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.

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Correct Answer is C

Explanation

A. Methimazole (Tapazole) 15 mg, PO, now and every 4 hours is an appropriate treatment for thyroid storm. Methimazole is an antithyroid medication that inhibits the synthesis of thyroid hormones and helps control the symptoms of thyroid storm.
B. Applying humidified oxygen as needed is appropriate because clients in thyroid storm can develop respiratory distress due to high metabolic demands. Providing humidified oxygen can help maintain adequate oxygenation.
C. Aspirin is contraindicated in thyroid storm. It can increase the release of thyroid hormones from the thyroid gland and may also increase the risk of severe complications like bleeding. Furthermore, aspirin can interfere with the binding of thyroid hormones to proteins, exacerbating the condition. Instead, acetaminophen (Tylenol) should be used to reduce fever in thyroid storm.
D. This is an appropriate intervention to manage hyperthermia, which is a common symptom of thyroid storm. A hypothermia mattress can help reduce the client's elevated body temperature in a controlled manner

A. Place the client in the recovery position if possible. B. Document the start and stop time of the seizure C. Hold arms at the client's side to prevent thrashing or injury. D. Remove any dangerous objects near the client. E. Assist the client to the floor.

Correct Answer is ["A","B","D","E"]

Explanation

A. Place the client in the recovery position if possible. If the client is not actively seizing, placing them in the recovery position (on their side) can help prevent aspiration and allow for better airway management after the seizure ends. However, during the seizure, ensure their safety first.
B. Document the start and stop time of the seizure. It is important to document the timing of the seizure to help assess its duration and determine the appropriate interventions. This also helps guide treatment decisions post-seizure.
C. Hold arms at the client's side to prevent thrashing or injury. The nurse should not restrain the client during a seizure. Trying to hold the client’s arms or restrict their movements can cause injury. The goal is to ensure safety and prevent injury, but not to restrain them.
D. Remove any dangerous objects near the client. Clearing the area of any hard or sharp objects can prevent injury to the client during the seizure.
E. Assist the client to the floor. If the client is standing or sitting during the onset of the seizure, assist them to the floor gently to prevent injury from falling. Ensure that the area is clear of hazards.

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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

The health care team is caring for a client in thyroid storm. Which of the following prescriptions should the nurse question?

Correct Answer is C

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.

Correct Answer is ["A","B","D","E"]

Explanation

How many units is the arrow pointing to on the syringe below? Enter numeric value only

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