A nurse is preparing home instructions for a client who has epilepsy. Which of the following information should the nurse include in the teaching?
Take showers rather than tub baths
Engage in exercise just prior to bedtime
Caffeine can help prevent seizure occurrence
Fasting can help increase the seizure threshold
The Correct Answer is A
A. Showers are safer than tub baths for clients with epilepsy because they reduce the risk of injury or drowning if a seizure occurs.
B. Exercising just prior to bedtime may disrupt sleep and potentially lower seizure threshold; regular exercise earlier in the day is preferable.
C. Caffeine can lower the seizure threshold and potentially increase seizure risk, so it should be limited.
D. Fasting can also lower the seizure threshold and is not recommended for seizure prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Myasthenia gravis is an autoimmune disorder where antibodies attack acetylcholine receptors at the neuromuscular junction, leading to muscle weakness.
B. Inability of basal ganglia to produce sufficient dopamine is related to Parkinson’s disease, not myasthenia gravis.
C. A post-viral illness with ascending paralysis describes Guillain-Barré syndrome.
D. Loss of the myelin sheath surrounding peripheral nerves occurs in diseases like multiple sclerosis and peripheral neuropathies, not myasthenia gravis.
Correct Answer is A
Explanation
A. The nurse should assess for alteration in peripheral circulation, such as changes in color, temperature, pulse, or sensation in the lower extremities. The abductor wedgekeeps the legs abducted to prevent dislocation of the hip, but if applied improperly, it may impair circulation or cause nerve compression.
B. Muscle spasms can occur after surgery but are not directly related to the use of an abduction wedge.
C. Compression fractures are not a typical concern in the immediate care of a patient with an abduction wedge after hip replacement.
D. While correct wedge size is important, the priorityis to monitor for complications such as compromised circulation.
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