Seizure NCLEX Questions

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Jam The nurse witnesses a patient's seizure involving generalized contraction of the body followed by jerkiness of the arms and legs. The nurse reports this as which type of seizure?

• Myoclonic
• Absence
• Tonic-Clonic
• psychomotor

Tonic-Clonic Phenytoin has been prescribed for a patient with seizures. The nurse should include which appropriate nursing intervention in the plan of care?

• Report an abnormal phenytoin level of 18 mcg/mL
• Monitor complete blood count levels for early

detection of blood dycrasias

• Encourage the patient to brush teeth vigorously to

prevent plaque buildup

• Teach the patient to stop the drug immediately when

passing pinkish-red or reddish-brown urine Monitor complete blood count levels for early detection of blood dycrasias When administering phenytoin, the nurse realizes more teaching is needed if the patient makes which state?

• "I must shake the oral suspension very well before

pouring it in the dose cup"

• "I cannot drink alcohol when taking phenytoin"
• "I should take phenytoin 1 hour before meals"
• "I will need to get periodic dental checkups"

"I should take phenytoin 1 hour before meals"

A patient is having absence seizures. Which of the following does the nurse expect to be prescribed for this type of seizure? (Select all that apply)

• Phenytoin
• Phenobarbital
• valproic acid
• clonazepam
• ethosuximide

valproic acid, clonazepam, ethosuximide A patient is admitted to the emergency department with status epilepticus. Which drug should the nurse most likely prepare to administer?

• diazepam
• midzolam
• bagapentin
• levetiracetam
• topiramate

diazepam, midzolam The nurse should monitor the patient receiving phenytoin for which adverse effect?

• psychosis
• nosebleeds
• hypertension
• gum erosion

gum erosion A nurse administering valproic acid to a patient checks the laboratory values and finds a serum range for valproic acid of 150 mcg/ mL. What should the nurse do?

• Increase the daily dose to get the patient's level into

the therapeutic range

• Hold the morning dose but give the other scheduled

dosages for the day

• ask the patient if he or she is having any adverse

effects from the medication

• hold the medication and notify the health care

provider hold the medication and notify the health care provider