The nurse is providing teaching to a patient newly diagnosed with focal seizure disorder. Which statement by the nurse is most accurate?

"Simple partial seizures may result in an alteration of consciousness."

"Your seizures will typically only affect one side of your body.

"The simple partial seizure may cause motor impairment to begin in all of your extremities.

"Simple partial seizures are not treatable."

Answer and Explanation

The Correct Answer is B

A. Simple partial (focal aware) seizures do not alter consciousness; that is a characteristic of complex partial seizures.
B. Focal (partial) seizures typically affect one hemisphere of the brain and therefore one side of the body.
C. Seizures that begin with motor impairment in all extremities suggest a generalized seizure, not a simple partial seizure.
D. This is inaccurate. Simple partial seizures are treatable with antiepileptic medications and sometimes surgical interventions.

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Correct Answer is A

Explanation

A. Normal capillary refill time is generally less than 3 seconds, indicating adequate peripheral perfusion.
B. Four seconds is prolonged and may suggest compromised circulation.
C. Six seconds is significantly delayed and indicates poor perfusion requiring immediate attention.
D. Five seconds is also prolonged and suggests impaired circulation.

A. False B. True

Correct Answer is A

Explanation

Convert weight to kilograms:
82 lb ÷ 2.2 = 37.27 kg
Calculate safe dose range:

Minimum dose:10 mg × 37.27 kg = 372.7 mg/day

Maximum dose:12 mg × 37.27 kg = 447.24 mg/day

Compare with ordered dose:
Ordered dose = 500 mg/day
Safe range = 372.7 mg to 447.24 mg/day

→ 500 mg exceeds the maximum safe dose (447.24 mg)

Final Answer:No, the order is not safe.

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The nurse is providing teaching to a patient newly diagnosed with focal seizure disorder. Which statement by the nurse is most accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is checking for capillary refill on a child in Bryant's traction. How long does it take for the toe nailbed to regain color if adequate perfusion is assessed?

Correct Answer is A

Explanation

Physician's Order The doctor orders Zithromax 500 mg orally, daily for a child who weighs 82 pounds. The safe dose range for this medication is 10-12 mg/kg/day. Zithromax is available in 250mg/tablets. Is the order safe?

Correct Answer is A

Explanation

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