A newly diagnosed epilepsy patient is prescribed diazepam. The nurse understands that this medication causes which of the following adverse effects?

Tachycardia

Increased tendon reflexes

CNS depression

Nervousness

Answer and Explanation

The Correct Answer is C

Choice A reason:

Tachycardia is not a common adverse effect of diazepam. While benzodiazepines like diazepam can cause changes in heart rate, they typically do not lead to tachycardia as a primary side effect.

Choice B reason:

Increased tendon reflexes are not associated with diazepam use. In fact, diazepam can cause muscle relaxation, leading to decreased reflexes rather than increased ones.

Choice C reason:

CNS depression is a well-known adverse effect of diazepam. This medication enhances the effect of the neurotransmitter GABA, leading to sedation, drowsiness, and overall central nervous system depression.

Choice D reason:

Nervousness is generally not a side effect of diazepam. This medication is used to reduce anxiety and promote calmness, so it is more likely to alleviate nervousness rather than cause it.

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Correct Answer is A

Explanation

Choice A reason: This is the correct answer. Moving objects away from the client during a seizure helps to prevent injury. Ensuring a safe environment is a key aspect of seizure management to protect the client from harm during the episode.

Choice B reason: Inserting a padded tongue blade into the client's mouth is outdated and potentially harmful advice. It can cause injury to the client's mouth or teeth and may obstruct the airway, making it inappropriate for seizure management.

Choice C reason: Placing the client on his back can increase the risk of aspiration or airway obstruction. It is safer to place the client on their side to maintain a clear airway and reduce the risk of choking on saliva or vomit.

Choice D reason: Restraining the client during a seizure can cause injury and is not recommended. Allowing the seizure to proceed naturally while ensuring the environment is safe is the preferred approach. Restraints can lead to muscle or skeletal injuries.

A. Restrain the client. B. Move objects away from the client. C. Place the client on his back. D. Insert a padded tongue blade into the client’s mouth.

Correct Answer is B

Explanation

Choice A reason:

Restraint during a seizure can lead to injury. It is important to allow the seizure to run its course while ensuring the client is safe from harm. The priority is to protect the client from injury without restraining them, as this can cause fractures or muscle damage.

Choice B reason:

Moving objects away from the client helps prevent injury during a seizure. Clearing the area ensures that the client does not hit anything during the convulsions, reducing the risk of injury. This is a safe and effective measure to protect the client.

Choice C reason:

Placing the client on their back is not recommended during a seizure as it can increase the risk of aspiration if the client vomits. Instead, the client should be turned onto their side (recovery position) to keep the airway clear and prevent choking.

Choice D reason:

Inserting a padded tongue blade into the client’s mouth is outdated and dangerous. It can cause dental damage or block the airway. There is also a risk of injury to both the client and the person attempting to insert the object. It is no longer recommended.

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A newly diagnosed epilepsy patient is prescribed diazepam. The nurse understands that this medication causes which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to the family of a client who has a new diagnosis of epilepsy. Which of the following seizure precaution instructions should the nurse include regarding care of the client when they start having a seizure?

Correct Answer is A

Explanation

A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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