A nurse is caring for a client who has a seizure disorder select all that apply
A nurse is caring for a client who has a seizure disorder select all that apply. a sign of poor self-care. Insert a urinary catheter. 5. provide client hygiene. b. Assess if the patient has family support or if they live alone. Ease the client to the floor if standing. The nurse learns that the Study with Quizlet and memorize flashcards containing terms like The nurse is caring for an 84-year-old patient in the acute care facility who has newly diagnosed with a seizure disorder. 2. Move furniture away from the client. Which situation should the nurse include in the response? A. Administer lorazepam rectally to the Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has a seizure disorder and a new prescription for valporic acid. B. Maintaining a patent airway C. ) Loss of consciousness Appearance of daydreaming Dropping held objects Falling to the floor Having a piercing cry, A nurse is caring for a child who just experienced a generalized seizure. During the assessment, the nurse notes that the client is taking birth control pills. Administer supplemental oxygen to the client B. What is a seizure? Seizures are sudden and uncontrolled electrical disturbances in the brain that can range from mild to life-threatening. The nurse witnesses the client having a tonic-clonic seizure with increasing salivation. a symptom of hepatotoxicity. Restraining the client's limbs 3. ) - Hirsutism - Drowsiness - Headache - Ataxia - Rash Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new prescription for ergotamine. Place pads on the side rails of the bed. Multiple-drug therapy is recommended. Ulcerative colitis c. Which nursing action is priority? Discuss dietary therapy with the client's caregivers. period of sleepiness following the seizure during which arousal is difficult d. Aspartate aminotransferase (AST) d. hold down the client's arms 3. Preparing for discharge today. , The nurse is caring for a client who experienced a seizure lasting 2 minutes with Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who is scheduled to undergo electroconvulsive treatment (ECT). Which interventions apply if the child has a seizure? Select all that apply. Which would be the nurse's most appropriate strategy?, Discharge plans for a client with a mental health disorder include living with family members. Blood chemistry D. Blood chemistry E. Explore seizure patterns. Anaphylactic reaction to Study with Quizlet and memorize flashcards containing terms like a nurse understands that a client with a seizure disorder who frequently experiences an aura is describing a. The nurse should instruct the client to take the drugs at least 2 hr apart for which of the following reasons? Phenytoin increases the metabolism of sucralfate. Elevate the side rails near the head when the client is in bed. Provide a suction setup at the bedside. Protect client from injury. Restrain the client A client with a history of seizure disorder is receiving phenytoin in the hospital. Allow the client to sleep for 3 to 4 hr following ECT C. Sudden withdrawal of any antiepileptic medication can cause the onset of frequent seizures or even status epilepticus. AEDs have teratogenic effects. d. What nutritional approach for seizure management would be beneficial for this patient? Low in fat Restricts protein to 10% of daily caloric intake High in protein and low in carbohydrate At least 50% carbohydrate, The nurse is caring for a client immediately after Study with Quizlet and memorize flashcards containing terms like Client is having tonic-clonic seizure. Automatisms are the tonic/clonic movement seen in some types of seizures. a) Assist the patient to reposition every 2 hours b) Reapply pneumatic compression boots c) Remind the patient to perform active ROM d) Check Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a seizure disorder. D. Thyroid panel C. document the duration of the seizure. Which of the following should the nurse include when seizure precautions are prescribed by the healthcare provider? (Select all that apply. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a seizure disorder. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 10-year-old client who is newly diagnosed with a seizure disorder. The nurse is caring for a client who begins to experience seizure activity while in bed. The nurse is caring for a 72 year old client taking gabapentin (Neurontin) for a seizure disorder. C. The client states, "I keep seeing commercials on TV for Celebrex and I want to try it and see if it will help my pain. " 2. Which of the following actions should the nurse implement? (Select all that apply. Arrange a consultation with a registered dietician C. Affects attention and concentration Raises energy level Heightens A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. Which of the following stages of the disease should the nurse document in the clients record? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department. Instruct the Study with Quizlet and memorize flashcards containing terms like The nurse is educating a patient with a seizure disorder. The client asks the nurse how long the improvement in muscle strength will last. Which of the following comorbidities Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has chronic pyelonephritis. Risk for deficient fluid volume 2. Which response should the nurse make to the client? 1. Restrain client B. Maintaining accurate records of intake and output B. Palpate the costovertebral angles of the client. Refer the client to a neurologist. brief loss of Study with Quizlet and memorize flashcards containing terms like What should the nurse include as a possible adverse effect when teaching a client about phenytoin? Increased white blood cell count Liver toxicity Physical dependence Diarrhea, A client has been prescribed valproic acid for the treatment of myoclonic seizures. Complete blood count E. which of the following actions should the nurse perform first? A. Thyroid panel B. c. If possible, turn the client on the left side during or immediately after a seizure to reduce the risk of aspiration. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of seizure disorder. Which of the following laboratory values should the RN plan to monitor? (select all that apply) a. Study with Quizlet and memorize flashcards containing terms like 1. Loosen the client's Aug 3, 2024 · The family of a male client documented to be in a vegetative state excitedly reports to the nurse that the client has just opened his eyes for the first time. The client's eyes are closed. , Match the assessment findings to the correlating seizure phase. Place the child in a prone position. Client's weight 2 months ago was 100. 3 kg (221. AEDs deplete folic acid. com Feb 11, 2024 · In this post we’ll talk about the basics of seizures, how they’re treated, and seizure nursing interventions to keep our patients safe. Mar 13, 2022 · 1. Tachypnea e. Lumbar puncture A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. Which of the following interventions should the nurse include? (Select all that apply) A. 6. The nurse is providing care for the client. "-"Clients in a vegetative state often open and close their eyes. , The nurse caring for a client who is post status epilepticus is aware that status epilepticus can be caused by which conditions? Select all that apply. Place tongue blade in mouth E. PTT c. Which actions should the nurse take? Select all that apply. Which of the following interventions should the nurse include? Select all that apply. Risk for falls A nurse is caring for a 12-year-old client who has had multiple seizure attacks since she was 5 years of age. . Elevate the bed to a high Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has severe hypoglycemia and is experiencing a seizure. Attempt to restrain the client to reduce the risk of injury during the seizure. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of seizures in an acute care setting. Which 3. Assess availability of family/caregiver. The nurse recognizes this finding as a. a nurse is caring for a client who just experienced a generalized seizure. Prepare for A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Which action should the nurse take when caring for this client? Select all that apply, The nurse is asked to prepare a teaching tool about acquired hydrocephalus in An experienced nurse has just walked into the room of a client to whom the nurse has been assigned for the shift. The therapeutic level is 10 to 20 mcg/mL. Before starting the patient on an antiepileptic medication that will be continued after discharge, what laboratory studies would the nurse want to assess? SATA, The nurse is caring for four patients. Raynaud's phenomenon b. The nurse notes that the patient has reddened gums that bleed when oral care is given. Restrain the child. 4. Risk for constipation 4. Seizures NCLEX Questions. When reviewing this client's latest laboratory results for signs of Study with Quizlet and memorize flashcards containing terms like A school-age child requires a lumbar puncture. Which Which client statement indicates that the instruction to a client with a seizure disorder receiving phenytoin and phenobarbital is understood? Rationale: Combination therapy this client has seizures that are difficult to control. Time the duration of the seizure D. The nurse notices the client has a slower arm & leg movements & is losing balance when walking down the hall. Low body temperature D. Study with Quizlet and memorize flashcards containing terms like The nurse caring for a client who is recovering after a motor vehicle accident is planning for the client to begin increasing responsibility for self-care. keep the client in a side lying position. See full list on nurseslabs. Alanine aminotransferase (ALT) A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. Providing appropriate pain control, A client with a documented history of seizure Which teaching points should the nurse include when educating James's parents about caring for a client with seizures? Select all that apply. Client has a history of Crohn's disease and a seizure disorder that is managed with diet and medication. , the nurse is caring for a client who begins to experience seizure activity while in bed. Help the patient identify specific times or triggers of seizure activity and how to recognize symptoms so they can keep themselves safe or alert someone else to monitor them. The nurse understands from reviewing the medication level that which is the correct situation? A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. The best response by the nurse is:-"That is a just a reflexive action. (Select all that apply. As the nurse, it is important to know how to care for a patient experiencing a seizure, the various types, triggers, medications, and treatments. E. sensory warning that seizure is imminent b. Which of the following might be a significant observation that could influence the inclusion of a new nursing diagnosis? 1. Notify the primary health care provider immediately. What nursing intervention takes highest priority? A. , A nurse is caring for a client. Insert a padded tongue blade in the child A nurse is caring of a client who has Parkinson's disease , who comes into the clinic every six months for check-ups. A) The client is not driving. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who is 5 day postoperative following a total hip arthroplasty and is receiving meperidine for pain. In what order should the nurse provide care to this client?, An infant is born with an open spinal cord defect. Apr 30, 2024 · Seizure disorders, also known as epilepsy, are a complex and diverse group of neurological conditions that demand specialized nursing care and support. -Exhibit 1 Nurses' Notes 0800:Client awake, alert, oriented to person, place, and time. The nurse is caring for a client with myasthenia gravis who has received edrophonium by the intravenous route to test for myasthenic crisis. (Select all that apply) A nurse is caring for a client with a seizure disorder. While the nurse is taking morning vital signs, the client begins to experience a seizure. Prepare suction equipment at the bedside. The nurse should recognize the client is experiencing which of the following conditions? A. These disorders result from abnormal electrical activity in the brain , leading to recurrent seizures that can vary in type and intensity. insert a tongue depressor to move the tongue 4. Decreases urinary output b. Inserting a nasogastric (NG) tube as prescribed D. Removing the pillow and raising padded side rails 4. a drug interaction with aspirin. Administer IM epinephrine to the client prior to Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of seizures in an acute care setting. Urine culture D. Which of the following should the nurse recognize as the possible cause for this seizure? A A nurse is planning care for a client who has a seizure d/o and a new prescription for valproic acid. which Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client who has a new prescription for sulfasalazine. Nurse should take which of the following actions? SELECT ALL THAT APPLY A. Positioning the client to the side, if possible, with the head flexed forward 5. Protect the child from hitting the arms against the bed. Automatisms are repetitive unconscious movements such as chewing or lip smacking. Which of the following measures should the nurse employ when the client is having a seizure? A) Put something in the mouth to keep it open. Monitor 6) The nurse makes a visit to the home of an adolescent recently discharged from the hospital following treatment for a tonic-clonic seizure disorder. , The nurse is caring for a client who experienced a seizure lasting 2 minutes with A client taking an antiepileptic drug (AED) is considering becoming pregnant. ) (NGN) A. The nurse should tell the spouse which information?, The nurse is assisting in preparing a plan of care for a client with renal colic receiving meperidine hydrochloride The nurse is caring for a patient who has a seizure disorder. What actions will the nurse take at this time? (Select all that apply. continuous seizure state in which seizures occur in rapid succession c. Urine culture C. Study with Quizlet and memorize flashcards containing terms like While in a pediatric client's room, the nurse notes that the client is beginning to have a tonic-clonic seizure. "It will last for 4 to 5 minutes. AEDs cause placenta previa. Which information should the nurse include in the teaching plan? 1. Time the seizure. Study with Quizlet and memorize flashcards containing terms like Which action(s) should you delegate to the experienced nursing assistant when caring for a patient with a thrombotic stroke with residual left-sided weakness? Select all that apply. Stay with the child. Maintain airway. The nurse will identify this as which type of seizure?, The cerebrum is divided into right and left hemispheres, which are The nurse is creating a plan of care for a child who is at risk for seizures. Move furniture away from the child. Single-drug therapy is recommended. " Upon review of scientific The nurse is caring for a client who is newly diagnosed with a seizure disorder. The nurse suspects that the client will be diagnosed with _________ as evidenced by the client's _______________. Low blood pressure, The nurse is teaching a client about possible seizure triggers. C) Elevate the head of the bed to 45 degrees. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client admitted for a seizure disorder. A continuous seizure state in which seizures occur in rapid succession B. Loosening restrictive clothing 2. The nurse should anticipate which diagnostic test to be prescribed? (Select all that apply. an adverse effect of the phenytoin. The nurse observes the client making severe jerky movements (extending and contracting extremities) and the client loses consciousness. Place the bed in the lowest position. " 2) "the med can stain your contact lenses green" 3) "The medication can color your urine dark brown" 4 Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for a client who is unconscious. Urinalysis e. No seizure activity recorded during the night. Risk for impaired verbal communication 3. Complete blood count B. BUN b. Turn the client to the side C. Encourage the client to restrict daily fluid intake to 1 L. Which observations indicate that outcomes for care have been achieved? Select all that apply. ) a. Which information should the nurse include? (Select Study with Quizlet and memorize flashcards containing terms like The nurse is reinforcing instructions to the spouse of a client who is taking tacrine for the management of moderate dementia associated with Alzheimer's disease. A nurse is caring for a client that has recently suffered an acute myocardial infarction, which of the following are signs and symptoms of shock for which the nurse should monitor the client? Select all that apply: a. , The nurse is caring for a client who experienced a seizure lasting 2 minutes with Study with Quizlet and memorize flashcards containing terms like A client asks the nurse what might trigger a seizure. (select all that apply)-hirsutism-downsiness-headache-ataxia-rash Find step-by-step Health solutions and your answer to the following textbook question: A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a child who has absence seizures. 1 lb). The client asks, "What does norepinephrine normally do in the body?" What should the nurse include in the response? Select all that apply. Because of this client's age, the nurse would establish which nursing diagnosis related to the drug's common adverse effects? 1. " Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is taking a medication that affects the function of the neurotransmitter norepinephrine. Which of the following findings should the nurse expect? (Select all that apply. Turn client to side. What variable would alter the nurse's plan for educating the client and parent?, The nurse has instructed the client in self-catheterization, but the client is unable to perform a return demonstration. Keeping the curtain around the client and the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who has an allergy to sulfa, is taking valproic acid (Depakote) for a seizure disorder, and has been newly diagnosed with osteoarthritis. " Study with Quizlet and memorize flashcards containing terms like The home health nurse visits a client who is taking phenytoin (Dilantin) for control of seizures. B) The client has not had a seizure for 1 month. For potential provider's prescription, click to specify if the A nurse is caring for a client who has a seizure disorder. ) A. The client's skin is pale and mottled. Place a tongue depressor in the client's mouth E. "-"That is a miracle. B) Observe for a flushing of the skin. Bradycardia c. A nurse is caring for a client who has a seizure disorder. The nurse is caring for a client who is newly diagnosed with a seizure disorder. 1. The client reports he thinks he is about to have a seizure. 3. The nurse should instruct the client to monitor for which of the following adverse effects. Which of the following statements should the nurse make? 1) "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn. Which equipment should the nurse ensure is always at the bedside? Select all that apply. reorient the client to the environment. , Match each assessment finding to the correlating seizure phase. Decreased intracranial pressure C. The nurse should recognize that ergotamine is administered to treat which of the following conditions? a. A nurse is caring for a client who has a new diagnosis of seizure disorder. Exposure to toxins B. Administer glucagon 1 mg subcutaneously. Which of the following interventions should the nurse include? A. The client may stop the Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of seizures in an acute care setting. Call for help 2. Migraine headaches, A nurse is caring for a client who has a new prescription for amphotericin A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Which of the following actions should the nurse take? (Select all that apply. The client continues to experience focal tonic seizures. This topic is part of a neuro NCLEX review, so be sure to check out the other NCLEX reviews as well. The client has a seizure and the nurse reviews the laboratory results of the phenytoin level of 18 mcg/mL. Pregnancy should be avoided while taking phenytoin. Maintain a clear liquid diet for 6 to 8 hr prior to ECT B. Anemia d. Provide privacy. Be sure the bed side rails are in the up position. Which information should the nurse provide this client? (Select all that apply. Which of the follwing lab values should the nurse plan to monitor?, A nurse is reviewing the medical history of a client who has spasticity due to MS and a new prescription to tizanidine. Hypoxia d. "It will last for about 30 minutes. guwoqibietltgbsvpegvkzmfcmyduyoiudhmawtnhylpbreb
