Term
| The client says to the nurse “My doctor said I have epilepsy and need to take medicine for those seizures I had. Do I really need medicine?” What is the best response by the nurse? |
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Definition
| “Yes, you need to take medication on a continuous basis to control the seizures.” |
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Term
| The nurse is teaching a class for clients who have been recently diagnosed with epilepsy. The nurse determines that learning has occurred when the clients make which statements? Select all that apply. |
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Definition
1.“Epilepsy may be caused by a head injury.”
2. “With some cases of epilepsy, the cause is never determined.”
3. “A stroke, or brain attack, could increase the risk for developing epilepsy.” |
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Term
| A parent says to the nurse “The doctor prescribed ethosuximide (Zarontin) for my child, who has absence seizures. What does this mean?” What is the best response by the nurse? |
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Definition
| “Your daughter’s seizures manifest as a staring into space for a few seconds. Ethosuximide (Zarontin) is a good medication for this type of seizure.” |
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Term
| The client has epilepsy and receives phenytoin (Dilantin). The client has been seizure-free, and asks the nurse why he still needs blood tests when he is not having seizures. What is the best response by the nurse? |
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Definition
| “Because phenytoin (Dilantin) has a very narrow range between a therapeutic dose and a toxic dose.” |
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Term
| The nurse has been conducting medication education for a client with epilepsy. What is the best outcome for this client? |
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Definition
| The client will recognize that the antiseizure medication must be continued indefinitely. |
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Term
| The physician has ordered intravenous (IV) diazepam (Valium) for the client in status epilepticus. During administration, which assessment by the nurse is most important? |
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Definition
| Assessing respirations every 5 to 15 minutes. |
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Term
| The physician has ordered intravenous (IV) phenytoin (Dilantin). The nurse does not read the drug label and administers the medication intramuscularly (IM). What is the most likely response in the client? |
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Definition
| Local tissue damage following extravasation will most likely occur |
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Term
| The physician has ordered intravenous phenytoin (Dilantin). The client is also receiving 5% dextrose in water (D5W) intravenously (IV). What will the nurse plan to do before administering this medication? Select all that apply. |
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Definition
1.Flush the intravenous (IV) line with saline.
2.Use an intravenous (IV) line with a filter.
3.Use a large vein for the infusion. |
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Term
| The client is receiving valproic acid (Depakene) for treatment of seizures. The client has also been taking a daily 81 mg aspirin tablet prophylactically for a cardiac condition. What would the nurse be most likely to observe? |
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Definition
| Bleeding from the gums and bruising of the skin. |
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Term
| The client is receiving Phenobarbital (Luminal) for control of seizures. The client tells the nurse she plans to become pregnant. What is the best response of the nurse? |
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Definition
| “Please talk to your doctor; this drug is contraindicated in pregnancy.” |
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Term
| The client tells the nurse that she has been taking phenytoin (Dilantin) for two years now and is still having too many side effects. She wants to stop taking it. What is the best response by the nurse? |
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Definition
| “Please do not stop the medication abruptly, as you will have withdrawal seizures.” |
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Term
| The physician has prescribed phenytoin (Dilantin) for a client with diabetes mellitus, type 1. What does the nurse include in the plan of care for this client? |
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Definition
| Plan to discuss with the physician the need to increase the client’s insulin based on serum glucose levels. |
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Term
| The young child has absence seizures. The physician has prescribed valproic acid (Depakene) syrup. The nurse has completed medication education with the child’s mother and determines that learning has occurred when the mother makes which statement? |
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Definition
| I should not mix this with carbonated beverages.” |
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Term
| The client is receiving phenobarbital (Luminal) for seizure control. The client asks the nurse how this little pill can stop his seizures. What is the best response by the nurse? |
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Definition
| “Phenobarbital (Luminal) stops your seizures by increasing a chemical called GABA that calms down the excitability in your brain.” |
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Term
| The elderly client is taking phenobarbital (Luminal) for seizure control. What is most important for the nurse to assess in the client? |
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Definition
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Term
| Identify the correct statement regarding seizures? |
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Definition
| 3. Seizures can be caused by bacterial infections of the nervous system. |
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Term
| A person who stops talking mid-sentence and has a blank stare for 5 seconds would most likely be experiencing: |
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Definition
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Term
| Vitamin D deficiency would most likely be seen in a patient with seizures who is being treated with which drug type? |
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Definition
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Term
| A low-income patient without insurance has been prescribed several different medications over several months for seizure control without any improvement. The patient indicates she has not experienced any adverse effects. At this point the nurse should: |
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Definition
| Assess for medication compliance. |
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Term
| Which of the following adverse effects would most likely be associated with the use of phenytoin (Dilantin)? |
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Definition
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Term
| A drug that is used to treat petit mal seizures but not tonic-clonic seizures and works by decreasing neuronal activity in the motor cortex is: |
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Definition
| 1. Ethosuximide (Zarontin). |
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Term
| Which of the following seizure drugs is most likely to be administered IV and result in soft tissue damage following extravasation? |
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Definition
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