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. "Menstruation is a common trigger for seizures. Nurses' Notes The client reports abdominal pain for the last two days that is now moving to the right lower quadrant. To deselect a finding, click on the finding again. 1. What nursing intervention takes highest priority? A. , A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. Grand mal seizures can occur during severe alcohol withdrawal. " "It's too early to give a prognosis. While the nurse is taking morning vital signs, the client begins to experience a seizure. Place a tongue depressor in the client's mouth E. Bupropion c. Which of the following actions should the nurse implement? (Select all that apply) a. 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. Therefore, the nurse's priority is to implement seizure precautions to reduce the risk of injury if the client experiences a seizure. The nurse should recognize the client is experiencing which of the following conditions? and more. 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. 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 should inform the client that which of the following is the basic concept of a 12-step program? a. A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. Client has a history of frequent ED visits for alcohol intoxication. 3-Document instances in which the client begins to demonstrate mood stability. 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. 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. 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. See full list on nurseslabs. 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. A continuous seizure state in which seizures occur in rapid succession B. 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). ) 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. These disorders result from abnormal electrical activity in the brain, leading to recurrent seizures that can vary in type and intensity. loosen the clients clothing E. move furniture away from the client D. b. Time the duration of the seizure D. Client states that they had an episode of binge drinking yesterday afternoon. "Having your period has no relationship to your seizures. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions? a. The most important discharge teaching point for this family is: a. Before administering the medication, the nurse should check to see that which of the following tests have been completed? A. Which is the priority action? Provide phenytoin IV. 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. Low blood pressure, The nurse is teaching a client about possible seizure triggers. The nurse notices the client has a slower arm & leg movements & is losing balance when walking down the hall. What is a seizure? Seizures are sudden and uncontrolled electrical disturbances in the brain that can range from mild to life-threatening. asthma d. (Select all that apply. Which situation should the nurse include in the response? A. The nurse discovers the client entering the room of A nurse is caring for a client who has a seizure disorder. 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. 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. 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 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. Detoxifying from the addictive substance c. move furniture away from the client d. Admit life is unmanageable b. Which statement will the nurse likely include when documenting this seizure? A) "Reported experiencing tingling sensations but denied loss of consciousness. 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. 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. " 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. What is the best response by the nurse? "There are no guarantees, but a large portion of people with Guillain-Barré syndrome survive. The client has a seizure and the nurse reviews the laboratory results of the phenytoin level of 18 mcg/mL. hold down the client's arms 3. a reduction in weight. 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. 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. which of the following actions should the nurse implement (select all that apply) A. 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. ) (NGN) A. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new prescription for ergotamine. provide privacy b. Which of the following actions should the nurse implement? (Select all that apply. Loosen the client's A nurse is caring for a client brought into the emergency department (ED) by ambulance. 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. " B) "Became unconscious, and all four extremities were jerking uncontrollably for 2 minutes. Which action should the nurse take while the patient is having the seizure? a. 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. 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). Exposure to toxins B. Prepare for A nurse is assessing a client who has a seizure disorder. Click to highlight the findings below that the nurses should report to the provider. 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 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. The nurse suspects that the client will be diagnosed with _________ as evidenced by the client's _______________. D. Question: Question: 30 of 30Pause Remaining: 00:0FLAGA nurse is caring for a client who has a seizure disorder and reports experiencing an aura. 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. Which response by the nurse is correct? A. Provide a suction setup at the bedside. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a seizure disorder. The nurse should recognize the client is experiencing which of the following conditions? A. c. Identify the sequence of steps the nurse should follow. 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. A nurse is reviewing the assessment findings of a client who is taking carbamazepine for a seizure disorder. Submit Answer, The nurse is caring for a client with bipolar disorder and has been prescribed carbamazepine. hearing loss c. Nursing diagnosis for seizures includes risk for injury, risk for suffocation, situational low self-esteem, deficient knowledge, and noncompliance. Which of the following actions should the nurse implement. B) The nurse washes from the elbows down to the hands. 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. ), A nurse is assisting with caring for a . 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. " Upon review of scientific Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a seizure disorder. increased mood lability. Raynaud's phenomenon b. Inserting a nasogastric (NG) tube as prescribed D. 0600: Client presents with acute altered mental status. Which of the following statements should the nurse make? 1) "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn. Obtain phenytoin level. Cholesterol level 3. 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. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department. 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. "Females who have a lot of menstrual cramps often have seizure activity. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. 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). 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. 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. White blood cell count 4. Protect the client's head with padding. 2-Monitor the client for behaviors that suggests ataxia. Which nursing action is priority? Discuss dietary therapy with the client's caregivers. " 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. ensuring the parents know how to properly give antibiotics. Decreased intracranial pressure C. 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. Restrain the patient to prevent injury. Maintaining a patent airway C. The nurse has developed a nursing plan for the care of a 6-year-old girl with congenital hydrocephalus whose shunt has become infected. the client reports he thinks he is out to have a seizure. Amantadine b. an appropriate gait pattern. , A nurse is caring for a client. A nurse is caring for a client who has a seizure disorder. A nurse is caring of a client who has Parkinson's disease , who comes into the clinic every six months for check-ups. Which of the following instructions should the nurse include?, A nurse is caring for a child who is having a seizure. Elevate the side rails near the head when the client is in bed. Which of the following actions should the nurse take? (Select all that apply. continuous seizure state in which seizures occur in rapid succession c. loosen the client's A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. Move furniture away from the client. anemia, A nurse is Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for a client who is unconscious. 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. 8 mEq/L. Low body temperature D. 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. B. 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. " D. period of sleepiness following the seizure during which arousal is difficult d. shivering d. seizure disorder b. 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. 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. The nurse witnesses the client having a tonic-clonic seizure with increasing salivation. Client awoke this morning on the living room floor trembling A client with a history of seizure disorder is receiving phenytoin in the hospital. ) 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. numbness c. decreased thoughts of persecution. 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. sensory warning that seizure is imminent b. Platelet count 2. C. The nurse should recognize the client is experiencing which of the following conditions? a sign of a stroke occurring in the brain. A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. 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. Ulcerative colitis c. 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. Turn the client to the side C. When reviewing the client's laboratory results, the nurse learns that the client's serum ethotoin level is 67 mcg/mL. Place the bed in the lowest position. Administer supplemental oxygen to the client B. provide privacy B. Provide privacy. Anemia d. ease the client to the floor if standing c. ease the client to the floor if standing C. What is the nurse's best action? Administer naloxone as prescribed. Call for help 2. The therapeutic level is 10 to 20 mcg/mL. 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. Loosen the client's clothing. The client continues to experience focal tonic seizures. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? a. Implement seizure precautions (The greatest risk to the client is injury from seizures and falls. The client reports he thinks he is about to have a seizure. 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. Protect the child from hitting the arms against the bed. establishing seizure precautions for the child. Ease the client to the floor if standing. hypotension b. " "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. 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. 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. Hydroxyzine 5) A nurse is caring for a 26 year old client who has a seizure disorder and reports experiencing an aura. Maintaining accurate records of intake and output B. insert a tongue depressor to move the tongue 4. The patient has a tonic-clonic seizure that lasts two minutes. The nurse should recognize the client is experiencing which of the following conditions? a sensory warning that a seizure is imminent. The nurse should recognize that ergotamine is administered to treat which of the following conditions? a. Report this finding to the provider and monitor closely for seizure activity. Phenelzine d. B- A sensory warning that a seizure is imminent. 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. The nurse observes the client making severe jerky movements (extending and contracting extremities) and the client loses consciousness. In what order should the nurse provide care to this client?, An infant is born with an open spinal cord defect. Refer the client to a neurologist. The client's electronic medical record reveals a recent diagnosis of tonic-clonic seizures and prescription for phenytoin. Which actions should the nurse take? Select all that apply. For potential provider's prescription, click to specify if the a nurse is assessing a client who has seizure disorder. Which of the following medications should the nurse anticipate administering? a. The pain has started to a nurse is assessing a client who has seizure disorder. protect the A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Which of the following interventions should the nurse include? (Select all that apply) A. 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. " C. kgym dfb vrl hsmr ogizk yyrom viywiyn ebz bmqn vppeng