client who has spasticity due to MS and a new prescription to tizanidine. Which response should the nurse make to the client? 1. Which of the following should the nurse include when seizure precautions are prescribed by the healthcare provider? (Select all that apply. Call for help 2. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of seizures in an acute care setting. Affects attention and concentration Raises energy level Heightens A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. Preparing for discharge today. Migraine headaches, A nurse is caring for a client who has a new prescription for amphotericin A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. For potential provider's prescription, click to specify if the A nurse is caring for a client who has a seizure disorder. Assess if the patient has family support or if they live alone. A nurse is caring for a client who has a new diagnosis of seizure disorder. B) The client has not had a seizure for 1 month. The client has a seizure and the nurse reviews the laboratory results of the phenytoin level of 18 mcg/mL. E. "It will last for 4 to 5 minutes. Which observations indicate that outcomes for care have been achieved? Select all that apply. Decreased intracranial pressure C. Which information should the nurse include? (Select Study with Quizlet and memorize flashcards containing terms like The nurse is reinforcing instructions to the spouse of a client who is taking tacrine for the management of moderate dementia associated with Alzheimer's disease. ) a. reorient the client to the environment. When reviewing this client's latest laboratory results for signs of Study with Quizlet and memorize flashcards containing terms like A school-age child requires a lumbar puncture. insert a tongue depressor to move the tongue 4. , Match the assessment findings to the correlating seizure phase. The nurse notices the client has a slower arm & leg movements & is losing balance when walking down the hall. (Select all that apply) A nurse is caring for a client with a seizure disorder. AEDs deplete folic acid. Thyroid panel C. Attempt to restrain the client to reduce the risk of injury during the seizure. The client reports he thinks he is about to have a seizure. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client admitted for a seizure disorder. Which of the following should the nurse recognize as the possible cause for this seizure? A A nurse is planning care for a client who has a seizure d/o and a new prescription for valproic acid. The nurse should instruct the client to take the drugs at least 2 hr apart for which of the following reasons? Phenytoin increases the metabolism of sucralfate. Elevate the side rails near the head when the client is in bed. Elevate the bed to a high Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has severe hypoglycemia and is experiencing a seizure. Prepare suction equipment at the bedside. Client has a history of Crohn's disease and a seizure disorder that is managed with diet and medication. Be sure the bed side rails are in the up position. Nurse should take which of the following actions? SELECT ALL THAT APPLY A. Restrain the child. Tachypnea e. , The nurse caring for a client who is post status epilepticus is aware that status epilepticus can be caused by which conditions? Select all that apply. B. Which actions should the nurse take? Select all that apply. Hypoxia d. 5. Which action should the nurse take when caring for this client? Select all that apply, The nurse is asked to prepare a teaching tool about acquired hydrocephalus in An experienced nurse has just walked into the room of a client to whom the nurse has been assigned for the shift. In what order should the nurse provide care to this client?, An infant is born with an open spinal cord defect. ) A. A continuous seizure state in which seizures occur in rapid succession B. Pregnancy should be avoided while taking phenytoin. BUN b. Which would be the nurse's most appropriate strategy?, Discharge plans for a client with a mental health disorder include living with family members. Provide privacy. What is a seizure? Seizures are sudden and uncontrolled electrical disturbances in the brain that can range from mild to life-threatening. During the assessment, the nurse notes that the client is taking birth control pills. The client's skin is pale and mottled. "It will last for about 30 minutes. Study with Quizlet and memorize flashcards containing terms like 1. sensory warning that seizure is imminent b. If possible, turn the client on the left side during or immediately after a seizure to reduce the risk of aspiration. Which of the following actions should the nurse implement? (Select all that apply. which Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following interventions should the nurse include? A. document the duration of the seizure. provide client hygiene. What nutritional approach for seizure management would be beneficial for this patient? Low in fat Restricts protein to 10% of daily caloric intake High in protein and low in carbohydrate At least 50% carbohydrate, The nurse is caring for a client immediately after Study with Quizlet and memorize flashcards containing terms like Client is having tonic-clonic seizure. The client continues to experience focal tonic seizures. Which situation should the nurse include in the response? A. Risk for impaired verbal communication 3. Sudden withdrawal of any antiepileptic medication can cause the onset of frequent seizures or even status epilepticus. The nurse is caring for a client who begins to experience seizure activity while in bed. Removing the pillow and raising padded side rails 4. The nurse observes the client making severe jerky movements (extending and contracting extremities) and the client loses consciousness. Low body temperature D. Keeping the curtain around the client and the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who has an allergy to sulfa, is taking valproic acid (Depakote) for a seizure disorder, and has been newly diagnosed with osteoarthritis. These disorders result from abnormal electrical activity in the brain , leading to recurrent seizures that can vary in type and intensity. This topic is part of a neuro NCLEX review, so be sure to check out the other NCLEX reviews as well. The nurse should tell the spouse which information?, The nurse is assisting in preparing a plan of care for a client with renal colic receiving meperidine hydrochloride The nurse is caring for a patient who has a seizure disorder. The nurse learns that the Study with Quizlet and memorize flashcards containing terms like The nurse is caring for an 84-year-old patient in the acute care facility who has newly diagnosed with a seizure disorder. Turn the client to the side C. The client asks the nurse how long the improvement in muscle strength will last. a drug interaction with aspirin. Risk for deficient fluid volume 2. Urine culture C. Place a tongue depressor in the client's mouth E. Aspartate aminotransferase (AST) d. Loosen the client's Aug 3, 2024 · The family of a male client documented to be in a vegetative state excitedly reports to the nurse that the client has just opened his eyes for the first time. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who is 5 day postoperative following a total hip arthroplasty and is receiving meperidine for pain. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 10-year-old client who is newly diagnosed with a seizure disorder. Seizures NCLEX Questions. Palpate the costovertebral angles of the client. Administer glucagon 1 mg subcutaneously. Urinalysis e. Restrain client B. The nurse should recognize the client is experiencing which of the following conditions? A. Which 3. Blood chemistry D. Ease the client to the floor if standing. Exposure to toxins B. C. " Study with Quizlet and memorize flashcards containing terms like The home health nurse visits a client who is taking phenytoin (Dilantin) for control of seizures. , the nurse is caring for a client who begins to experience seizure activity while in bed. Place pads on the side rails of the bed. an adverse effect of the phenytoin. 4. Move furniture away from the child. Administer lorazepam rectally to the Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has a seizure disorder and a new prescription for valporic acid. Insert a urinary catheter. Ulcerative colitis c. Arrange a consultation with a registered dietician C. Monitor 6) The nurse makes a visit to the home of an adolescent recently discharged from the hospital following treatment for a tonic-clonic seizure disorder. Instruct the Study with Quizlet and memorize flashcards containing terms like The nurse is educating a patient with a seizure disorder. Complete blood count B. Which of the following statements should the nurse make? 1) "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn. continuous seizure state in which seizures occur in rapid succession c. Client's weight 2 months ago was 100. The nurse should recognize that ergotamine is administered to treat which of the following conditions? a. Which information should the nurse provide this client? (Select all that apply. Time the duration of the seizure D. Place the bed in the lowest position. Study with Quizlet and memorize flashcards containing terms like While in a pediatric client's room, the nurse notes that the client is beginning to have a tonic-clonic seizure. While the nurse is taking morning vital signs, the client begins to experience a seizure. Stay with the child. keep the client in a side lying position. Move furniture away from the client. Anaphylactic reaction to Study with Quizlet and memorize flashcards containing terms like a nurse understands that a client with a seizure disorder who frequently experiences an aura is describing a. Raynaud's phenomenon b. Study with Quizlet and memorize flashcards containing terms like The nurse caring for a client who is recovering after a motor vehicle accident is planning for the client to begin increasing responsibility for self-care. Automatisms are repetitive unconscious movements such as chewing or lip smacking. Providing appropriate pain control, A client with a documented history of seizure Which teaching points should the nurse include when educating James's parents about caring for a client with seizures? Select all that apply. Loosening restrictive clothing 2. Low blood pressure, The nurse is teaching a client about possible seizure triggers. Restraining the client's limbs 3. , The nurse is caring for a client who experienced a seizure lasting 2 minutes with Study with Quizlet and memorize flashcards containing terms like A client asks the nurse what might trigger a seizure. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of seizure disorder. The nurse understands from reviewing the medication level that which is the correct situation? A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Lumbar puncture A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. Provide a suction setup at the bedside. D. C) Elevate the head of the bed to 45 degrees. Mar 13, 2022 · 1. The client's eyes are closed. Before starting the patient on an antiepileptic medication that will be continued after discharge, what laboratory studies would the nurse want to assess? SATA, The nurse is caring for four patients. What variable would alter the nurse's plan for educating the client and parent?, The nurse has instructed the client in self-catheterization, but the client is unable to perform a return demonstration. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a seizure disorder. The therapeutic level is 10 to 20 mcg/mL. com Feb 11, 2024 · In this post we’ll talk about the basics of seizures, how they’re treated, and seizure nursing interventions to keep our patients safe. A nurse is caring for a client who has a seizure disorder. . Place tongue blade in mouth E. Time the seizure. No seizure activity recorded during the night. 3 kg (221. Which of the following interventions should the nurse include? (Select all that apply) A. Which of the following might be a significant observation that could influence the inclusion of a new nursing diagnosis? 1. wuqqlatolppghqwzavirpcgpowcmgwgdlqsfxgfikkciylk
