Med-Surg Success: Seizures

Med-Surg Success: Seizures

Leave the first rating Students also studied Terms in this set (12) Science MedicineNursing Save Seizures NCLEX 12 terms murkacatPreview Med surg Neuro questions 73 terms allenirizarryPreview Med-Surg Neuro Chp. 23 Seizure Di...12 terms M_BriReynolds Preview Lewis C 13 terms mnh The male client is sitting in the chair and his entire body is rigid with his arms and legs contracting and relaxing. The client is not aware of what is going on and is making guttural sounds. Which action should the nurse implement first?

• Place aside any furniture
• Place the client on his side
• Assess the client's vital signs
• Ease the client to the floor
• Ease the client to the floor

The occupational health nurse is concerned about preventing occupation-related acquired seizures. Which intervention should the nurse implement?

• Ensure that helmets are worn in appropriate areas
• Implement daily exercise programs for the staff
• Provide healthy foods in the cafeteria
• Encourage employees to wear safety glasses
• Ensure that helmets are worn in appropriate areas

The client is scheduled for an EEG to help diagnose a seizure disorder. Which preprocedure teaching should the nurse implement?

• Tell the client to take any routine antiseizure medication

prior to the EEG

• Tell the client not to eat anything for 8 hours prior to

the procedure

• Instruct the client to stay awake for 24 hours prior to

the EEG

• Explain to the client that there will be some discomfort

during the procedure

• Instruct the client to stay awake for 24 hours prior to the EEG

The nurse enters the room as the client is beginning to have a tonic-clonic seizure. What action should the nurse implement first?

• Note the first thing the client does in the seizure
• Assess the size of the client's pupils
• Determine if the client is incontinent of urine or stool
• Provide the client with privacy during the seizure
• Notice the first thing the client does in the seizure

The client who just had a 3 minute seizure has no apparent injuries and is oriented to name, place, and time but is very lethargic and just wants to sleep. Which intervention should the nurse implement?

• Perform a complete neurological assessment
• Awaken the client every 30 mins
• Turn the client to the side and allow the client to sleep
• Interview the client to find out what caused the seizure
• Turn the client to the side and allow the client to sleep

The aide is attempting to put an oral airway in the mouth of a client having a tonic-clonic seizure. Which action should the primary nurse take?

• Help the aide to insert the oral airway in the mouth
• Tell the aide to stop trying to insert anything in the

mouth

• Take no action because the aide is handling the

situation

• Notify the charge nurse of the situation immediately
• Tell the aide to stop trying to insert anything in the mouth

The client is prescribed phenytoin (Dilantin), an anticonvulsant, for a seizure disorder. Which statement indicates the client understands the discharge teaching concerning this medication?

• "I will brush my teeth after every meal"
• "I will check my Dilantin level daily"
• "My urine will turn orange while on Dilantin"
• "I won't have any seizures while on this medication"
• "I will brush my teeth after every meal"

The client is admitted to the intensive care department experiencing status epilepticus. Which collaborative intervention should the nurse anticipate?

• Assess the client's neurological status every hour
• Monitor the client's heart rhythm via telemetry
• Administer an anticonvulsant medication by IV push
• Prepare to administer a glucocorticosteroid orally
• Administer an anticonvulsant medication by IV push

The client has been newly diagnosed with epilepsy.Which discharge instructions should be taught to the client? Select all that apply.

• Keep a record of seizure activity
• Take tub baths only; do not take showers
• Avoid over the counter meds
• Have anticonvulsant medication serum levels checked

regularly

• Do not drive alone; have someone in the car
• Keep a record of seizure activity
• Avoid over the counter meds
• Have anticonvulsant medication serum levels checked regularly

Which statement by the female indicates that the client understands factors that may precipitate seizure activity?

• "It is all right for me to drink coffee for breakfast"
• "My menstrual cycle will not affect my seizure disorder"
• I am going to take a class in stress management"
• "I should wear dark glasses when I am out in the sun"
• "I am going to take a class in stress management"

The nurse asks the male client with epilepsy if he has auras with his seizures. The client says, "I don't know what you mean. What are auras?" Which statement by the nurse would be the best response?

• "Some people have a warning that the seizure is about

to start"

• Auras occur when you are physically and

psychologically exhausted"

• "You're concerned that you do not have auras before

your seizures?"

• "Auras usually cause you to be sleepy after you have a

seizure"

• "Some people have a warning that the seizure is about to start"

The nurse educator is presenting an in service on seizures. Which disease process is the leading cause of seizures in the elderly?

• Alzheimer's disease
• Parkinson's disease
• CVA (stroke)
• Brain atrophy due to aging
• CVA (stroke)