The nurse is caring for a client who experienced a seizure. The nurse knows which of the following is NOT a risk factors for seizure activity?

Alcohol withdrawal

Genetic predisposition

Tension headaches

Prolonged hypoxemia

Advanced age

Answer and Explanation

The Correct Answer is C

A. Alcohol withdrawal is a known risk factor for seizures. It can lead to withdrawal seizures, especially if the client has been drinking heavily and abruptly stops or reduces alcohol consumption.
B. A genetic predisposition can increase the risk of seizures. Certain genetic conditions, such as epilepsy, can increase the likelihood of experiencing seizures.
C. Tension headaches are not typically considered a risk factor for seizures. While headache disorders like migraines can sometimes be associated with seizures, tension headaches are generally not linked to an increased risk of seizure activity.
D. Prolonged hypoxemia (low oxygen levels) can lead to brain injury and is a well-established risk factor for seizures. When the brain does not receive enough oxygen, it can trigger seizure activity.
E. Older adults are at a higher risk for seizures, often due to conditions such as stroke, brain tumors, or age-related changes in the brain that can affect electrical activity.

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Correct Answer is C

Explanation

A. Saturated solution of potassium iodide (SSKI) is typically administered orally, not by injection. Therefore, cleansing an injection site is not relevant to this medication.
B. SSKI is not administered intravenously, so this step is unnecessary. Potassium iodide is given orally, so examining it for IV-related concerns such as crystals is not applicable.
C. SSKI has an unpleasant taste, so it is commonly mixed with fruit juice (or another liquid like water) to make it more palatable. Using a straw can help minimize the direct contact with the teeth and reduce the risk of irritation to the mouth and throat.
D. While monitoring vital signs is important for assessing the overall health status of the client, it is not routinely required specifically prior to administering SSKI, unless there are indications of a more serious issue or pre-existing conditions like thyroid dysfunction that may require more monitoring. This action would be more relevant for medications that directly affect hemodynamics or electrolyte balance, which is not a typical concern for SSKI.

A. "I will be put to sleep during this procedure." B. "The doctor will be able to remove the cancer through the needle." C. "After the biopsy I will know for sure if I have cancer and what stage it is." D. "The doctor will make a small incision and remove a piece of the tumor."

Correct Answer is D

Explanation

A. A needle biopsy of the thyroid is typically done under local anesthesia, not general anesthesia. The client would be awake during the procedure, although they may be given a sedative to help them relax.
B. A needle biopsy is used to obtain a sample of tissue for testing, not to remove the cancer. The procedure helps diagnose the presence of cancer, but further treatment like surgery would be necessary to remove any cancer.
C. While a needle biopsy can confirm the presence of cancer, it does not provide information about the stage of cancer. Additional imaging and tests would be required to determine the stage.
D. Although the procedure typically involves inserting a needle through the skin (often without making a large incision), the biopsy involves removing a small sample of tissue for examination. This is the correct understanding of a needle biopsy.

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The nurse is caring for a client who experienced a seizure. The nurse knows which of the following is NOT a risk factors for seizure activity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer prescribed saturated solution of potassium iodide (SSKI). Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The nurse has taught a client about a needle biopsy procedure, of the thyroid gland, to diagnose thyroid cancer. Which of the following statements by the client would indicate the teaching was successful?

Correct Answer is D

Explanation

The nurse is reviewing the hemoglobin A1C (HgbA1C) results that showed 6.9% with a client who has diabetes mellitus. The client asked the nurse what the result means. Which of the following statements by the nurse is correct?

The nurse is assessing an older adult client with a diagnosis of hypothyroidism. The nurse understands that the client has an increased risk for which of the following?

The nurse is caring for a client who has diabetes mellitus and reports having a headache, nausea, is diaphoretic and then loses consciousness. Which of the following actions should the nurse take?

The nurse is caring for a client with Parkinson's disease. The nurse understands the client is on both levodopa and carbidopa for which of the following reasons?

The nurse is teaching a client with epilepsy who has a new prescription for phenytoin (Dilantin). Which of the following instructions should the nurse include in the teaching?

The home health nurse is visiting a client with diabetes mellitus, type 2 who reports nausea and vomiting for the past 3 days and not taking prescribed insulin because of the inability to "keep food down." Which of the following responses would be most appropriate for the nurse to make?

The nurse is developing a staff education program about diabetes mellitus, type 2. Which of the following statements should the nurse include in the program?