ATI SEIZURES

A nurse is reviewing trigger factors that can cause seizures with a client who has a new diagnosis of generalized seizures. Which of the following information should the nurse include in this review? (Select all that apply) a. avoid overwhelming fatigue b. remove caffeinated products from the diet c. limit looking at flashing lights d. perform aerobic exercise e. limit episodes of hypoventilation f. use of aerosol hairspray as recommended

a. avoid overwhelming fatigue b. remove caffeinated products from the diet c. limit looking at flashing lights

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 the side-lying position b. document the duration of the seizure c. reorient the client to the environment d. provide client hygiene

a. keep the client in the side-lying position A: The greatest risk to the client is aspiration during the postictal phase. Therefore, the priority intervention is to keep the client in a side-lying position so secretions can drain from the mouth keeping the airway patent.

A nurse is assessing a client who has a seizure disorder. The client reports he thinks he is about to have a seizure. Which of the following actions should the nurse implement? (Select all that apply) a. provide privacy b. ease the client to the floor if standing c. move furniture away from the client d. loosen the client's clothing e. protect the client's head with padding f. restrain the client

a. provide privacy b. ease the client to the floor if standing c. move furniture away from the client d. loosen the client's clothing e. protect the client's head with padding

A nurse is completing discharge teaching to a client who has seizures and received a vagal nerve stimulator to decrease seizure activity. Which of the following statements should the nurse include in the teaching? a. "It is safe to use microwaves that are 1,200 watts or less." b. "You should avoid the use of CT scans with contrast." c. "You should place a magnet over the implantable device when you feel an aura coming" d. "It is recommended that you use ultrasound diathermy for pain management"

c. "You should place a magnet over the implantable device when you feel an aura coming" The nurse should instruct the client to hold a magnet over the implantable device when an aura occurs so as to decrease seizure activity

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 every day d. provide a urine sample to determine therapeutic levels of the medication

c. take the medication at the same time every day C: The nurse should instruct the client to take phenytoin at the same time everyday to enhance effectiveness