Test 3 Chpt 66
The nurse recognizes that causes of acquired seizures include what? Select all that apply.
***Cerebrovascular disease ***Brain tumor ***Hyponatremia ***Metabolic and toxic conditions ***Drug and alcohol withdrawal
A client with epilepsy is having a seizure. What intervention should the nurse do after the seizure?
***Keep the client on one side. Pry the client's mouth open to allow a patent airway. Place a cooling blanket beneath the client. Help the client sit up.
The nurse is called to attend to a patient having a seizure in the waiting area. What nursing care is provided for a patient who is experiencing a convulsive seizure? Select all that apply
***Loosening constrictive clothing Restraining the patient to avoid self injury ***Positioning the patient on his or her side with head flexed forward ***Providing for privacy Opening the patient's jaw and inserting a mouth gag
When educating a patient about the use of antiseizure medication, what should the nurse inform the patient is a result of long-term use of the medication in women?
***Osteoporosis Osteoarthritis Anemia Obesity
A client with meningitis has a history of seizures. Which should the nurse do to safely manage the client during a seizure? Select all that apply.
***Turn the client to the side. ***Provide verbal reassurance. Physically restrain the client's movements. Inspect the oral cavity and teeth.
Which medication classification is used preoperatively to decrease the risk of postoperative seizures?
Corticosteroids Diuretics ***Anticonvulsants Antianxiety
A client experiences loss of consciousness, tongue biting, and incontinence, along with tonic and clonic phases of seizure activity. The nurse should document this episode as which type of seizure?
Jacksonian Absence ***Generalized Sensory
The nurse is caring for a client who is in status epilepticus. What medication should the nurse anticipated administering to halt the seizure immediately?
Oral phenytoin Intravenous phenobarbital ***Intravenous diazepam Oral lorazepam
A client with meningitis has a history of seizures. Which activity should the nurse do while the client is actively seizing?
Place a cooling blanket beneath the client Provide oxygen or anticonvulsants, whichever is available ***Turn the client to the side during a seizure and do not restrain movements Suction the client's mouth and pharynx
The nurse is providing care for a client who is unconscious. What nursing intervention takes highest priority?
Providing appropriate pain control Maintaining accurate records of intake and output ***Maintaining a patent airway Inserting a nasogastric (NG) tube as prescribed
A client is having a tonic-clonic seizure. What should the nurse do first?
Restrain the client's arms and legs. ***Take measures to prevent injury. Elevate the head of the bed. Place a tongue blade in the client's mouth.
A nurse is providing care to a client with a brain tumor. The client has experienced seizures as a result of the tumor. Which area would be a priority for this client?
Skin care ***Safety Self-care Activity
A client the nurse is caring for experiences a seizure. What would be a priority nursing action?
Suction the mouth during the convulsion. Restrain the client during the seizure. ***Protect the client from injury. Insert a tongue blade between the teeth.
The nurse is providing care for a client who is withdrawing from heavy alcohol use. The nurse and other members of the care team are present at the bedside when the client has a seizure. In preparation for documenting this clinical event, the nurse should note which of the following?
The client's ability to explain his seizure during the postictal period. ***The client's activities immediately prior to the seizure. The success or failure of the care team to physically restrain the client. The ability of the client to follow instructions during the seizure.
The nurse is caring for a client who has undergone supratentorial removal of a pituitary mass. What medication would the nurse expect to administer prophylactically to prevent seizures in this client?
***Phenytoin Prednisone Dexamethasone Cafergot
