A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse implement seizure precautions?

A client who is experiencing withdrawal from oxycodone.

A client who is experiencing withdrawal from diazepam.

A client who has a low lithium level.

A client who has a low imipramine level.

Answer and Explanation

The Correct Answer is B

A reason: A client who is experiencing withdrawal from oxycodone. While withdrawal from oxycodone can cause significant symptoms, it is not typically associated with seizures. Other withdrawal symptoms, such as anxiety and agitation, are more common.

B reason: A client who is experiencing withdrawal from diazepam. Withdrawal from diazepam, a benzodiazepine, can lead to seizures, especially if the drug is stopped abruptly. Seizure precautions are necessary to manage this risk and ensure the client's safety.

C reason: A client who has a low lithium level. A low lithium level typically indicates subtherapeutic dosing rather than an immediate risk of seizures. Monitoring for mood symptoms is more relevant in this context.

D reason: A client who has a low imipramine level. Low levels of imipramine, an antidepressant, do not generally pose a risk for seizures. The focus should be on managing depressive symptoms and adjusting medication as needed.

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Correct Answer is B

Explanation

A reason: Reach to Recovery. Reach to Recovery is a program designed to support individuals who have had breast cancer, providing them with support and resources. It is not relevant to clients recovering from alcohol withdrawal.

B reason: A 12-step program. A 12-step program, such as Alcoholics Anonymous (AA), is specifically designed to support individuals recovering from alcohol addiction. These programs offer a structured approach to recovery, providing peer support, guidance, and strategies to maintain sobriety.

C reason: Al-Anon. Al-Anon is a support group for friends and family members of individuals struggling with alcohol addiction. While it offers valuable support to those affected by someone else's drinking, it is not the primary resource for the client who is recovering from alcohol withdrawal.

D reason: Light therapy. Light therapy is used to treat conditions like seasonal affective disorder (SAD) and other mood disorders. It is not applicable for addressing alcohol withdrawal or supporting long-term recovery from alcohol addiction.

A. Administer a sedative medication. B. Perform a debriefing with the staff. C. Acknowledge the client's emotions. D. Place the client in restraints.

Correct Answer is C

Explanation

A reason: Administer a sedative medication. While administering a sedative may be necessary to calm the client, it is not the first step. The nurse should initially attempt to de-escalate the situation using non-pharmacological interventions.

B reason: Perform a debriefing with the staff. Debriefing with the staff is important after the situation is under control, but it is not the immediate priority. The focus should first be on addressing the client's behavior and emotions.

C reason: Acknowledge the client's emotions. Acknowledge the client's emotions to de-escalate the situation and help the client feel heard and understood. This can reduce the immediate risk of violence or self-harm.

D reason: Place the client in restraints. Restraints should be used as a last resort when other interventions have failed and there is an immediate risk of harm. The nurse should first try to calm the client through verbal and emotional support.

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A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse implement seizure precautions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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