Seizures

Seizures Leave the first rating Students also studied Terms in this set (59) Save Capstone Med Surg Assessment 60 terms Stedwards3Preview Med surg 2 51 terms NurseBee1128Preview M 41 terms MatildaKim01Preview med su 108 term Kel Client is having tonic-clonic seizure. Nurse should take which of the following actions? SELECT ALL THAT APPLY A.Restrain client B.Maintain airway.C.Turn client to side.D.Place tongue blade in mouth E.Protect client from injury.

BCE the nurse is caring for a client who begins to experience seizure activity while in bed. which action by the nurse is contraindicated?

• loosening restrictive clothing
• restraining the clients limbs
• removing the pillow and raising padded side rails
• positioning the client to the side, if possible, with the

head flexed forward B the nurse is planning to institute seizure precautions for a client who is being admitted from the emergency department. which measures should the nurse include in planning care for the client's safety? Select all that apply

• padding the side rails of the bed
• placing an airway at the bedside
• placing the bed in the high position
• putting a padded tongue blade at the head of the bed
• placing oxygen and suction equipment at the bed side
• having intravenous equipment ready for insertion of an

intravenous catheter ABEF

a nurse is assessing a client who has seizure disorder. the client reports he thinks he is out to have a seizure. which of the following actions should the nurse implement (select all that apply)

• provide privacy
• ease the client to the floor if standing
• move furniture away from the client
• loosen the clients clothing
• protect the clients head with padding
• restrain the client

ABCDE a nurse is caring for a client who just experienced a generalized seizure. which of the following actions should the nurse perform first?A.keep the client in a side lying position B.document the duration of the seizure C.reorient the client to the environment D.provide client hygiene A A nurse is providing discharge instructions to a female client who has a prescription for phenytoin. which of the following information should the nurse include?A.consider taking oral contraceptives when on this medication B.watch for receding gums when taking this medication C.take the medication at the same time everyday D.provide a urine sample to determine therapeutic levels f the medication C a nurse is reviewing trigger factos that can cause seizures with a client who has na new diagnosis of generalized seizures. which of the following information should the nurse include in this review? (select all that apply)

• avoid overwhelming fatigue
• remove caffeinated products from the diet
• limit looking at flashing lights
• perform aerobic exercise
• limit episodes of hypoventilation
• use of aerosol hairspray is recommended

ABC

a nurse is completing discharge teaching to a client who has seizures and received a vagal nerves stimulator to decrease seizure activity. which of the following statements should the nurse include in the teaching?

• it is safe to use microwave that are 1200 watts or less
• you should avoid the use of CT scans with contrast
• you should place a magnet over the implantable

device when you feel an aura occurring

• it is recommended that you use ultrasound diathermy

for pain management C A 6-year-old child is seen in the urgent care unit for a history of seizures at home. He begins to have seizures in the urgent care unit that last more than 5 minutes. IV access has not been successful. The nurse caring for this child is knowledgeable that either of these medications

may be given to stop the child's seizures:

• IM phenytoin
• Rectal diazepam
• Buccal midazolam
• a and c
• b and c

E The nurse creates a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which item(s) need to be placed at the child's bedside?

• Emergency cart
• Tracheotomy set
• Padded tongue blade
• Suctioning equipment and oxygen

4 The nurse is creating a plan of care for a child who is at risk for seizures. Which interventions apply if the child has a seizure? Select all that apply.

• Time the seizure.
• Restrain the child.
• Stay with the child.
• Place the child in a prone position.
• Move furniture away from the child.
• Insert a padded tongue blade in the child's mouth.

135

The nurse is caring for a client who begins to experience seizure activity while in bed. Which actions should the nurse take?Select all that apply.

• Loosening restrictive clothing
• Restraining the client's limbs
• Removing the pillow and raising padded side rails
• Positioning the client to the side, if possible, with the

head flexed forward

• Keeping the curtain around the client and the room

door open so when help arrives they can quickly enter to assist 134 The nurse is instituting seizure precautions for a client who is being admitted from the emergency department.Which measures should the nurse include in planning for the client's safety? Select all that apply.

• Padding the side rails of the bed
• Placing an airway at the bedside
• Placing the bed in the high position
• Putting a padded tongue blade at the head of the bed
• Placing oxygen and suction equipment at the bedside
• Flushing the intravenous catheter to ensure that the site

is patent 1256 Which drug used in the treatment of seizures requires careful monitoring of renal function?

• Lamotrigine (Lamictal)
• Primidone (Mysoline)
• Carbamazepine (Tegretol)
• Valproic acid (Depakene)

C A patient taking phenytoin (Dilantin) and isoniazid reports feeling lethargic. Nystagmus is noted on physical examination. What problem does this information suggest to the nurse?

• Tubercular reactivation
• Abrupt discontinuation of isoniazid
• Phenytoin toxicity
• Liver damage

C Which antiepileptic drug is effective for almost all forms of seizures?

• Valproic acid (Depakene)
• Carbamazepine (Tegretol)
• Phenobarbital (Luminal)
• Phenytoin (Dilantin)

A