A 23-year-old patient is diagnosed with myoclonic seizures. Which of the following characteristics is most indicative of this type of seizure?

Staring spells with a brief loss of awareness

Sudden, brief involuntary muscle jerks typically occurring on both sides of the body.

Loss of consciousness followed by a period of confusion.

Prolonged muscle contractions lasting several minutes.

Answer and Explanation

The Correct Answer is B

A.   Staring spells with a brief loss of awareness are characteristic of absence seizures, not myoclonic seizures.
B.   Myoclonic seizures involve sudden, brief, involuntary muscle jerks that typically occur on both sides of the body, which is the key characteristic for this type of seizure.
C.   Loss of consciousness followed by confusion is characteristic of tonic-clonic or focal seizures, not myoclonic seizures.
D.   Prolonged muscle contractions lasting several minutes describe a tonic seizure, which is distinct from myoclonic seizures.

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Correct Answer is ["C","D"]

Explanation

A. Increasing the oxygen flow rate due to anxiety can worsen carbon dioxide retention, which is dangerous in COPD patients.
B. High-flow oxygen is typically not recommended for COPD patients because it can suppress respiratory drive.
C. Monitoring the respiratory rate and effort is crucial to ensure the patient is not retaining carbon dioxide or experiencing further respiratory distress.
D. Adjusting the oxygen flow rate to maintain a saturation level of 88-92% is recommended for COPD patients to prevent hypercapnia.
E. A non-rebreather mask is generally not used for COPD patients, as it can deliver too much oxygen, leading to carbon dioxide retention.
F. Encouraging deep breathing can help, but it is more important to focus on maintaining the proper oxygen saturation.

A. Administer an anti-diarrheal medication as prescribed to control the symptoms. B. Increase the water flushes to improve hydration and dilute the feeding solution. C. Switch the feeding tube to a bolus feeding method instead of continuous feeding. D. Decrease the feeding rate and consult the dietitian for a fiber-enriched formula.

Correct Answer is D

Explanation

A. Administering an anti-diarrheal medication as prescribed might help control the symptoms, but it is important to address the underlying cause of the diarrhea first, such as adjusting the feeding.
B. Increasing water flushes may help with hydration, but it does not specifically address the diarrhea caused by the enteral feeding. It's more important to manage the feeding itself.
C. Switching the feeding method to bolus feeding could increase the risk of aspiration and discomfort. Continuous feeding is generally safer and better tolerated in this context.
D. Decreasing the feeding rate and consulting the dietitian for a fiber-enriched formula is the most appropriate response. Adjusting the feeding rate can help reduce gastrointestinal upset, and a fiber- enriched formula can help firm up stools.

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A 23-year-old patient is diagnosed with myoclonic seizures. Which of the following characteristics is most indicative of this type of seizure?

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Naxlex Comprehensive Predictor Exams

A patient with COPD is receiving oxygen therapy. Which considerations are important to ensure safe and effective oxygen administration for this patient? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

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Correct Answer is D

Explanation

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