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 D

Explanation

A reason: Delusion. A delusion is a false belief held despite clear evidence to the contrary. While the client's statement might reflect a distorted perception of reality, the expression of wanting to use a pen to "cut the pain out" indicates a more immediate risk of self-harm.

B reason: Hallucination. Hallucinations involve perceiving something that is not present, such as hearing voices or seeing things that are not there. The client's statement does not indicate a hallucination, but rather a desire to engage in self-harm.

C reason: Attention-seeking behavior. While attention-seeking behavior might be a consideration, the specific request to use a pen to harm themselves suggests a more severe risk of self-mutilation rather than merely seeking attention.

D reason: Self-mutilation. The client's statement clearly indicates a risk for self-mutilation. Expressing the intention to use a pen to harm themselves requires immediate intervention to ensure their safety.

A. Midazolam. B. Fluoxetine. C. Cyclobenzaprine. D. Valproic acid.

Correct Answer is B

Explanation

A reason: Midazolam. Midazolam is a benzodiazepine used for sedation, anxiety relief, and seizure management. It is not typically used as a first-line treatment for major depressive disorder.

B reason: Fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed as a first-line treatment for major depressive disorder. It helps increase serotonin levels in the brain, which can improve mood and alleviate depressive symptoms.

C reason: Cyclobenzaprine. Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms. It is not indicated for the treatment of major depressive disorder.

D reason: Valproic acid. Valproic acid is a mood stabilizer primarily used to treat bipolar disorder and seizure disorders. It is not typically used as a first-line treatment for major depressive disorder.

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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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