A client has been started on an anticonvulsant for a seizure disorder and asks how long he will need to take the medication. What is the nurse's best response?
"You will need to take an anticonvulsant of some type for your lifetime."
"This medication should be taken until you haven't had a seizure for a month."
"Seizures are unpredictable and so is the duration of the treatment."
"You will only need to take it for a short period of time because anticonvulsants will cure the seizure disorder."
The Correct Answer is C
A. "You will need to take an anticonvulsant of some type for your lifetime."
This statement may be accurate for some individuals with chronic or recurrent seizure disorders, but it is a generalization. The duration of anticonvulsant therapy varies from person to person, and some individuals may eventually be able to discontinue medication under the guidance of their healthcare provider.
B. "This medication should be taken until you haven't had a seizure for a month."
While seizure control is a factor in determining the duration of treatment, setting a specific timeframe (e.g., one month) may not be applicable to everyone. The decision to continue or discontinue anticonvulsant therapy is usually individualized and based on various factors, including the type of seizure disorder and the individual's response to treatment.
C. "Seizures are unpredictable and so is the duration of the treatment."
This is the best response. It acknowledges the variability in seizure disorders and the individualized nature of treatment duration. Seizure management is often an ongoing process that requires monitoring and adjustments based on the person's specific circumstances.
D. "You will only need to take it for a short period of time because anticonvulsants will cure the seizure disorder."
Anticonvulsants are typically used to manage and control seizures rather than cure the underlying seizure disorder. While some individuals may experience a period of seizure freedom and be able to discontinue medication, this is not true for everyone. The duration of treatment varies, and some individuals may require long-term or even lifelong therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["36"]
Explanation
To calculate the infusion time for an IV of 1,500 mL running at 25 gtt/min. if the drop factor is 15 gtt/mL, we need to use the following formula:
Infusion time (in minutes) = Volume (in mL) x Drop factor (in gtt/mL) / Flow rate (in gtt/min)
Plugging in the given values, we get:
Infusion time = 1,500 x 15 / 25
Infusion time = 900 / 25
Infusion time = 36
Therefore, the infusion time for this IV is 36 minutes.
Correct Answer is D
Explanation
A. Call the health care provider immediately to change the medication to oral.
Changing the medication to oral may not address the immediate issue of the burning sensation and feeling of heat at the IV site. This option focuses on changing the route of administration rather than addressing the current discomfort.
B. Continue the infusion and reassure the patient.
Continuing the infusion without addressing the patient's discomfort could lead to potential complications, and it is important to prioritize patient comfort and safety. Reassurance alone may not be sufficient if there is an issue with the IV site.
C. Flush the line with 10 mL of normal saline and continue the infusion.
While flushing the line with normal saline is a good practice to ensure patency, it may not resolve the issue if there is ongoing irritation or infiltration at the site. Continuing the infusion without addressing the patient's complaint might lead to further discomfort.
D. Discontinue the IV and restart the IV infusion in a different site.
This is the best action. Discontinuing the IV allows the nurse to assess the current site for signs of infiltration or irritation. Restarting the IV in a different site addresses the immediate issue, ensuring that the medication is delivered safely and effectively.
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