The nurse preparing a patient with a seizure disorder for discharge. Which of the following should the nurse include as part of the discharge teaching plan?

Avoid alcoholic beverages.

Take tub baths instead of showers.

When the seizures stop, discontinue the medication.

Continue to take over-the-counter (OTC) medications as needed.

Answer and Explanation

The Correct Answer is A

A. Avoid alcoholic beverages. – Correct Answer. Alcohol can lower the seizure threshold and interfere with antiepileptic medications.

B. Take tub baths instead of showers. – Incorrect. Showers are safer because a seizure in a bathtub increases the risk of drowning.

C. When the seizures stop, discontinue the medication. – Incorrect. Antiepileptic drugs should not be stopped abruptly, even if seizures are well controlled.

D. Continue to take OTC medications as needed. – Incorrect. Some OTC medications can interact with antiepileptic drugs, so a healthcare provider should be consulted before use.

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Correct Answer is B

Explanation

A. Infuse the transfusion at a rate of 200 mL/hr. – Incorrect. The initial infusion should be slow (e.g., 75-100 mL/hr) to monitor for reactions.

B. Check the patient's vital signs every hour during the transfusion. – Correct Answer. Frequent monitoring is necessary to detect adverse reactions, such as fever or hypotension.

C. Leave the patient 5 minutes after beginning the transfusion. – Incorrect. The nurse should remain with the patient for the first 15 minutes, as most transfusion reactions occur early.

D. Flush the blood tubing with dextrose 5% in water. – Incorrect. Only normal saline should be used to flush blood tubing, as dextrose can cause hemolysis.

A. Keep a padded tongue blade available at the patient's bedside. B. Place the patient's bed in the high position. C. Keep the lights on when the patient is sleeping. D. Obtain IV access.

Correct Answer is D

Explanation

A. Incorrect. Never insert anything into a seizing patient's mouth, as it can cause injury.

B. Incorrect. The bed should be in the lowest position to prevent falls.

C. Incorrect. Keeping lights on is unnecessary and can cause sensory overstimulation.

D. Correct. IV access is important in case emergency medications (e.g., lorazepam) are needed during a seizure.

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The nurse preparing a patient with a seizure disorder for discharge. Which of the following should the nurse include as part of the discharge teaching plan?

Nursing Test Bank

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