NCLEX book The Client with Seizures

3. a symptom that occurs just before a seizure.

35. The nurse is teaching a client to recognize an aura. The nurse should instruct the client to note: 1. a postictal state of amnesia. 2. a hallucination that occurs during a seizure. 3. a symptom that occurs just before a seizure. 4. a feeling of relaxation as the seizure begins to subside.

3. excessive growth of gum tissue

37. Which clinical manifestation is a typical reaction to long-term phenytoin sodium therapy? 1. weight gain 2. insomnia 3. excessive growth of gum tissue 4. deteriorating eyesight

3. Ease the client to the floor. 1. Maintain a patent airway 4. Obtain vital signs 2. Record the seizure activity observed

24. The nurse sees a client walking in the hallway who begins to have a seizure. What should the nurse do in order of priority from first to last? All options must be used. 1. Maintain a patent airway. 2. Record the seizure activity observed. 3. Ease the client to the floor. 4. Obtain vital signs.

4. loss of consciousness, body stiffening, and violent muscle contractions

25. Which finding will the nurse observe in the client in the ictal phase of a generalized tonic-clonic seizure? 1. jerking in one extremity that spreads gradually to adjacent areas 2. vacant staring and abruptly ceasing all activity 3. facial grimaces, patting motions, and lip smacking 4. loss of consciousness, body stiffening, and violent muscle contractions

4. "You will need to hold your head very still during the examination."

26. It is the night before a client is to have a computed tomography (CT) scan of the head without contrast. The nurse should tell the client: 1. "You must shampoo your hair tonight to remove all oil and dirt." 2. "You may drink fluids until midnight, but after that, drink nothing until the scan is completed." 3. "You will have some hair shaved to attach the small electrode to your scalp." 4. "You will need to hold your head very still during the examination."

3. a full breakfast as desired without coffee, tea, or energy drinks

27. The client will have an electroencephalogram (EEG) in the morning. The nurse should instruct the client to have which food/ fluids for breakfast? 1. no food or fluids 2. only coffee or tea if needed 3. a full breakfast as desired without coffee, tea, or energy drinks 4. a liquid breakfast of fruit juice, oatmeal, or smoothie

2. Notify the healthcare provider (HCP) if vision changes occur.

29. Which instruction should the nurse include in the teaching plan for a client with seizures who is going home with a prescription for gabapentin? 1. Take all the medication until it is gone. 2. Notify the healthcare provider (HCP) if vision changes occur. 3. Store gabapentin in the refrigerator. 4. Take gabapentin with an antacid to protect against ulcers.

2. status epilepticus may develop.

34. When preparing to teach a client about phenytoin sodium therapy, the nurse should urge the client not to stop the drug suddenly because: 1. physical dependency on the drug develops over time. 2. status epilepticus may develop. 3. a hypoglycemic reaction develops. 4. heart block is likely to develop.