The patient newly diagnosed with epilepsy asks the nurse to explain the meaning of the diagnosis.
What is the nurse's best response?
Epilepsy is the clonic-tonic muscle contraction with the potential to cause injury.
Epilepsy is a convulsive disorder caused by electrical discharge in the muscle.
Epilepsy is a single disease.
Epilepsy is characterized by sudden discharge of electrical energy.
The Correct Answer is D
Choice A rationale
Clonic-tonic muscle contraction is related to convulsions and seizures but does not accurately define epilepsy. Epilepsy is a neurological disorder characterized by recurrent seizures due to abnormal electrical activity in the brain.
Choice B rationale
Epilepsy involves abnormal electrical discharges in the brain, not in the muscles. Muscle contractions are a symptom of seizures, not the cause of epilepsy.
Choice C rationale
Epilepsy is not a single disease; it encompasses various conditions characterized by recurrent seizures. It is a spectrum of disorders with different causes and manifestations.
Choice D rationale
This choice accurately describes epilepsy as characterized by sudden, recurrent, and transient disturbances in brain function due to abnormal electrical discharges in the brain.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Anticonvulsant medications are not taken on an as-needed basis. They require consistent dosing to maintain therapeutic levels and prevent seizure activity effectively.
Choice B rationale
The goal of anticonvulsant therapy is not just temporary seizure control but long-term management. Medications are continued even after achieving seizure-free status to prevent recurrence.
Choice C rationale
While some patients might achieve control within a few years, there is no standard duration for stopping anticonvulsants. Treatment duration varies based on individual response and risk of recurrence.
Choice D rationale
Anticonvulsant medications are typically taken for a lifetime to manage epilepsy. Long-term therapy is crucial for maintaining seizure control and preventing breakthrough seizures.
Correct Answer is D
Explanation
Choice A rationale
While a complete blood count (CBC) is an essential lab value for monitoring many conditions and potential side effects, it is not the primary concern when administering high doses of azithromycin, especially with co-administration of acetaminophen. The focus should be on liver function.
Choice B rationale
Urinalysis is useful in diagnosing and monitoring various conditions but is not directly relevant to monitoring the side effects of azithromycin and acetaminophen. These medications do not typically cause urinary abnormalities that would necessitate frequent urinalysis.
Choice C rationale
Electrolytes are not directly affected by azithromycin and acetaminophen use. Although monitoring electrolytes can be essential in broader contexts, these specific medications do not primarily impact electrolyte balance requiring focused monitoring.
Choice D rationale
Liver enzymes are the key lab values to monitor when administering high doses of azithromycin and acetaminophen. Both medications are metabolized by the liver and can cause hepatotoxicity. Monitoring liver enzymes helps in detecting early signs of liver damage and preventing further complications.
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