The client who is diagnosed with a seizure disorder is prescribed a ketogenic diet.
The nurse knows that the client understands the teaching when they state:

My diet will include more unsaturated fats and low carbohydrates.

My diet will include increased amounts of carbohydrates and protein.

My diet will include moderate amounts of protein and omega-3 oils.

My diet will include foods rich in sodium and carbohydrates.

Answer and Explanation

The Correct Answer is A

Choice A rationale

A ketogenic diet includes high fats, moderate protein, and low carbohydrates, with unsaturated fats emphasized for health. This metabolic state reduces seizure frequency by enhancing ketone production as an alternative energy source for the brain.

Choice B rationale

Increasing carbohydrates disrupts ketosis, the fundamental principle of the ketogenic diet. This would counteract the therapeutic goal of reducing seizure activity by providing glucose as a primary brain fuel instead of ketones.

Choice C rationale

While omega-3 oils support brain health, the ketogenic diet focuses on low carbohydrate intake and high fat. Moderate protein intake is essential, but excess omega-3 emphasis neglects the diet’s structure.

Choice D rationale

Foods high in sodium and carbohydrates contradict the ketogenic diet's principles. Elevated carbohydrate intake halts ketosis, while excess sodium intake is unrelated to ketogenic mechanisms or seizure management.

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Correct Answer is ["66.7"]

Explanation

Step 1 is (1600 mL ÷ 24 hours).

Answer is 66.7 mL/hr.

A. Prevent the drainage by applying a pressure dressing. B. Allow fluid to drain from the patient's ear onto gauze and notify the provider. C. Hang intravenous (IV) fluids to replace fluids lost. D. Administer antibiotics due to increased risk of infection.

Correct Answer is B

Explanation

Choice A rationale

Applying pressure to prevent drainage could force cerebrospinal fluid (CSF) back into the cranial cavity, increasing infection risk and intracranial pressure, potentially worsening brain injury. CSF leakage requires non-obstructive handling.

Choice B rationale

Allowing fluid to drain onto gauze prevents build-up of intracranial pressure while assessing for halo sign, indicating CSF leakage. Yellow staining reflects glucose presence in CSF, confirming dura mater damage.

Choice C rationale

Intravenous fluids manage hypovolemia but are not prioritized for trauma patient brain injuries. Replacing lost CSF requires specific medical intervention rather than fluid volume adjustments alone.

Choice D rationale

Antibiotics treat infections but are not first priority for confirmed CSF leakage, which demands careful monitoring of drainage to prevent neurological damage. Post-intervention antibiotics may be necessary.

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The client who is diagnosed with a seizure disorder is prescribed a ketogenic diet.The nurse knows that the client understands the teaching when they state:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer 1600 mL of total parental nutrition (TPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr?

Correct Answer is ["66.7"]

Explanation

The nurse is caring for a trauma patient with a suspected brain injury and Battle's Sign.The nurse notices a yellow stain around fluid dripping from the patient's ear.The nurse's priority intervention will be as follows:

Correct Answer is B

Explanation

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The client who is diagnosed with a seizure disorder is prescribed a ketogenic diet.
The nurse knows that the client understands the teaching when they state: