A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. Infuse the medication slowly b. " Which of the following actions should the nurse plan to implement? (SATA) A. What is the priority nursing diagnosis for a client experiencing a migraine headache? 1. Note the first thing the client does in the seizure. , The nurse is reviewing Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in an outpatient clinic. Safety will definitely be a key component Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a child who has absence seizures. Place a pillow under the client's head. b. Which actions should the nurse implement? (Select all that apply) A. Provide the client with privacy during the seizure. Encourage the client to think positive thoughts b. Which of the following findings can the nurse expect? (Select all that apply. The nurse should recognize the client is experiencing which of the following conditions? 1) A continuous seizure state in which seizures occur in rapid succession 2) A sensory warning that a seizure is imminent 3) A period of sleepiness following the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an adult client who has alcohol use disorder. Following the application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which action should the nurse take when caring for this client? Select all that apply, The nurse is asked to prepare a teaching A client has been experiencing severe pain and is being treated with narcotics. A client with substance-induced psychotic disorder related to substance intoxication. CHD2220 Chapters 8-10. Broken teeth and injury to the lips and tongue may result from trying to place anything in the clenched jaws of a client having a tonic-clonic seizure. " "Once Study with Quizlet and memorize flashcards containing terms like A nurse is administering a cold therapy application to a client. ease the client to the floor if standing C. these meds must be continued to prevent falls and injury c. a. loosen the clients clothing E. Replace the water in Study with Quizlet and memorize flashcards containing terms like A nurse in a prenatal clinic is caring for a 26-year-old client in the second trimester who has come to the clinic for a scheduled checkup. , cocaine, theophylline). Pregnancy should be avoided while A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Assess the size of the client's pupils. He had a seizure on the way to the hospital emergency department. Chapter 42 4th Edition - Care of the Child w/Gastrointestinal Disorder. ) a. D. Which statement is most important for the nurse to provide regarding Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following nursing actions should have the highest priority? Select one: a. 5% of the population, met the DSM-5 criteria for having a substance use disorder. Move furniture A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. Elevate the Study with Quizlet and memorize flashcards containing terms like A nurse is monitoring a client who has heart failure related to mitral stenosis. Which of the following actions should the nurse take to minimize the risk of thrombophlebitis? a. The child is the client's sole caregiver and reports feeling fatigued and overwhelmed. Which of the following client statements indicates a cognitive distortion in the client's thinking? A. The Substance Abuse and Mental Health Services Administration also reports that in 2021, about 43 million people, or 16. Ten minutes after administering an inhaled bronchodilator to the client, the nurse returns to ask if the client is breathing easier. Tachycardia E. Which of these nursing actions will you implement first if the patient has a seizure? a) Place the patient on a non-rebreather mask will the oxygen at 15 L/minute b) Administer lorazepam (Ativan) 1mg IV c) Turn the patient to the side and protect the airway d) Study with Quizlet and memorize flashcards containing terms like A client experiences loss of consciousness, tongue biting, and incontinence, along with tonic and clonic phases of seizure activity. The nurse notes that the patient has reddened gums that bleed when oral care is given. Assess the a nurse is assessing a client who has seizure disorder. In what order should the nurse provide care to this client?, An infant is born with an open spinal cord defect. tonic-clonic seizures. Ask security to Spending adequate time with a client who is verbally abusive By spending adequate time with a client who is verbally abusive, the nurse is demonstrating the ethical principle of justice. N/A. C. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? 18 g. Loss of consciousness is brief and seizures typically last 1 to 2 minutes. Study with Quizlet and memorize flashcards containing terms like A nurse is planning discharge for a client who has BPD. However, seizures are relatively common, have multiple causes and can present in a variety of ways. -Exhibit 1 Nurses' Notes 0800:Client awake, alert, oriented to person, place, and time. Study with Quizlet and memorize flashcards containing terms like A client who is receiving an antiseizure agent reports feeling sleepy and tired and reports dizziness when standing up. What should the nurse do? "Sleep deprivation can cause a seizure, which will be helpful during the test. Dropping held objects D. While the Pet Is Seizing. seizure disorder b. Which of the following responses should the nurse provide? A) Sympathetic nervous system (SNS) B) Adrenal Study with Quizlet and memorize flashcards containing terms like A child has been presented for care because he has episodes where he pauses what he is doing for a few seconds, is unresponsive, and then continues on with his activity. 6 terms. (Select all that apply. AST d. What is the most important thing to get ready prior to client arrival? Prepare to start an IV Check that suction is set up and working properly Pull lorazepam in anticipation Pad the side rails, A 54-year-old client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is in crisis following the breakup of a long-term relationship. Move furniture away from the clientC. The nurse should also assess the patient’s level of consciousness during Nurses may care for patients experiencing acute seizures in relation to a larger condition or traumatic injury or a patient who has had epilepsy for many years. The client who is ambulatory with steady gait and the client scheduled for physical Study with Quizlet and memorize flashcards containing terms like A nurse is contributing to the plan of care for a client who has hyperemesis gravidarum . Study with Quizlet and memorize flashcards containing terms like A nurses reinforcing teaching with a client about AA, which of the following statements by the client, indicates an understanding of the programs basic concepts?, which are appropriate interventions for caring for the client in alcohol withdrawal? (SATA), The nurses caring for a client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client in the emergency department who is experiencing status epilepticus. Place a tongue depressor in the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has diabetes mellitus. " Which of the following actions should the nurse implement? (Select all that apply. Inserting a nasogastric (NG) tube as prescribed D. What client statement indicates that the instructions regarding the medications are understood?, Which information should be included in the teaching plan for the client diagnosed with epilepsy?, A client has a Study with Quizlet and memorize flashcards containing terms like The nurse is expecting admission of a seizure client and is setting up the room. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? A) Sodium 136 mEq/L B) Potassium 4. Cocaine d. The infant is up to date on immunizations. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia . i will not have any seizures with these meds b. 50 terms. Which of the following Study with Quizlet and memorize flashcards containing terms like A client is taking carbamazepine (Tegretol). Serve cooked fruit with meals c. Cystic fibrosis 2. Which of the following findings should the nurse expect the client to report? (Select all that apply), A nurse is teaching a client who has seasonal affective disorder (SAD) about Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. The client has a mask - like facial expression and is experiencing involuntary movements and tremors . The nurse cautions the client to 4. Which of the following actions should the nurse take?, A nurse is assisting Study with Quizlet and memorize flashcards containing terms like A nurse is assessing an adolescent who has sustained a broken tibia. 3 kg (221. Provide privacy B. Maintaining accurate records of intake and output B. The nurse recognizes this finding as a. The client reports he thinks he is about to have a seizure. using behavior modification to decrease negative behavior by using negative reinforcement. Insert an oral airway during the seizure to maintain a patent airway. After removing the client to safety, which of the following actions should the nurse take next?, A nurse is caring for a client who is experiencing a seizure. behavioral contract C. the nurse should assess the client for which of the following adverse effects? A. Introduce an element of pleasure into fearful situations, A client comes to a mental A nurse is caring for a client who is experiencing a seizure. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? Visual disturbances a nurse is preparing to administer a sublingual nitroglycerin tablet to a Study with Quizlet and memorize flashcards containing terms like A home health nurse is interviewing the adult of a child of a client who has Alzheimer's disease. Which of the following actions is the nurse's priority?, A nurse is caring for a client who had a right A client with a history of seizure disorder is receiving phenytoin in the hospital. BUN b. This intervention is important for managing autonomic dysreflexia because a fecal impaction can trigger autonomic dysreflexia by causing rectal distention. " C. The nurse prepares to administer this drug via which route?, The nurse is teaching a client who has been started on antiseizure medications. Inhalants, AA mental health nurse us A nurse is caring for a client who has been in the PACU for more than 1 hr has a respiratory rate of 9/min and is difficult to arouse. Ask the emergency provider for a prophylactic anticonvulsant. , When describing the course of illness associated with somatic symptom disorder, which would the nurse include?, A nurse is preparing a The client is experiencing shakiness. The client's electronic medical record reveals a recent diagnosis of tonic-clonic seizures and prescription for phenytoin. a nurse is caring for a client who has a seizure disorder and reports experiencing ancaura the nurse should recognize the client is experiencing which of the following Here’s the best way to solve it. If you are currently caring for a patient who has epilepsy, here are some key nursing interventions for seizures: Stay, safe, side. 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. Move furniture away from the client. Which of the following findings Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has a diagnosis of posttraumatic stress disorder (PTSD) and has been referred for care. Pancreatitis D. How should the nurse document this activity? a. generalized seizure. Study with Quizlet and memorize flashcards containing terms like A school-age child requires a lumbar puncture. Provide relief measures for manifestations the The first phase, the pre-ictal (aura), has signs. A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Platelet count 2. Which intervention would the nurse most likely implement as the priority? Emotional support Safety precautions Hydration therapy Skin-care measures, A client prescribed 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. Study with Quizlet and memorize flashcards containing terms like A client abruptly stopped drinking 8 hours ago. The nurse notes the client is experiencing some involuntary movements of the tongue and face. b) even small doses may cause noticeable dizziness. 1 lb). stevesand5. assess fetal heart tones 3. He is having visual hallucinations and appears agitated. During a seizure, the pet is experiencing an abnormal, uncontrolled burst of electrical “Move objects away from the client. The client will be on antiseizure medication for life. Client has a history of Crohn's disease and a seizure disorder that Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a prescription for clopidogrel. Which of the following findings should the nurse identify as adverse factors impacting the client's mental health? Click to highlight below the findings that are adverse factors impacting the client's mental health. bibliotherapy D. What will the nurse expect to assess in this patient?, A patient who has a seizure disorder has begun taking phenytoin. The nurse enters the room as the client is beginning to have a tonic-clonic seizure. "Have you talked to your parents about this yet?" C. 2g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. Notify the primary Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is about to begin taking metronidazole to treat an anaerobic intra-abdominal bacterial infection. A sensory warning that a seizure is imminent 8. The client tells the nurse, "I might as well just die. The client starts to actively seize. protect the 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. Administer naltrexone. A nurse is caring for a child who is experiencing a seizure. The client continues to experience focal tonic seizures. The nurse determines that the client understands the action of the medication if the client verbalizes that results may not be apparent for which length of time?, A client taking phenytoin has a serum phenytoin Study with Quizlet and memorize flashcards containing terms like Which answer would the nurse provide if asked how phenytoin works to control seizures?, Which sign or symptom would the nurse observe if caring for a patient who experienced an absence seizure?, The nurse is caring for a patient taking carbamazepine to control seizure activity during 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?, The nurse has taught a client who is receiving lamotrigine about possible adverse effects. Study with Quizlet and memorize flashcards containing terms like When describing the action of barbiturates and barbiturate-like agents in the control of seizures, what would the nurse include? Maintenance of cerebellar function Stimulation of the cerebral cortex Promotion of impulse conduction Depression of motor nerve output, A client who has Study with Quizlet and memorize flashcards containing terms like A home health nurse is interviewing the adult of a child of a client who has Alzheimer's disease. 0 × 109/L) and a temperature of 101°F (38. Maintaining a patent airway C. Which of the following Study with Quizlet and memorize flashcards containing terms like Mannitol is administered intravenously to a client admitted to the hospital with loss of consciousness and a closed head injury. ” 5. The nurse should anticipate the administration of what medication? a) Ethosuximide b) Carbamazepine c) Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing lab results and notes that a 5-year-old patient's serum phenobarbital level is 8 mcg/mL. Anxiety related to change in or threat to health status 3. Drowsiness, headache, A nurse is caring for a client who has been taking History and Physical Client admitted to the medical-surgical unit with severe, acute abdominal pain, abdominal distention, diarrhea, mucus and small amount of blood in the stool, and a 12% weight loss over the past 2 months. Her nursing career has led her through many different specialties including inpatient acute care, hospice, home health, case management, travel nursing, and telehealth, but her passion lies in Study with Quizlet and memorize flashcards containing terms like A. The client tells the nurse, "I am about to have a seizure. -Passive range-of-motion exercises to lower extremities performed once each day. " Question: Question: 30 of 30Pause Remaining: 00:0FLAGA nurse is caring for a client who has a seizure disorder and reports experiencing an aura. Hypotension B. polytherapy. Acute Pain related to biologic and chemical factors 2. Exhibit 1: Nurses' Notes 1200:Client arrives to ED and reports abdominal pain and no bowel movement for the past 7 days. 3. An instruction you would want to give her parents regarding this is a) their child will have to practice good tooth brushing. The client states, "A friend recommended an herbal supplement for my depression. stopping the meds can cause A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. 17 terms. The nurse should inform the client that abrupt withdrawal from the medications can cause which problem? Respiratory arrest Status epilepticus Cardiac arrhythmia Hypertensive crisis, A client is prescribed Study with Quizlet and memorize flashcards containing terms like 1. " The nurse is admitting a patient experiencing photophobia and nuchal rigidity. A nurse is assessing a client who has a seizure disorder. Determine if the client is incontinent of urine or stool. Physical Study with Quizlet and memorize flashcards containing terms like A nurse in a pediatric clinic is assessing an infant during a well-child visit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors? A Isolate the client for a period of time. ) A. The nurse should recognize the client is experiencing which of the following conditions? A continuous seizure state in which seizures occur in rapid succession Study with Quizlet and memorize flashcards containing terms like The parents of a client intubated due to the progression of Guillain-Barré syndrome ask whether their child will die. The nurse determines that the medication achieved its priority effect if which outcome was noted? 1. "I never say the right thing to other people. which of the following findings should indicate to the nurse the need to withhold the client's next dose of morphine?, A nurse in a community health clinic is assessing a new client who has Study with Quizlet and memorize flashcards containing terms like A school-aged girl with seizures is prescribed phenytoin sodium, 75 mg four times a day. Which of the following statements should the nurse make?, A nurse is reinforcing teaching with a client who is going to have an EEG in the morning. An elevated temperature is not Study with Quizlet and memorize flashcards containing terms like A nurse suspects that a client is experiencing phenytoin toxicity based on assessment of which sign? Select all that apply. A client reports sensing an unusual smell just prior to Study with Quizlet and memorize flashcards containing terms like Give an example of how a nurse exhibits fidelity in client care. The nurse should indicate a severe allergy to which of Study with Quizlet and memorize flashcards containing terms like which action would be the highest priority for the nurse to implement for a client experiencing an eclamptic seizure? 1. ), A nurse is assessing a client who is experiencing digestive issues. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3. A nurse is caring for a client who has dehydration. The nurse should inform the client Study with Quizlet and memorize flashcards containing terms like A client reports sensing an unusual smell just prior to experiencing a tonic-clonic seizure. the most important data to assess would be 1) decreased level of carbon dioxide 2) decreased level of oxygen 3) decreased level of PCO2 4) decreased hydrogen ions, a client's recent The nurse should tell the UAP to stop trying to insert anything in the mouth of the client experiencing a seizure. 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. Using the least restrictive/least invasive priority framework, the nurse caring for a client who has Study with Quizlet and memorize flashcards containing terms like A client is admitted with a head injury. Humidify the client's room b. The client reports shortness of breath on exertion. A 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. Pain 2. Which of the following medications should the nurse anticipate administering ? Study with Quizlet and memorize flashcards containing terms like What is an appropriate way a nurse can help a client to decrease anxiety? 1. The client has a peripheral IV and has a prescription for an infusion of 0% sodium chloride 1,000 mL with 40 mEq potassium chloride to infuse over 1 hr. For which diagnostic test should the nurse prepare this While working in the ICU, you are assigned to care for a patient with a seizure disorder. , The risk factors associated with recurrence of epilepsy include: a. What action should the nurse implement first? 1. Which of the following actions should the nurseimplement? Select all that apply. Provide privacy. engaging in power struggles with the client to minimize manipulative behavior. atonic seizure. What would be the best answer by the nurse?, The nurse evaluates the Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a client who has been started on antiseizure medications. Which of the following actions should the nurse take? a) Record the time and length of the seizure b) Restrain the client’s extremities. B Confront the client Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client experiencing migraine headaches who is receiving a beta blocker to help manage this disorder. "Sounds like you are having a difficult time. What should the nurse include in the plan of care as a desirable and measurable outcome for this client? a client began taking ethosuximide 500 mg/day PO for the treatment of absence seizures. the client reports he thinks he is out to have a seizure. The goal is to avoid unrealistic expectations and excessive frustration while drugs and dosages are being changed in an effort to determine the best Study with Quizlet and memorize flashcards containing terms like 1. Phenobarbital is considered therapeutic at levels between 10 and 40 mcg/mL. Which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug?, A nurse is teaching a client who received a prescription for interferon beta 1A for the treatment of multiple sclerosis. Falling to the floor E. Appearance of daydreaming C. There is a safety risk of drowning with 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. safety plan, A nurse is caring for a client who has bipolar disorder. "Why A nurse is assessing a client who has a seizure disorder. d) Monitor the client’s hemoglobin level. Alcohol b. move furniture away from What is the priority nursing concern for a client experiencing a migraine headache? 1. The nurse determines that the client has understood the teaching when the client identifies a 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. Prolong exposure to fearful situations 3. g. A sensory warning that a seizure is imminent. The family member asked for clarification on what the term automatisms meant. " A nurse is caring for a client who is experiencing a seizure which of the following action should the nurse take? (Select all that apply) A. 4. Risk for Study with Quizlet and memorize flashcards containing terms like A client with Parkinson's disease has begun therapy with carbidopa/levodopa. The nurse should recognize the client has developed which of the following adverse effects? Study with Quizlet and memorize flashcards containing terms like What is the priority nursing diagnosis for a client experiencing a migraine headache? A. Risk for Injury related to If keeps the trachea and upper airway open while the client is asleep = C. No seizure activity recorded during the night. Obtain a history of seizure type and incidence. Apply restraints. The nurse knows that this client probably has a history of: grand mal seizures. Ease the client to the floor. E. A nurse is caring for a client who is scheduled for surgical repair of a femur fracture and has a Study with Quizlet and memorize flashcards containing terms like A client who is being seen in the outpatient clinic reports a single episode of unilateral arm and leg weakness and blurred vision that lasted approximately 45 minutes. Study with Quizlet and memorize flashcards containing terms like 1. Theclient reports having am aura and saying he is about to have aseizure. "Essential oils would be a better option with your antiseizure medication. Which information would the nurse provide this patient?, The nurse is caring for a patient who The client begins to experience a tonic clonic seizure. Which of the following statements by the client requires the nurse to contact the provider for possible rescheduling? A. "Take this drug only when you have prodromal symptoms indicating A nurse is caring for a client who has a new diagnosis of seizure disorder. Respiratory depression, B. Which of the following actions should the nurse take? A nurse is caring for a client who has right-sided paralysis from a stroke. What is the very first thing the nurse should do? If the client is not in bed when seizure activity begins, the nurse lowers the client to the floor, if possible; protects the head from injury; and moves furniture that may injure the A nurse is caring for a client who has been recently diagnosed with a seizure disorder. Administer glucagon 1 mg subcutaneously. Which laboratory study prescribed for the client should the nurse specifically review to monitor for an adverse effect associated with the use of this medication? 1. What term is used to describe this event? aura spasm spasticity epilepsy, What type of seizure activity is characterized by generalized tonic-clonic convulsions lasting for several minutes during Study with Quizlet and memorize flashcards containing terms like A patient with complex partial seizures is prescribed phenytoin to control recurrent seizures, but the patient reports being reluctant to take the drug long term because of its side effects. "You can take valerian along with your antiseizure medication to help you sleep. Which would be the nurse's most appropriate strategy?, Discharge plans for a client with a mental health disorder include living with Study with Quizlet and memorize flashcards containing terms like While the nurse is transporting a patient on a stretcher to the radiology department, the patient begins having a tonic-clonic seizure. What does the nurse identify as the most likely cause? A. Refer the client to a neurologist. The nurse should monitor the client for which of the following adverse effects?, A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. Here’s the Neurology 1. Move furniture away Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client who has a new prescription for sulfasalazine. Decreased left atria pressure d. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply. Decreased appetite b. The nurse is caring for a client experiencing migraine headaches who is receiving a beta blocker to help manage this disorder. Protect the child from hitting the arms against the bed. numbness c. Febrile seizure Febrile seizures are characterized by high temperatures and tonic-clonic movements. Request a prescription for restraints from the provider b. Hopelessness related to deteriorating physiologic condition D. For potential provider's Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has borderline personality disorder and is expressing concern about needing prolonged hospitalization. The nurse is caring for a client with a seizure disorder currently controlled with antiseizure medication. The client is experiencing shakiness. The client tells the nurse, "I am about to have a seizure. The client has been taught that abstinence and looking at recovery as an ongoing process is the most effective way to vlew recovery. absence seizure. The client reports burning and tingling in their feet. The nurse determines that the client has understood the teaching when the client identifies a need to promptly report what adverse effect? a) Signs of upper respiratory infection b) Rash c) Fatigue d) Anorexia Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a history of alcohol use disorder and is experiencing alcohol withdrawal. When reviewing this Study with Quizlet and memorize flashcards containing terms like A nurse discovers a small fire in a client's room. What should the nurse do? 1 Hyperextend the client's neck 2 Move obstacles away from the client 3 Restrain the client's body movements 4 Attempt to place an airway in the client's mouth, While Study with Quizlet and memorize flashcards containing terms like 1The type of seizure, also known as a petit mal seizure, that occurs more often in children between the ages of 4 and 12 years is the: a. The nurse should recognize the client is experiencing which of the following conditions? and more. Which clinical Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department (ED) is caring for a client who reports abdominal pain. Which comment is the best psychosocial intervention for the parents? and more. Loosen the client’s A nurse is caring for a client diagnosed with asthma who has not responded to repeated, frequent doses of bronchodilators. In As care is rendered before, during, or after a seizure event, the skills needed to promote safety and protection from harm or injury must be performed in a competent manner. Which of the following conditions should the nurse expect? a. Which of the following actions should the nurse take? a) Record the time and length of the seizure b) Restrain the A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. When the nurse spends an appropriate amount of time with each client regardless of their behavior and in keeping with their individual needs, the nurse guarantees that all Seizure disorders, also known as epilepsy, are a complex and diverse group of neurological conditions that demand specialized nursing care and support. The nurse should identify which of the following as a possible sign of child abuse? a. The nurse has taught a client who is receiving lamotrigine about possible adverse effects. Question: 1. She earned her BSN at Western Governors University. Ease the client to the floor if standing C. 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. ) - Hirsutism - Drowsiness - Headache - Ataxia - Rash. Thyroid hormone assay Rationale: Thyroid testing is Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with caring for a client who has a new concussion following a motor vehicle crash. Which of the following findings should the nurse identify as a manifestation of severe alcohol withdrawal? a. During the client interview, what statement by the client should the nurse prioritize for follow-up? A. Client's weight 2 months ago was 100. 2 mEq/L. The therapeutic level is 10 to 20 mcg/mL. Restrain the patient's arms and legs to A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Administer 50% Dextrose via IV push. To promote adequate nutrition and Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the client's medical record. B. period of sleepiness following the seizure during which Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the results of a hospital client's serum phenytoin level, which has just become available. A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following actions should the nurse take first? The nurse is caring for a patient who has a seizure disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis? a. Obtain The nurse is caring for a client with a seizure disorder currently controlled with antiseizure medication. The nurse should identify which of the following interventions as the priority? Suggest the client attend a support group. The nurse should recognize the client is experiencing which of the following conditions? Seizure disorders, also known as epilepsy, are a complex and diverse group of neurological conditions that demand specialized nursing care and support. Insomnia d. Implement Study with Quizlet and memorize flashcards containing terms like A client with a seizure disorder is receiving phenytoin and phenobarbital. Loosen the client's 40. Give the adolescent ibuprofen B. Urinalysis e. Sometimes I feel like I can't even cope unless I've had a few Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a community education course about the physical complications related to substance use disorder. Check the client for a fecal impaction. The client has a seizure and the nurse reviews the laboratory results of the phenytoin level of 18 mcg/mL. protect the A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. Basic first aid for treating anyone who's having an epileptic seizure is to follow the What are seizures? Seizures occur when abnormal electrical signals are being rapidly fired for neurons in the brain. Provide relief measures for manifestations the Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a herniated lumbar intervertebral disk who is experiencing low back pain. Be sure the bed side rails are in the up position. Which of A nurse is caring for a client who is experiencing a seizure. " 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. The nurse determines that the client has understood the teaching a nurse is caring for a client who has a seizure disorder and reports experiencing ancaura the nurse should recognize the client is experiencing which of the following Here’s the best way to solve it. An adolescent client who has anorexia nervosa has a BMI of 17, A nurse is caring for a client who has borderline personality disorder. Study with Quizlet and memorize flashcards containing terms like A client has been prescribed vancomycin 1 gram IV every 12 hours for the treatment of methicillin-resistant staphylococcus aureus (MRSA). The nurse understands from reviewing the medication level that which is the correct situation? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is experiencing acute pain and is receiving morphine. Anxiety related to change in or threat to health status C. Which of the following should the nurse instruct A nurse is caring for a client who has fluid volume overload. Discharge teaching provided to client and partner regarding a new prescription for carbamazepine. The client reports having difficulty checking their blood glucose. Which of the following actions should the nurse take? a. Study with Quizlet and memorize flashcards containing terms like A client with a seizure disorder is receiving phenytoin and phenobarbital. Risk for brain injury The nurse is preparing to admit a client with a seizure disorder. Avoid unpleasant events 2. Improved level of consciousness and normal intracranial Study with Quizlet and memorize flashcards containing terms like When assessing a client with somatic symptom disorder (SSD), the nurse would be alert for which comorbidity as most common? Select all that apply. In this post we’ll talk about the basics of seizures, how they’re treated, and seizure nursing When assessing a patient with seizures, the nurse should gather information about the frequency, duration, and severity of the seizures. The results indicate that the client's phenytoin level is 17. ALT Study with Quizlet and memorize flashcards containing terms like The nurse asked a family member of a client with seizures if the client exhibited automatisms with the most recent seizure. Ask the client if the patient exhibited any of the following signs: Appeared scared, dazed, nervous, or stressed salivated, vocalized, or whined; Record any observations or signs the owner reports. Time the duration of the seizure D. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client with a history of stroke who has been prescribed several medications and expresses reluctance to take them because of his difficulty swallowing. move furniture away from the client D. " Which of the following actions should the nurse take first?, A nurse in a health clinic is collecting data from a client who is upset Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client whose partner was recently hospitalized with covid-19. A client with Parkinson's disease has difficulty swallowing. Cataracts C. partial seizures. The nurse should recognize the client is experiencing which of the following conditions? Nurses play a crucial role in managing seizures and providing care to clients during and after an episode. Providing appropriate pain control, A Study with Quizlet and memorize flashcards containing terms like 2. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? a. The client also reports chest tightness, wheezing, dry cough, shortness of breath, and severe respiratory distress. Anxiety 3. dialectical behavior therapy B. , A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. What drug does the nurse know is MDD/bipolar disorder meds. place an oral airway 4. The nurse should recognize the client is experiencing which of the following conditions? A. For which of the following manifestations should the nurse monitor? (Select all that apply. The nurse notes that the client has a mild tremor, slight diaphoresis and is fully oriented. When reviewing this Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department. ) (NGN) A. Which is the priority action? Provide phenytoin IV. " 2) "the med can stain your contact lenses green" 3) Study with Quizlet and memorize flashcards containing terms like the health care provider is concerned that a client may be at risk for problems with cerebral blood flow. When preparing a teaching plan, which instruction does the nurse plan to provide?, The nurse is assessing a client with a history of migraines. The population with the highest rate of substance abuse disorder were people aged 18-25, followed by youth and adults 26 Study with Quizlet and memorize flashcards containing terms like A nurse is contributing to the plan of care for a client who has hyperemesis gravidarum . PTT c. The most important data to assess would be:, A nurse is teaching a client newly diagnosed with a seizure disorder. prevent injury 2. A Maegan Wagner is a registered nurse with over 10 years of healthcare experience. 2. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in an outpatient clinic. Which of the following interventions should the nurse recommend ?, A nurse is reinforcing teaching about newborn home safety precautions with a group of guardians . a sign of poor self-care. Which nursing action is priority? Discuss dietary therapy with the client's caregivers. Acute Pain related to biologic and chemical factors B. The nurse performs a focused assessment and discusses unexpected signs and symptoms during the second trimester that, if experienced, will Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a seizure disorder. Administer half the dosage c. The client has a small foot wound. This can happen throughout the brain affecting both sides (generalized seizure) or being located in a A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. What condition could this client be experiencing? 1. Increased serum glucose B. Just before leaving the home, the nurse ensures that which intervention has been done to prevent an episode of autonomic dysreflexia History and Physical Client admitted to the medical-surgical unit with severe, acute abdominal pain, abdominal distention, diarrhea, mucus and small amount of blood in the stool, and a 12% weight loss over the past 2 months. 8 mEq/L C) Creatinine 1. My life is over. d. sensory warning that seizure is imminent b. Which of the following descriptions should the nurse use when documenting this finding in the medical record? A nurse is contributing to the plan of care for a client who has a seizure disorder. " Which of the following actions should the nurse implement? (Select all that apply. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a history of angina and is schedules for exercise electrocardiography at 1100. j_yeee. Client is undergoing chemotherapy for pancreatic cancer and has been . Preview. The infant has Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? Report of a night cough. Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for a client who is unconscious. an adverse effect of the phenytoin. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who has a WBC count of 2000/mm³ after three rounds of chemotherapy. Which of the following actions should the nurse take? 1. Turn the client to the side C. Which of the following responses should the nurse make? A. The client must not stop taking medications in order to drive. reduced blood viscosity, A nurse is teaching Study with Quizlet and memorize flashcards containing terms like A primary health care provider has prescribed phenytoin parenterally for a client experiencing seizures. The client is most likely experiencing: a) Cardiogenic embolic stroke b) Lacunar infarct c) Thrombotic stroke d) Study with Quizlet and memorize flashcards containing terms like A nurses reinforcing teaching with a client about AA, which of the following statements by the client, indicates an understanding of the programs basic concepts?, which are appropriate interventions for caring for the client in alcohol withdrawal? (SATA), The nurses caring for a client Study with Quizlet and memorize flashcards containing terms like The home care nurse is making a visit to a client who requires use of a wheelchair after a spinal cord injury sustained 4 months earlier. A. A continuous seizure state in which seizures occur in rapid succession. Assessing the client's Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. which of the following actions should the nurse implement (select all that apply) A. The nurse suspects that the client will be diagnosed with _________ as evidenced by the client's _______________. Administer supplemental oxygen to the client B. 5 mcg/mL. Cholesterol level 3. Which of the following statements by the client's parent is the nurse's priority? A: "He take a 2-hour nap every day after school" B: "He says he feels sick to his stomach after taking this medication" C: "He has so many new bruises on his body. The care plan for this client should focus primarily on: consistently enforcing unit rules and facility policy. A nurse is preparing to administer mannitol 0. , Which of the following clients would be the priority to assess first? A client diagnosed with schizophrenia that is exhibiting negative symptoms. Informing the client and family that seizure control is not gained immediately The nurse should inform the client and family that seizure control is not gained immediately when drug therapy is started. , A nurse is caring for a client. What client statement indicates that the instructions regarding the medications are understood?, Which information should be included in the teaching plan for the client diagnosed with epilepsy?, A client has a Study with Quizlet and memorize flashcards containing terms like A nurse assesses a client with a history of epilepsy who experiences stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. A nurse is caring for a client who is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client diagnosed with diabetes. Exam 1 Chronic GI disorders. Dysrhythmias B. Which of the The nurse is caring for a client who is experiencing a tonic-clonic seizure. The nurse is caring for a patient who has a seizure disorder. The nurse should recognize the client is experiencing which of the following conditions? a. What is the nurse's best interpretation of this data? - The patient has not been taking the Study with Quizlet and memorize flashcards containing terms like A patient with epilepsy who has just begun taking phenytoin has a decreased serum albumin level. Which priority intervention should the nurse expect the provider to order? , A client is being treated for substance use. During morning care a patient with a seizure disorder asks why the room has suddenly turned green. The client reports gastrointestinal (GI) upset after taking with the Study with Quizlet and memorize flashcards containing terms like A nurse is teach a client about interferon beta-1a. "I'm still hungry after the bowl of cereal I ate at 7 A nurse is caring for a client who has a serious mental illness (SMI) and is recovering from substance use disorder. a drug interaction with aspirin. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer potassium chloride (KCl) to a client who is receiving diuretic therapy. The nurse should recognize the client is experiencing which of the following While the nurse is taking morning vital signs, the client begins to experience a seizure. The infant's weight and length follow the expected growth curve. The client weighs 198 lb. Acquire skills with which to face stressful events 4. Having a piercing cry, A nurse is caring 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?, A client, newly diagnosed with a seizure disorder, asks the nurse why the client is receiving a specific drug. Which of the following interventions A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. jackknife seizure. Increased cardiac output b. hypotension b. What is the nurse's best action?, What should the nurse include as a possible adverse effect when teaching Study with Quizlet and memorize flashcards containing terms like A hospitalized client is taking clozapine for the treatment of a schizophrenic disorder. Tonic-clonic seizure c. What is the best response by the nurse? "There are no guarantees, but a large portion of people with Guillain-Barré syndrome survive. Ease the client to the floor if standingB. Which of the following actions should the nurse implement? (Select all that apply. A client who has borderline personality disorder threatened to harm their roommate d. During therapy, which of the following would be most important for the nurse to include in the ongoing assessment?? A)Check the client's temperature every 3 to 4 hours. Which action should the nurse take? A. 9 mg/dL A nurse is caring for a client who has a seizure disorder. Which of the following interventions should be included for this client? A. Loosen restrictive clothing. Slurred speech c. A client who has depression reports having a lack of interest in assisting their partner in the care of their children c. 31 terms. Correct: OB nurses would have the appropriate knowledge needed to care for a client with a seizure Study with Quizlet and memorize flashcards containing terms like A client is admitted to the emergency department after experiencing a seizure. Increased pulmonary congestion c. Which of the following referrals should the nurse make for the caregiver? A. What actions will the nurse take at this time? (Select all that apply. The nurse should recognize the client is experiencing which of the following conditions? a sign of a stroke occurring in the brain. Give the What is the best response by the nurse?, A 1-year-old infant has just undergone surgery to correct craniosynostosis. shivering d. Heart failure 3. Deficient renal perfusion C. The client is experiencing manifestations related to the alarm stage of general adaptation syndrome (GAS). The nurse should recognize the client is experiencing which of the following conditions?A continuous seizure state in which seizures occur in rapid successionA sensory warning that a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Which information should the nurse include in the teaching plan? 1. hearing A nurse is caring for a client with seizure disorders who is admitted to the health care facility. Pedal Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a continuous IV infusion of erythromycin lactobionate for a client who has a Bordetella pertussis infection. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions? a. Preparing for discharge today. During the assessment, the nurse notes that the client is taking birth control pills. Which position should the nurse place the client in to minimize the pain?, A client with myasthenia gravis is experiencing prolonged periods of weakness, and the health care A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which action would the nurse take first? A. Identify the sequence of steps the nurse should follow. Atonic seizure b. Can I take it?" Which response by the nurse is correct? A. The client is prescribed phenytoin. " "It's too early to give a prognosis. The client reports he thinks he is about to have a A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. The initial treatment for a seizure is to ensure the client’s safety and Seizures can be broken down into 4 phases: Prodrome: behaviors or feelings that occur hours to days before a seizure. To ensure effectiveness of the drug, which lab value will the nurse In other clients, regardless of whether they have a diagnosed seizure disorder, causes of status epilepticus include brain trauma or tumors, systemic or central nervous system (CNS) infections, alcohol withdrawal, and overdoses of drugs (e. The client is to receive 2,000 kcal per day. Client diagnosed with seizure disorder. c) Place the client in a prone position. A nurse is assessing a client that has been on long-term treatment with the anti- psychotic chlorpromazine. B)Obtain serum plasma drug levels regularly. Which of the following should the nurse recognize as the possible cause for this seizure? a nurse is caring for a client who has a seizure disorder and reports experiencing ancaura the nurse should recognize the client is experiencing which of the following. Select the 3 interventions the nurse should plan to take a. , The nurse has taught a client who is receiving lamotrigine about possible adverse effects. The nurse 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. Hopelessness related to deteriorating physiologic condition 4. c) watching television a nurse is assessing a client who has seizure disorder. Bleeding, A nurse is providing Seizure Disorder Basics and Nursing Interventions By Nurse Mo | October 8, 2019 | 0 . Ease the client to the floor if standing. Attorney B. 4°C) Rationale: The nurse should plan to care for the client who has an elevated white blood cell count and a fever first because this client's needs are the priority. when providing nursing care for a client with a spinal cord injury? 1. Assist the client in distinguishing between anxiety and physical manifestations c. A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. -Feet are warm. Before administering the medication, the nurse should check to see that which of the following tests have been completed? A. c. Clean dentures in a denture cup d. Study with Quizlet and memorize flashcards containing terms like Give an example of how a nurse exhibits fidelity in client care. increase the magnesium sulfate infusion rate, which symptom would the nurse expect to decrease in Study with Quizlet and memorize flashcards containing terms like When making rounds, a nurse observes a client who is experiencing a seizure. A client asks the nurse which part of the body activates the stress response. , A client on the unit is experiencing tonic-clonic seizures. Hopelessness 4. The nurse should identify which of the following interventions as the priority?, A nurse is reinforcing teaching with a client who experiences migraine a nurse is assessing a client who has seizure disorder. What nursing intervention takes highest priority? A. The nurse identifies that the client's urinary catheter is draining large amounts of clear, colorless urine. petit mal seizures. Which action by a new nurse when administering this medication would require intervention by the charge nurse?, The nurse is caring for a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. sydneyreott. Which action can be assigned to an LPN/LVN? 1. Before I became a nurse, I thought seizures were rare events that only occurred in people with epilepsy. The nurse should instruct the client to monitor for which of the following adverse effects. provide privacy B. Notify the primary Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who was recently admitted for treatment of major depressive disorder (MDD). Physical Answer: A, B, D, E Rationale: A bracelet with health information is an important piece of information in case the client becomes unconscious and there is no one around who knows the client's health history. protect the clients head with Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is experiencing an asthma attack. Loss of consciousness B. Caffeine c. Client has a history of Crohn's disease and a seizure disorder that Study with Quizlet and memorize flashcards containing terms like which client statement indicates that the instructions to a client with a seizure disorder receiving phenytoin and phenobarbital are understood? a. Place the client into a supine position. The nurse should document this episode as which type of seizure?, A nurse is caring for a client with a brain tumor and increased intracranial pressure Study with Quizlet and memorize flashcards containing terms like A nurse in a mental health facility is planning care for a client who has OCD and is newly admitted to the unit. The client's partner is asking about what to do for the client during a seizure. Which of the following information should the nurse provide to the client regarding fiber intake? (Select all that apply. a symptom of hepatotoxicity. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a seizure disorder. Which of the following nursing interventions is the most appropriate for managing and minimizing seizure complications when caring for a client with a neurologic infectious disorder?, 2. When preparing a teaching plan, which instruction does the nurse plan to provide? a. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?, A nurse is caring for a client who has Alzheimer's disease. Study with Quizlet and memorize flashcards containing terms like A nurse is completing a nursing history for a client who has major depressive disorder. Ask the client to remove any dentures and eyeglasses. Which of the following statements should the nurse make? 1) "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn. Aura: the actual start of a seizure and may be thought The nurse is caring for a client with a history of seizures. " B. A client with a white blood cell count of 14,000 mm3 (14. Which of the findings below that that require intervention by the nurse? -Client is repositioned every 2 hr. Which of the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a seizure disorder. A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. "I have been having trouble getting to sleep at night. Which of the following actions should the nurse take first? A. Inadequate A. Which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is caring for client who reports having daily constipation. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?, A nurse is educating a group of women about vitamin and mineral intake during pregnancy. ), A Study with Quizlet and memorize flashcards containing terms like The health care provider is concerned that a client may be at risk for problems with cerebral blood flow. These disorders result from abnormal Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had a spinal cord injury and has paraplegia. isolating the client to decrease contact with easily manipulated clients. Today, the client states she is refusing further treatment and is leaving the mental health facility. How should the nurse respond? Automatisms are odors, visualizations, and/or Study with Quizlet and memorize flashcards containing terms like A nurse is conducting an educational session for clients who report experiencing stress-related disorders. These disorders result from abnormal However, seizures are relatively common, have multiple causes and can present in a variety of ways. continuous seizure state in which seizures occur in rapid succession c. Insert a bike stick into the client's mouth. The nurse is engaging in which phase of the nursing process?, A client recovering after an Study with Quizlet and memorize flashcards containing terms like Which nursing diagnosis would be most important for a nurse to include in the plan of care for a client who is receiving an antiseizure agent and experiencing common adverse effects?, When reviewing a journal article about seizure disorders, the nurse would expect to find Study with Quizlet and memorize flashcards containing terms like What best reflects the action of barbiturates when used to control seizures? Stimulation of motor nerve output Enhancement of cerebellar functioning Inhibition of impulse conduction Stimulation of the cerebral cortex, A client is prescribed topiramate. ckhck kcvbl jeftn lancwt qbxllmrj llp vuxt aianh cpdxyy isvnh