The nurse is caring for an anxious 20-year-old college student who just suffered his first seizure in his dorm room. The patient asks the nurse if he is now an epileptic. What is the nurse's best response?
"No. All other causes of seizure activity must be ruled out before the diagnosis of epilepsy is made."
"Yes, but you may never have another seizure since it has just now manifested itself."
"No, but you should see a physician to get a prescription for a preventative antispasmodic."
"Yes. All seizures are considered to be epilepsy"
The Correct Answer is A
A. A single seizure does not automatically indicate epilepsy. Epilepsy is typically diagnosed after two or more unprovoked seizures, and other causes (e.g., fever, head trauma, infection, drug use) must first be ruled out.
B. This implies a diagnosis without proper evaluation and is misleading.
C. Antispasmodics are not the standard treatment, and medication should not be prescribed without diagnostic evaluation.
D. Not all seizures are epilepsy—seizures can result from various acute and reversible conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Myasthenia gravis is an autoimmune disorder where antibodies attack acetylcholine receptors at the neuromuscular junction, leading to muscle weakness.
B. Inability of basal ganglia to produce sufficient dopamine is related to Parkinson’s disease, not myasthenia gravis.
C. A post-viral illness with ascending paralysis describes Guillain-Barré syndrome.
D. Loss of the myelin sheath surrounding peripheral nerves occurs in diseases like multiple sclerosis and peripheral neuropathies, not myasthenia gravis.
Correct Answer is A
Explanation
A. The nurse should assess for alteration in peripheral circulation, such as changes in color, temperature, pulse, or sensation in the lower extremities. The abductor wedgekeeps the legs abducted to prevent dislocation of the hip, but if applied improperly, it may impair circulation or cause nerve compression.
B. Muscle spasms can occur after surgery but are not directly related to the use of an abduction wedge.
C. Compression fractures are not a typical concern in the immediate care of a patient with an abduction wedge after hip replacement.
D. While correct wedge size is important, the priorityis to monitor for complications such as compromised circulation.
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