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 D

Explanation

A. Rowing. – Incorrect. Rowing can strain the lower back.

B. Tennis. – Incorrect. Twisting motions in tennis can exacerbate back pain.

C. Canoeing. – Incorrect. Similar to rowing, canoeing may strain the lower back.

D. Swimming. – Correct Answer. Water-based exercises provide low-impact movement and reduce strain on the spine, making swimming the best choice.

A. Clarify the prescription because the insulin should not be administered at this time. B. Hold breakfast for one hour after the insulin administration. C. Administer insulin when breakfast arrives. D. Check the blood glucose immediately after breakfast.

Correct Answer is C

Explanation

A. Clarify the prescription because the insulin should not be administered at this time. – Incorrect. Aspart insulin is rapid-acting and should be given with meals to prevent post-meal hyperglycemia.

B. Hold breakfast for one hour after the insulin administration. – Incorrect. Rapid-acting insulin peaks quickly (within 30-90 minutes), so delaying food increases the risk of hypoglycemia.

C. Administer insulin when breakfast arrives. – Correct Answer. Aspart insulin should be given right before or with food to match glucose absorption and prevent hypoglycemia.

D. Check the blood glucose immediately after breakfast. – Incorrect. Blood glucose should be checked before insulin administration to ensure appropriate dosing.

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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?

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