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Seizures - NCLEX ccrox96 Save ICP Nclex Questions, ICP NCLEX sty...120 terms Mariko_Roberts Preview NCLEX Questions Parkinson Disease...20 terms SMathews926Preview Seizure NCLEX Questions
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Courtney_Schuster Preview Spinal 26 terms ET0 Exposure to toxins Rationale: The cause of seizures is unknown in up to 70% of those diagnosed with seizure disorder. However, they can occur after exposure to toxins. High blood pressure, not low, is associated with increased risk for stroke, which may be associated with the development of seizure disorder. Fever, not low body temperature, and increased, not decreased, intracranial pressure are also associated with the development of seizure disorder.A client asks the nurse what might trigger a seizure. Which situation should the nurse include in the response?Exposure to toxins Low blood pressure Decreased intracranial pressure Low body temperature
Flashing lights Menstruation Specific odors Fever Rationale: There are many triggers reported by clients that elicit seizure activity. Commonly reported triggers include menstruation, flashing lights (such as strobe lights), and odors (such as a specific perfume). Fever can trigger a seizure. With a fever, it is not necessarily the temperature itself but how fast the temperature rises that triggers the seizure. Consumption of milk products has not been reported as a common trigger for seizure activity.The nurse is teaching a client about possible seizure triggers. Which information should the nurse include? (Select all that apply.) Flashing lights Menstruation Specific odors Lactose consumption Fever "Menstruation is a common trigger for seizures." Rationale: There are many triggers reported by clients that elicit seizure activity. Commonly reported triggers include menstruation, flashing lights (such as strobe lights), and odors (such as a specific perfume).A client reports that they usually have a seizure on the first day of their period. Which response by the nurse is correct?"Females who have a lot of menstrual cramps often have seizure activity." "Having your period has no relationship to your seizures." "What makes you think having your period is related?" "Menstruation is a common trigger for seizures."
Abnormal excessive electrical discharge from the cells of the brain Rationale: Seizures are believed to be the result of abnormal excessive concurrent electrical discharges from the cortical neuronal network of cells on the surface of the brain. Elevated blood glucose is a factor in the treatment of diabetes. Although the heart and muscles have measurable electrical impulses, they are not related to electrical impulses in the brain.The nurse is preparing a teaching session for a community support group for clients who have been recently diagnosed with a seizure disorder.The nurse should include which factor as the cause of most seizures?Excess electrical stimulation of the heart Hyperactivity of muscles Abnormal excessive electrical discharge from the cells of the brain High blood sugar Focal Rationale: Focal seizures (also known as partial seizures) occur when abnormal electrical activity is contained to a limited area of the brain.Generalized seizures affect both hemispheres in the brain.Tonicdash-clonic and febrile seizures are types of generalized seizures, not focal seizures.A client has abnormal electrical activity that is contained to a limited area of the brain. Which type of seizure is the client experiencing?Focal Generalized Febrile Tonicdash-clonic
Wearing a bracelet that provides health information Taking showers rather than tub baths Avoiding driving while taking antiseizure medication Monitoring the menstrual cycle Rationale: A bracelet with health information is an important piece of information in case the client becomes unconscious and there is no one around who knows the client's health history. The client will be on antiseizure medication for life. The client must not stop taking medications in order to drive. There is a safety risk of drowning with being in water during a seizure. The client would be safer in a shower than in several inches of water. Bystanders and family members should not place anything in the client's mouth during a seizure. This could obstruct the client's airway.The client's head should be turned to the side. There is a relationship between menses and an increase in seizures. The client may need to increase medications and avoid triggers during this time each month.The nurse is planning discharge teaching for a 30-year-old female client who was newly diagnosed with tonic-clonic seizures. Which information should the nurse include in this teaching plan? (Select all that apply.) Wearing a bracelet that provides health information Taking showers rather than tub baths Avoiding driving while taking antiseizure medication Monitoring the menstrual cycle Keeping a padded tongue blade at home in case of a seizure "St. John's wort has been known to decrease the effectiveness of your antiseizure medication." Rationale: Clients whose seizures are controlled with antiseizure medication should avoid herbal preparations, especially St. John's wort, as it can decrease the effectiveness of some anitconvulsive medications. Clients who regularly use essential oils should be cautioned that many essential oils can trigger seizures. Valerian can increase the sedative effect of some medications andshould be avoided. Garlic can possibly increase the antiseizure medication levels and should be avoided.The nurse is caring for a client with a seizure disorder currently controlled with antiseizure medication. The client states, "A friend recommended an herbal supplement for my depression. Can I take it?" Which response by the nurse is correct?"Essential oils would be a better option with your antiseizure medication." "St. John's wort has been known to decrease the effectiveness of your antiseizure medication." "You can take valerian along with your antiseizure medication to help you sleep." "You should avoid garlic, because it can decrease the effectiveness of your antiseizure medication."
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