What is the most common complication for a patient with a seizure disorder?

Hemorrhagic stroke.

The effect on a patient’s lifestyle.

Broken bones.

Status epilepticus.

Answer and Explanation

The Correct Answer is D

Choice A reason: Hemorrhagic stroke is rare in seizure disorders, which are primarily neurological. Status epilepticus is a frequent, life-threatening complication, making this incorrect, as it does not represent the most common issue faced by patients with seizure disorders under nursing care.

Choice B reason: Lifestyle effects are significant but not a medical complication like status epilepticus, which is a direct seizure-related emergency. This is incorrect, as it addresses quality of life rather than the most common clinical complication in patients with seizure disorders.

Choice C reason: Broken bones can occur during seizures but are less common than status epilepticus, a medical emergency. This is incorrect, as it is a secondary injury rather than the primary complication the nurse would anticipate in a patient with a seizure disorder.

Choice D reason: Status epilepticus, prolonged or repeated seizures without recovery, is the most common serious complication in seizure disorders, requiring urgent intervention. This aligns with neurological nursing care, making it the correct complication the nurse would prioritize in patient management.

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Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Obesity, particularly central, is common in Cushing syndrome due to cortisol-induced fat redistribution. This aligns with endocrine assessment findings, making it a correct manifestation the nurse would expect when evaluating a patient with Cushing syndrome for physical signs.

Choice B reason: Bruising occurs in Cushing syndrome due to cortisol weakening blood vessels and skin. This is a typical integumentary finding, aligning with clinical assessments, making it a correct manifestation the nurse would note in a patient with Cushing syndrome during evaluation.

Choice C reason: Edema results from cortisol’s mineralocorticoid effects, causing fluid retention in Cushing syndrome. This aligns with cardiovascular and fluid balance assessments, making it a correct manifestation the nurse would expect when assessing a patient with this endocrine disorder.

Choice D reason: Abdominal pain is not a primary manifestation of Cushing syndrome, though striae or muscle weakness may occur. Obesity and bruising are more specific, making this incorrect, as it is not a typical finding in the nurse’s assessment of Cushing syndrome.

Choice E reason: Bronze skin is associated with Addison’s disease, not Cushing syndrome, which causes moon facies or buffalo hump. Obesity and edema are correct, making this incorrect, as it misattributes a finding to Cushing syndrome in the nurse’s assessment.

A. Using four-point restraints to prevent the patient from wandering off. B. Encouraging family members to stay at the bedside. C. Putting the patient in a dark, quiet room alone. D. Medicating the patient with high doses of sedatives.

Correct Answer is B

Explanation

Choice A reason: Four-point restraints increase agitation and risk injury in delirious patients, worsening confusion. Family presence calms and reorients, making this harmful and incorrect compared to the nurse’s goal of creating a safe, calming environment for the patient with delirium.

Choice B reason: Encouraging family members to stay provides familiarity and reassurance, reducing agitation in delirious patients. This aligns with delirium management guidelines, making it the correct intervention to create a calm and safe environment for the patient experiencing delirium in the hospital.

Choice C reason: A dark, quiet room may disorient delirious patients further, increasing confusion. Family presence offers comfort, making this counterproductive and incorrect compared to the nurse’s aim of fostering a supportive, orienting environment for the patient with delirium.

Choice D reason: High-dose sedatives risk oversedation and worsen delirium, not calming the patient safely. Family presence supports orientation, making this risky and incorrect compared to the nurse’s focus on non-pharmacological interventions to create a safe environment for the delirious patient.

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What is the most common complication for a patient with a seizure disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which manifestation would the nurse find when assessing a patient with Cushing syndrome? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

Which intervention may help create a calm and safe environment for the patient with delirium?

Correct Answer is B

Explanation

Which effect on the central nervous system is related to symptoms of multiple sclerosis (MS)?

What test results would indicate hyperthyroidism?

Which radiographic diagnostic test is most helpful in confirming gallstones?

A patient with a history of T3 spinal cord injury is admitted with dermal ulcers. The patient tells the nurse, “I have a pounding headache and I feel sick to my stomach.” Which action would the nurse take first?

A patient with Alzheimer’s disease (AD) who is being admitted to a hospital rehab facility has had several episodes of wandering away from home. Which action will the nurse include in the plan of care?

A patient who is disoriented and reports a headache and muscle cramps is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). Which laboratory result would the nurse expect?

Which patient statement indicates to the nurse that teaching was effective about chronic syndrome of inappropriate antidiuretic hormone (SIADH)?

A patient who had a thyroidectomy tells the nurse, “I need to restrict my activities and not return to work for 4 weeks.” Which statement indicates a need for further teaching?