The nurse is talking with a client newly diagnosed with epilepsy who asks, "How do you know I have epilepsy instead of just a seizure?" Which of the following responses should the nurse make?

Because an acute condition has caused the seizures you have had.

When a client has had a seizure that has lasted more than 5 minutes.

When a client has a history of 2 or more seizures more than 24 hours apart.

Because there is no known cause for the seizures you have had

Answer and Explanation

The Correct Answer is C

A. Epilepsy is a chronic neurological disorder characterized by recurrent, unprovoked seizures, and an acute condition is not typically the cause of seizures in people with epilepsy.
B. While a seizure lasting more than 5 minutes (status epilepticus) is a medical emergency, it does not define epilepsy. Epilepsy is diagnosed based on recurrent, unprovoked seizures, not the duration of a single seizure.
C. Epilepsy is diagnosed when a person has had two or more unprovoked seizures that occur more than 24 hours apart. This is the key criterion for the diagnosis of epilepsy, which is a chronic condition.
D. While it's true that some forms of epilepsy may not have a known cause, many cases of epilepsy have identifiable causes, such as brain injury, genetic factors, or structural abnormalities. The diagnosis of epilepsy is not solely based on the absence of a known cause for seizures.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["15"]

Explanation

The desired insulin infusion rate is 15 units per hour.
The concentration of the insulin solution is 100 units in 100 mL.
This means there is 1 unit of insulin in every 1 mL of the solution (100 units ÷ 100 mL = 1 unit/mL).
To find the milliliters per hour to administer, we need to deliver 15 units per hour, and since there is 1 unit per mL, the flow rate will be: 15 units/hr ÷ 1 unit/mL = 15 mL/hr

A. "Continue taking your usual insulin dose even if you have nausea and vomiting." B. "Check your blood sugar level twice each day even if you are not eating." C. "Avoid drinking soda or fruit juices because it will increase your blood sugar level." D. "Limit your daily fluid intake as it may aggravate your nausea and vomiting.

Correct Answer is A

Explanation

A. It is important for the client with diabetes to continue taking their insulin as prescribed, even if they are unable to eat. When the body is under stress (e.g., due to illness), blood sugar levels can rise, and insulin is still necessary to manage glucose levels. Skipping insulin could lead to hyperglycemia or diabetic ketoacidosis (DKA), which can be life-threatening. The nurse should encourage the client to continue insulin therapy and consider alternative ways to manage nausea (e.g., antiemetics).
B. While it is important for the client to monitor their blood glucose, checking it twice a day may not be sufficient during illness. The client should check their blood glucose more frequently (e.g., every 4 hours) to avoid the risk of hyperglycemia or DKA, especially if they are not eating or drinking regularly.
C. When a person with diabetes is ill and unable to eat, it is important to ensure they stay hydrated and maintain glucose levels. Clear liquids such as soda or fruit juice may help with hydration and provide a quick source of sugar if the blood glucose drops too low, though they should be consumed in moderation.
D. It is essential for the client to stay hydrated, especially if they are vomiting. Dehydration can worsen blood sugar control and lead to further complications. The client should be encouraged to drink small, frequent sips of water or electrolyte solutions to stay hydrated.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is talking with a client newly diagnosed with epilepsy who asks, "How do you know I have epilepsy instead of just a seizure?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["15"]

Explanation

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?

Correct Answer is A

Explanation

The nurse is caring for a client who is having an active seizure. Which of the following actions should the nurse take? Select all that apply.

The nurse is completing reconciliation of a client's medications prior to discharge and the list includes an oral antidiabetic drug and glargine [Lantus] insulin. Which of the following new prescriptions causes the nurse concern?

The nurse is assessing a client taking prescribed propylthiouracil (PTU) therapy. What should the nurse further assess?

The nurse is obtaining a medical history from a client scheduled for a thyroid diagnostic test. Which of the following findings may affect the results?

The nurse is caring for a client newly diagnosed with diabetes mellitus who states, "I do not understand why I have diabetes when I try not to eat a lot of sugar." Which of the following responses should the nurse make?

The nurse is preparing a conference about hypothyroidism for a group of clients. Which of the following information should the nurse include in the conference?

The nurse is providing discharge teaching to a client with diabetes mellitus, type 2. Which of the following information should the nurse include in the teaching?

The nurse is caring for a client with diabetes mellitus, type 1 who asked for the meaning of glycemic index. Which of the following responses by the nurse would be correct?