The client is scheduled for an electroencephalogram (EEG) to help diagnose a seizure disorder. Which pre-procedure teaching should the nurse exclude?

Instruct the client that they need to be awake for 4 hours before the procedure.

Instruct the client to take anti-seizure medications prior to the EEG.

Educate the client that there will be some discomfort during the procedure.

Instruct the client to not eat anything for 8 hours before the procedure.

Answer and Explanation

The Correct Answer is C

Choice A reason: Instructing the client to stay awake for 4 hours before an EEG is appropriate, as sleep deprivation can enhance epileptiform activity detection. This increases the likelihood of capturing abnormal brain waves, aiding seizure disorder diagnosis. This instruction aligns with standard EEG preparation to maximize diagnostic accuracy.

Choice B reason: Instructing the client to take anti-seizure medications before an EEG is correct, as discontinuing them could trigger seizures, compromising safety and the procedure. Maintaining medication ensures stability during testing, though it may reduce epileptiform activity detection, it is standard to prioritize patient safety.

Choice C reason: Educating the client about discomfort during an EEG is incorrect, as the procedure is non-invasive and painless, involving only electrode placement on the scalp to record brain activity. Misinforming about discomfort could increase anxiety, potentially affecting EEG results, making this teaching inappropriate and unnecessary.

Choice D reason: Instructing the client to fast for 8 hours before an EEG is appropriate, as food or caffeine can alter brain activity, potentially affecting EEG results. Fasting ensures a stable metabolic state, improving the accuracy of brain wave recordings, making this a valid pre-procedure instruction.

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Correct Answer is C

Explanation

Choice A reason: Propranolol, a beta-blocker, reduces physical anxiety symptoms (e.g., tachycardia) by blocking adrenaline’s effects on beta receptors. It is not first-line for generalized anxiety disorder, as it addresses somatic symptoms rather than the underlying neurochemical imbalance, such as serotonin dysregulation, targeted by more effective long-term treatments.

Choice B reason: Hydroxyzine, an antihistamine, has sedative properties and is used for acute anxiety by modulating histamine and serotonin receptors. It is not first-line for generalized anxiety disorder, as it lacks long-term efficacy and primarily addresses short-term symptoms, unlike treatments targeting chronic serotonin imbalances.

Choice C reason: Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), is the first-choice medication for generalized anxiety disorder. It increases serotonin levels in the brain, stabilizing mood and reducing excessive worry by enhancing neurotransmission in the prefrontal cortex and amygdala, offering long-term efficacy with fewer dependency risks compared to benzodiazepines.

Choice D reason: Alprazolam, a benzodiazepine, enhances GABA activity for rapid anxiety relief but is not first-line due to high dependence risk and short-term effects. Generalized anxiety disorder requires long-term management, and SSRIs like fluoxetine are preferred for their efficacy in addressing chronic serotonin dysregulation without addiction potential.

A. Decrease the time available for interaction with people B. Manipulate others C. Prevent aggressive and impulsive behaviors D. Decrease anxiety

Correct Answer is D

Explanation

Choice A reason: Repetitive cleaning in OCD is not primarily to avoid social interaction but to alleviate anxiety from obsessive thoughts. While isolation may occur, it’s secondary, making this incorrect for the behavior’s purpose.

Choice B reason: OCD cleaning is not manipulative; it’s driven by internal distress, not intent to control others. The behavior aims to reduce anxiety, not influence people, making this incorrect for the client’s motivation.

Choice C reason: Cleaning in OCD doesn’t prevent aggression or impulsivity but addresses anxiety from intrusive thoughts. These behaviors are ritualistic, not related to impulse control, making this incorrect for the purpose.

Choice D reason: Repetitive cleaning in OCD is a compulsion to reduce anxiety caused by obsessive thoughts. The behavior temporarily alleviates distress, aligning with OCD’s core mechanism, making this the correct choice.

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The client is scheduled for an electroencephalogram (EEG) to help diagnose a seizure disorder. Which pre-procedure teaching should the nurse exclude?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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