Chapter 66: Management of Patients With Neurologic Dysfunction 3

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15

A client weighing 132 lb is brought to the emergency department in status epilepticus. The physician asks the nurse to prepare diazepam 0.25 mg/kg. How many milligrams will be given to this client?

"You must avoid coughing, sneezing, and blowing your nose."

A client whose physical findings suggest a hyperpituitary condition undergoes an extensive diagnostic workup. Test results reveal a pituitary tumor, which necessitates a transsphenoidal hypophysectomy. The evening before the surgery, the nurse reviews preoperative and postoperative instructions given to the client earlier. Which postoperative instruction should the nurse emphasize?

Turn the client to the side

A client with meningitis has a history of seizures. Which action by the nurse is appropriate while the client is actively seizing?

"Many people with developmental disabilities resulting from neurologic damage also have epilepsy."

A client with newly diagnosed seizures asks about stigma associated with epilepsy. The nurse will respond with which of the following statements?

chewing

A nurse is caring for a client with a diagnosis of trigeminal neuralgia. Which activity is altered as a result of this diagnosis?

Lamictal

A nurse is preparing to administer an antiseizure medication to a client. Which of the following is an appropriate antiseizure medication?

Parkinson's disease.

A patient is admitted to the hospital for management of an extrapyramidal disorder. Included in the physician's admitting orders are the medications levodopa, benztropine, and selegiline. The nurse knows that most likely, the client has a diagnosis of:

Aspiration of a brain abscess

The nurse is aware that burr holes may be used in neurosurgical procedures. Which of the following is a reason why a neurosurgeon may choose to create a burr hole in a patient?

High in protein and low in carbohydrate

The nurse is educating a patient with a seizure disorder. What nutritional approach for seizure management would be beneficial for this patient?

Phenobarbital

Which of the following drugs may be used after a seizure to maintain a seizure-free state?


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