A client required endotracheal intubation with sedation due to being in status epilepticus.
An electroencephalogram (EEG) monitor is prescribed by the physician.
The client's family member asks, "if he's resting now, why does he need that monitor too?" The nurse instructs the family member that the EEG:

Helps determine if there has been bleeding to brain tissue.

Checks for adequate oxygen intake by cerebral tissue.

Will assess brain waves to see if seizure activity is still occurring.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While bleeding could indicate trauma, EEG does not detect blood presence or volume but instead evaluates electrical brain activity indicative of neuronal function.

Choice B rationale

Cerebral oxygen intake assessment requires pulse oximetry or arterial blood gas analysis rather than EEG, which monitors electrical signals, not oxygenation status.

Choice C rationale

EEG identifies abnormal brain wave patterns suggesting ongoing seizure activity, even in sedated patients, aiding in targeted interventions and preventing potential complications.

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Correct Answer is C

Explanation

Choice A rationale

Soft restraints are utilized for agitation but are not prioritized in epilepsy care. Emergency equipment like suction ensures airway safety during seizures.

Choice B rationale

Glasgow Coma Scale evaluates neurological function but is less relevant for epilepsy management compared to essential tools like suction equipment for airway protection.

Choice C rationale

Suction equipment and oxygen are vital in epilepsy management to clear secretions and maintain oxygenation during seizures. Patent IV access allows rapid administration of emergency medications.

Choice D rationale

Dextrose infusion is used to treat hypoglycemia rather than seizures. Epilepsy care prioritizes tools like suction and oxygen for immediate seizure-related complications. .

A. Obtain a blood specimen to check for serum drug levels. B. Administer lorazepam IV to stop the convulsive activity. C. Check the client's blood pressure and heart rate.

Correct Answer is B

Explanation

Choice A rationale

Checking serum drug levels provides insight into compliance and effectiveness but doesn’t address immediate seizure cessation, prioritizing treatment over diagnostic assessment.

Choice B rationale

Administering lorazepam IV halts seizure activity quickly by enhancing GABA activity, calming neuronal excitation, and stabilizing the patient’s condition, reducing potential complications.

Choice C rationale

Monitoring vitals like blood pressure and heart rate is essential but doesn’t directly address convulsive activity, which requires immediate pharmacological intervention to prevent status epilepticus progression. .

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with epilepsy who has recently had a change in their prescribed medication combination.Which of the following options are priority to institute?

Correct Answer is C

Explanation

A client presents to the emergency department actively having seizure activity.The paramedics report the client has a history of epilepsy but her family doesn't know the names of her current medications.The priority for this patient is:

Correct Answer is B

Explanation

To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:

The nurse is caring for a patient in the acute care setting with a spinal cord injury at the level of C-3. The nurse understands that the main cause of complications or death related to this injury includes:

The nurse is caring for a trauma patient with a suspected brain injury and Battle's Sign.The nurse notices a yellow stain around fluid dripping from the patient's ear.The nurse's priority intervention will be as follows:

The nurse knows that a common presentation that happens early in HIV infections is:

A nurse is the first person on the scene of a motor vehicle accident.The victim was the driver and is in the driver's seat unconscious.The driver is breathing, has a pulse, and has minor lacerations on the head and face.What action should the nurse implement first?

The nurse is caring for a client who has had a stroke and who has received tissue plasminogen activator (t-P

The nurse has established a goal to maintain intracranial pressure (ICP) within the normal range for a patient with an acute head injury.Which actions should the nurse take to achieve this goal? (Select All that Apply.)

The nurse is caring for a patient with an acute brain injury.Which of the following sets of vital signs would concern the nurse about increasing intracranial pressure (ICP)?