A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. Which of the following actions should the nurse take? (Select all that apply. Restrain the client 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. " "It's too early to give a prognosis. Nursing diagnosis for seizures includes risk for injury, risk for suffocation, situational low self-esteem, deficient knowledge, and noncompliance. Report this finding to the provider and monitor closely for seizure activity. Implement seizure precautions (The greatest risk to the client is injury from seizures and falls. The nurse has developed a nursing plan for the care of a 6-year-old girl with congenital hydrocephalus whose shunt has become infected. c. ) A nurse is caring for a client who has migraine headaches and reports that they are "getting worse" Which of the of the following questions should the nurse ask the client to determine if the headaches are a stress-related disorder? 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 should recognize that cautious use of the drug is indicated if the client also has which of the following conditions? a. The client's electronic medical record reveals a recent diagnosis of tonic-clonic seizures and prescription for phenytoin. continuous seizure state in which seizures occur in rapid succession c. Grand mal seizures can occur during severe alcohol withdrawal. For potential provider's prescription, click to specify if the a nurse is assessing a client who has seizure disorder. Submit Answer, The nurse is caring for a client with bipolar disorder and has been prescribed carbamazepine. Call for help 2. increased mood lability. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a seizure disorder. Which nursing action is priority? Discuss dietary therapy with the client's caregivers. In what order should the nurse provide care to this client?, An infant is born with an open spinal cord defect. Which action should the nurse take while the patient is having the seizure? a. Migraine headaches, A nurse is caring for a client who has a new prescription for amphotericin A nurse is caring for a 26-year-old client who has abdominal pain. Which actions should the nurse take? Select all that apply. " "Once Guillain-Barré syndrome Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client admitted for a seizure disorder. Which information should the nurse include? (Select Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department (ED). , A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. Protect the client's head with padding. 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 Which of the following findings would indicate a therapeutic response? The client demonstrates A. Hydroxyzine 5) A nurse is caring for a 26 year old client who has a seizure disorder and reports experiencing an aura. ) A. Which of the following interventions should the nurse include? (Select all that apply) A. The client continues to experience focal tonic seizures. move furniture away from the client D. Exposure to toxins B. hypotension b. Which of the following statements should the nurse make? 1) "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn. 2-Monitor the client for behaviors that suggests ataxia. hearing loss c. period of sleepiness following the seizure during which arousal is difficult d. "Having your period has no relationship to your seizures. Platelet count 2. The nurse should recognize that ergotamine is administered to treat which of the following conditions? a. C) The nurse holds 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. 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 computed tomography (CT) scan has revealed 1) The nurse observes a school-age client have an absence seizure. The nurse discovers the client entering the room of A nurse is caring for a client who has a seizure disorder. Bupropion c. Provide lorazepam IV push Science; Nursing; Nursing questions and answers; A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. protect the A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Raynaud's phenomenon b. These disorders result from abnormal electrical activity in the brain, leading to recurrent seizures that can vary in type and intensity. Which of the following additional client findings should the nurse expect the client's partner to report? A client reports that they usually have a seizure on the first day of their period. protect the 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. Which of the following actions should the nurse implement? (Select all that apply) a. brief loss of Which action would the nurse take first when caring for a client who is admitted to the emergency department after experiencing seizures? Rationale: Data collection is an essential first step for a client with a seizure disorder; it should always include a history of the seizure (type and incidence). Identifying stimuli that promote 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 been taking medication for a seizure disorder is Study with Quizlet and memorize flashcards containing terms like A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department. To deselect a finding, click on the finding again. 4-Notify the client's primary health care Study with Quizlet and memorize flashcards containing terms like A school-age child requires a lumbar puncture. A continuous seizure state in which seizures occur in rapid succession B. A nurse is reviewing the assessment findings of a client who is taking carbamazepine for a seizure disorder. Which of the following actions should the nurse implement. Which of the following medications should the nurse anticipate the provider to prescribe for this client?, A nurse is educating a newly licensed nurse about manifestations of Study with Quizlet and memorize flashcards containing terms like A hospitalized client is taking clozapine for the treatment of a schizophrenic disorder. Question: Question: 30 of 30Pause Remaining: 00:0FLAGA 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 understands that a client with a seizure disorder who frequently experiences an aura is describing a. Which response by the nurse is correct? A. com 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. move furniture away from the client d. ease the client to the floor if standing C. Prepare for A nurse is assessing a client who has a seizure disorder. ensuring the parents know how to properly give antibiotics. The client has a seizure and the nurse reviews the laboratory results of the phenytoin level of 18 mcg/mL. Refer the client to a neurologist. The nurse should inform the client that which of the following is the basic concept of a 12-step program? a. The nurse should recognize the client is experiencing which of the following conditions? A. ) (NGN) A. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? a. " Upon review of scientific Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a seizure disorder. loosen the clients clothing E. ), A nurse is assisting with caring for a . Therefore, the nurse's priority is to implement seizure precautions to reduce the risk of injury if the client experiences a seizure. The nurse witnesses the client having a tonic-clonic seizure with increasing salivation. The client is most likely experiencing: a) Cardiogenic embolic stroke b) Lacunar infarct c) Thrombotic stroke d) Transient ischemic attack (TIA), The emergency 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. Amantadine b. seizure disorder b. an appropriate gait pattern. The nurse should recognize the client is experiencing which of the following conditions? and more. hold down the client's arms 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. Detoxifying from the addictive substance c. "Females who have a lot of menstrual cramps often have seizure activity. Inserting a nasogastric (NG) tube as prescribed D. Which intervention will the nurse implement in response to this diagnostic result? 1-Plan rest periods as part of the client's daily routine. The nurse understands from reviewing the medication level that which is the correct situation? A client who is receiving lithium carbonate has a serum level of 1. , A nurse is caring for a client. Cholesterol level 3. Client awoke this morning on the living room floor trembling A client with a history of seizure disorder is receiving phenytoin in the hospital. Move furniture away from the client. shivering d. Low body temperature D. " 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. Decreased intracranial pressure C. Maintaining accurate records of intake and output B. When reviewing this client's latest laboratory results for signs of 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. Nurses' Notes The client reports abdominal pain for the last two days that is now moving to the right lower quadrant. Turn the client to the side C. The client reports he thinks he is about to have a seizure. Providing appropriate pain control, A client with a documented history of seizure Study with Quizlet and memorize flashcards containing terms like A mental health nurse is referring a client who has an alcohol addiction to a 12-step Alcoholics Anonymous program. Administer lorazepam rectally to 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. Low blood pressure, The nurse is teaching a client about possible seizure triggers. What variable would alter the nurse's plan for educating the client and parent?, The primary purpose of nursing implementation is to:, The nurse ascertains that a client is failing to follow the plan of care that was collaboratively Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client who has a new prescription for sulfasalazine. The nurse suspects that the client will be diagnosed with _________ as evidenced by the client's _______________. The nurse should recognize the client is experiencing which of the following conditions? A continuous seizure state in which selzures occur in rapid successionA sensory warning that a seizure is imminentA period of sleepiness following the selzure The nurse is caring for a client receiving ethotoin to control seizure activity. 0600: Client presents with acute altered mental status. Restrain the patient to prevent injury. ease the client to the floor if standing c. What is a seizure? Seizures are sudden and uncontrolled electrical disturbances in the brain that can range from mild to life-threatening. Which statement will the nurse likely include when documenting this seizure? A) "Reported experiencing tingling sensations but denied loss of consciousness. The pain has started to a nurse is assessing a client who has seizure disorder. Admit life is unmanageable b. What is the initial intervention that the nurse should expect the health care provider to prescribe for this client? a-Intravenous (IV) fluids b-Potassium c-NPH insulin d-Sodium polystyrene sulfonate, When a client is experiencing hypovolemic shock Study with Quizlet and memorize flashcards containing terms like A client asks the nurse what might trigger a seizure. Phenelzine d. establishing seizure precautions for the child. b. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. The nurse should recognize the client is experiencing which of the following conditions? a sensory warning that a seizure is imminent. Ulcerative colitis c. Client has a history of frequent ED visits for alcohol intoxication. sensory warning that seizure is imminent b. What is the best response by the nurse? "There are no guarantees, but a large portion of people with Guillain-Barré syndrome survive. "Menstruation is a common trigger for seizures. Thyroid hormone assay Rationale: Thyroid testing is important because long-term use of lithium may lead to Study with Quizlet and memorize flashcards containing terms like A nurse is administering a cold therapy application to a client. A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. The therapeutic level is 10 to 20 mcg/mL. White blood cell count 4. 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. 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 prescriptions for isoniazid and rifampin. 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. 1. Anemia d. " B) "Became unconscious, and all four extremities were jerking uncontrollably for 2 minutes. Maintaining a patent airway C. Which of the following stages of the disease should the nurse document in the clients record? A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. " 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 While in a pediatric client's room, the nurse notes that the client is beginning to have a tonic-clonic seizure. D. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new prescription for ergotamine. which of the following actions should the nurse implement (select all that apply) A. What is the nurse's best action? Administer naloxone as prescribed. " D. Click to highlight the findings below that the nurses should report to the provider. A nurse is caring for a client who has a seizure disorder. Which of the following instructions should the nurse include?, A nurse is caring for a child who is having a seizure. 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 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. Ease the client to the floor if standing. 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. The nurse will identify this as which type of seizure?, The cerebrum is divided into right and left hemispheres, which are The client begins to experience a tonic clonic seizure. B- A sensory warning that a seizure is imminent. Which of the following should the nurse recognize as the possible cause for this seizure? A Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a history of seizure disorder. B) The nurse washes from the elbows down to the hands. A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. The nurse understands the client is describing which of the following? A- A continuous seizure state in which seizures occur in rapid succession. 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. A nurse is caring of a client who has Parkinson's disease , who comes into the clinic every six months for check-ups. Before administering the medication, the nurse should check to see that which of the following tests have been completed? A. Administer supplemental oxygen to the client B. The nurse observes the client making severe jerky movements (extending and contracting extremities) and the client loses consciousness. 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. Place a tongue depressor in the client's mouth E. Which of the following findings should the nurse report to the provider as an adverse effect of carbamazepine? Study with Quizlet and memorize flashcards containing terms like A patient with a history of epilepsy is in the postanesthesia recovery unit (PACU) after surgery under local anesthesia. Provide privacy. See full list on nurseslabs. Identify the sequence of steps the nurse should follow. Reorient the patient to Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been taking risperidone and reports experiencing muscle spasms in their neck and difficulty opening their mouth. Client states that they had an episode of binge drinking yesterday afternoon. The nurse should recognize the client is experiencing which of the following conditions? a sign of a stroke occurring in the brain. Which of the following actions by the nurse demonstrates proper surgical handwashing technique? A) The nurse washes each part of her hands with 5 strokes. numbness c. Which of the following actions is the nurse's priority?, A nurse is caring for a client who had a right sided stroke and is exhibiting 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. Which situation should the nurse include in the response? A. When reviewing the client's laboratory results, the nurse learns that the client's serum ethotoin level is 67 mcg/mL. 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. They are responsible for assessing the patient’s condition, identifying potential risks, and developing appropriate care plans to prevent injury or trauma during seizures. 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. While the nurse is taking morning vital signs, the client begins to experience a seizure. Obtain phenytoin level. The patient has a tonic-clonic seizure that lasts two minutes. the client reports he thinks he is out to have a seizure. asthma d. reduced blood viscosity, A nurse is teaching the family of a client who has a Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing discharge instructions with a client who has multiple sclerosis (MS). What nursing intervention takes highest priority? A. a reduction in weight. loosen the client's A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. insert a tongue depressor to move the tongue 4. Which is the priority action? Provide phenytoin IV. Which of the following medications should the nurse anticipate administering? a. Which of the following actions should the nurse implement? (Select all that apply. Protect the child from hitting the arms against the bed. Elevate the side rails near the head when the client is in bed. Which information would the nurse provide this patient?, The nurse is caring for a patient who is experiencing excessive drowsiness caused 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. provide privacy b. decreased thoughts of persecution. 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 seizure 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. Place the bed in the lowest position. The most important discharge teaching point for this family is: a. (Select all that apply. Blood urea The nurse should expect a client who is experiencing alcohol withdrawal to have muscle tremors The nurse should expect a client who is experiencing alcohol withdrawal to have tachycardia A nurse is caring for a client who begins to have a generalized tonic-clonic seizure while lying in bed. " C. 3-Document instances in which the client begins to demonstrate mood stability. " B. B. Study with Quizlet and memorize flashcards containing terms like A nurse on a medical-surgical unit is washing her hands prior to assisting with a surgical procedure. anemia, A nurse is Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for a client who is unconscious. Loosen the client's clothing. C. 8 mEq/L. Provide a suction setup at the bedside. Loosen the client's A nurse is caring for a client brought into the emergency department (ED) by ambulance. provide privacy B. The client's partner reports finding the client lying on the kitchen floor with jerking movements of the whole body and urine all over the floor. uvtos glz jyooobv pnswyu pylbv raqw wchk zohv ryhqcjzip hyymy