Nursing Care: Seizures

Nursing Care: Seizures

5.0 (5 reviews) Students also studied Terms in this set (16) Science MedicineNursing Save EDAPT: Nursing Care: Complex Gast...48 terms BRAV3RPreview

Edapt: Introduction to pediatric nur...

16 terms NurseKate4Preview Clinical Judgment in Test Taking 20 terms ImeldaRNPreview The Nu 16 terms Kris The nurse is caring for a client with a history of seizures in an acute care setting. Which equipment should the nurse ensure is always at the bedside? Select all that apply.Oxygen source Suction equipment Padded siderails Bag-valve-mask Match each assessment finding to the correlating seizure phase.difficulty sleeping and anxiety Prodromal phase heart racing and sweating Aural phase Unconscious and involuntary movements Ictal phase Tired and confused Postictal phase The nurse is caring for a client who experienced a seizure lasting 2 minutes with intermittent jerking of the right arm.Which type of seizure did the client most likely experience?Focal seizure originating in the left side of the brain The nurse is caring for a client with seizures caused by a brain tumor. The client is prescribed carbamazepine 200 mg twice daily at 0800 and 2000. The client experiences a seizure at 1200. What actions should the nurse take?Select all that apply.Stay with the client for the duration of the seizure.Document the length and description of the seizure activity.Monitor client vital signs and oxygenation.

The nurse is caring for a client with generalized-onset motor seizures that are not controlled with medication.The client is most at risk for_______ because the client's seizure disorder is _______.fall related injury uncontrolled The nurse is providing education for a client newly diagnosed with epilepsy. Which important points should be included in the education about seizure triggers?Select all that apply.Heavy alcohol use can be a trigger for seizures.Medications should be taken precisely as prescribed.Illness can be a trigger for seizures.Psychological stress can be a trigger for seizures.Avoiding triggers lessens the risk of seizures.The nurse is caring for a client newly diagnosed with epilepsy. The nurse is providing education to support the client in coping with the diagnosis. Which statement by the client indicates additional education is needed?"I will not be allowed to have a driver's license for the rest of my life." The nurse is caring for a client who is prescribed phenytoin. Which assessment finding is the most important to report to the healthcare provider?Client reports having suicidal thoughts The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical surgical unit. When caring for a client with seizures, which task should the nurse delegate to the UAP?Place emergency equipment at the bedside.The nurse is caring for a team of clients who all have medications prescribed for 0800. Place the clients in the order the nurse should administer the medications from first to last.The client who is prescribed phenytoin The client who is prescribed ibuprofen The client who is prescribed atorvastatin The client who is prescribed multivitamin Review the electronic health record of an adult client on a medical surgical unit. Which client findings should be concerning to the nurse? Select all that apply.History of seizures Client report of feeling anxious Laboratory results Client report of not sleeping well Review the electronic health record for an adult client on a medical surgical unit and the new nurse's note. The client's report of feeling anxious and not sleeping well were the _______ phase of a seizure. Rhythmic movements to both arms and legs is indicative of a _______ seizure.prodromal generalized onset Review the electronic health record for an adult client on a medical surgical unit and the new nurse's note. The client is at highest risk of developing an _______ as evidenced by _______ status epilepticus neurological assessment

Review the electronic health record for an adult client on a medical surgical unit. For each potential nursing action, indicate whether the action is indicated, nonessential, or contraindicated.Indicated​ Request an order to insert a peripheral intravenous line.​ Monitor vital signs and level of consciousness.​ Nonessential Phone family members authorized to have health information to provide an update. ​ Contraindicated Leave the client to retrieve peripheral intravenous line supplies from the equipment room.​ Review the electronic health record for an adult client on a medical surgical unit. The healthcare provider prescribed phenobarbital 15 mg/kg IV times one dose STAT. The available phenobarbital concentration is 130 mg/mL. The client's weight is 132 pounds. How many milliliters of phenobarbital will the nurse administer?

6.9 mL Review the electronic health record for an adult client on a medical surgical unit. The healthcare provider prescribed phenobarbital 15 mg/kg intravenous (IV) times one dose STAT. The nurse initiated a peripheral intravenous line and administered the medication. The seizure ended after a total of 10 minutes. Afterwards, the client was disoriented times two, lethargic, and reported having a headache with a pain rating of 5 out of 10. Which statement best summarizes the nurse's evaluation of the client's current clinical manifestations compared to the baseline assessment at 1000?The clinical manifestations are expected outcomes.