2:15 PM Sat Nov 13

The client is scheduled to receive phenytoin (Dilantin) through a

nasogastric tube and has a tube-feeding supplement running
continuously. The head of the bed is elevated to 30 degrees. Prior to
administering the medication, the nurse should:
ANS: Stop the tube feeding 1 hour before giving Dilantin and hold tube
feeding for 1 hour after giving Dilantin

When administering intermittent enteral feeding to an unconscious

client,the nurse should:
Answer: place client in a semi-Fowler's pstn-
Which denial manifestation is a typical reaction to long-term phenytoin
sodium (Dilantin)
Answer: excessive growth of gum tissue

What is the priority nursing intervention in the postical phase of a seizure?

Ans: asses the client's breathing pattern

which statement by a client with a seizure disorder taking topiramite

(topamax) indicates the client has understood the nurse's
instruction? Ans: i will drink 6-8 glasses of water
Which of the following is contraindicated for a client with
seizure precautions?
Ans: assessing his oral temperature with glass
thermometer/
The nurse is teaching a client to recognize an aura. The nurse should
instruct the client to note:
Ans: a symptom that occurs just before a seizure
The client will have an electroencephalogram (EEG) in the morning. The
nurse should instruct the client to have which of the following
breakfast? Ans: A full breakfast as desired without coffee, tea, or
energy drinks
When preparing to teach a client about Phenytoin sodium (dilantin) therapy,
the nurse should urge the client not to stop the drug suddenly because: Ans:
Status

epile
pticus may develop.
2:15 PM Sat Nov 13

Which of the following technique is not appropriate when the

nurse changes a client's position in bed if the client has
hemiparalysis? Ans: sliding the client to move up in bed

Which of the following should the nurse include in the teaching plan for a
client with seizures who is going hime with a prescription for gabapentin
(neurontin)
Ans: Notify the physician if vision changes occur.
Which intervention is most effective in minimizing the risk of seizure
activity in a client who is undergoing diagnostic studies
after having experienced several episodes of seizures?
Ans: Administer carbamazepine 200 mg PO twice per
day

A 22-year -old who hit his head while playing football

has a tonic-clonic seizure. Upon awakening from the seizure, the client
asks the nurse, "what caused me to have a seizure? I've never had one
before." Which cause should the nurse include in the response as a
primary cause of tonic-clonic seizures in adults older than age 20? Ans:
head trauma

The nurse is assessing a client in the postical phase of generalized tonic

clonic seizure. The nurse should determine if the client has: Ans:
drowsiness

It is the night before a client is to have a computed tomography (CT) scan

of the head without contrast. The nurse should tell the client:
Ans: "You will need to hold your head very still during the examination."

In planning care for the client who has had a stroke, the nurse should
obtain a history of the client's functional status before the stroke
because: Ans: The rehabilitation plan will be guided by it.
The unconscious client is to receive 200 mL of tube feeding ever 4 hours.
The nurse checks for the client's gastric residual before administering
the next scheduled feeing and obtains 40 mL of gastric residual. The
nurse should:
Ans: readminister the residual to the client and continue with the
feeding

What nursing assessments should be documented at

the beginning of the ictal phase of a seizure?
Ans: Movement of the head and eyes and muscle
rigidity.

For the client who is experiencing expressive aphasia,

which nursing intervention is most helpful in promoting
communication? Ans: using a picture board for the client to point to
pictures