The Client with Seizures

Question 1

The client will have an EEG in the morning. The nurse should instruct the client to have which foods/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

Answer 1

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

Question 2

What is the priority nursing intervention in the postictal phase of a seizure?

1. Reorient the client to time, person, and place
2. Determine the client’s level of sleepiness
3. Assess the client’s breathing pattern
4. Position the client comfortably.

Answer 2

3. Assess the client’s breathing pattern

Question 3

What nursing assessments should be documented at the beginning of the ictal phase of a seizure?

1. HR, RR, pulse oximeter, and BP
2. Last dose of anticonvulsant and circumstances at the time
3. type of visual, auditory, and olfactory aura the client experienced.
4. movement of the head and eyes and muscle rigidity

Answer 3

4. movement of the head and eyes and muscle rigidity

Question 4

Which statement by a client with a seizure disorder who has been prescribed topiramate indicates the client has understood the nurse’s instruction about this drug?

1. “I will take the medicine before going to bed.”
2. “I will drink 6 to 8 glasses of water a day.”
3. “I will eat plenty of fresh fruits.”
4. “I will take the medicine with a meal or snack.”

Answer 4

2. “I will drink 6 to 8 glasses of water a day.”

Question 5

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

Answer 5

3. excessive growth of gum tissue

Question 6

A 21 yr old female client takes clonazepam. What should be the nurse ask this client about? SATA

1. seizure activity
2. pregnancy status
3. alcohol use
4. cigarette smoking
5. intake of caffeine and sugary drinks

Answer 6

1. seizure activity
2. pregnancy status
3. alcohol use