A client has been started on an anticonvulsant for a seizure disorder and asks how long he will need to take the medication. What is the nurse's best response?

"You will need to take an anticonvulsant of some type for your lifetime."

"This medication should be taken until you haven't had a seizure for a month."

"Seizures are unpredictable and so is the duration of the treatment."

"You will only need to take it for a short period of time because anticonvulsants will cure the seizure disorder."

Answer and Explanation

The Correct Answer is C

A. "You will need to take an anticonvulsant of some type for your lifetime."

This statement may be accurate for some individuals with chronic or recurrent seizure disorders, but it is a generalization. The duration of anticonvulsant therapy varies from person to person, and some individuals may eventually be able to discontinue medication under the guidance of their healthcare provider.

B. "This medication should be taken until you haven't had a seizure for a month."

While seizure control is a factor in determining the duration of treatment, setting a specific timeframe (e.g., one month) may not be applicable to everyone. The decision to continue or discontinue anticonvulsant therapy is usually individualized and based on various factors, including the type of seizure disorder and the individual's response to treatment.

C. "Seizures are unpredictable and so is the duration of the treatment."

This is the best response. It acknowledges the variability in seizure disorders and the individualized nature of treatment duration. Seizure management is often an ongoing process that requires monitoring and adjustments based on the person's specific circumstances.

D. "You will only need to take it for a short period of time because anticonvulsants will cure the seizure disorder."

Anticonvulsants are typically used to manage and control seizures rather than cure the underlying seizure disorder. While some individuals may experience a period of seizure freedom and be able to discontinue medication, this is not true for everyone. The duration of treatment varies, and some individuals may require long-term or even lifelong therapy.

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Correct Answer is ["C","D"]

Explanation

A. Administer morphine 1-2 mg IV

Administering morphine is not a preventive measure for spinal headaches. It may be considered for pain relief if the patient experiences discomfort after the effects of spinal anesthesia wear off.

B. Ambulate the client as soon as she gets feelings back

Ambulating the patient too soon after spinal anesthesia is generally not recommended. Staying in bed initially helps prevent complications like spinal headaches.

C. Increase fluid intake

Adequate hydration is important after spinal anesthesia to help maintain cerebrospinal fluid volume. Increasing fluid intake can reduce the risk of developing a spinal headache.

D. Encourage the patient to stay flat in bed

Remaining in a flat or slightly elevated position helps minimize cerebrospinal fluid leakage from the puncture site, reducing the likelihood of developing a spinal headache. This position is typically recommended for a specific duration after spinal anesthesia.

E. Position the client in high Fowler's position

Placing the patient in high Fowler's position (sitting upright) may increase the risk of cerebrospinal fluid leakage, potentially leading to a spinal headache. This position is not recommended for preventing spinal headaches after spinal anesthesia.

A. a learning disorder and muscle paralysis B. nervousness and sleeplessness C. hyperactivity and decreased attention span D. hyperactivity and nervousness

Correct Answer is C

Explanation

A. A learning disorder and muscle paralysis

This description does not align with the typical symptoms of ADHD. ADHD is characterized by core symptoms of inattention, hyperactivity, and impulsivity. Muscle paralysis is not a recognized symptom of ADHD.

B. Nervousness and sleeplessness

While some individuals with ADHD may experience difficulties with sleep, nervousness and sleeplessness are not the primary symptoms of ADHD. ADHD is more characterized by difficulties with attention, hyperactivity, and impulsivity.

C. Hyperactivity and decreased attention span

This is the correct choice. Hyperactivity and a decreased attention span are core symptoms of ADHD. Children with ADHD often display impulsive behaviors, have difficulty sustaining attention, and may be overly active.

D. Hyperactivity and nervousness

While hyperactivity is a common symptom of ADHD, nervousness is not typically described as a core symptom. ADHD is more characterized by impulsivity, hyperactivity, and attention difficulties.

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A client has been started on an anticonvulsant for a seizure disorder and asks how long he will need to take the medication. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient returns to the unit after having surgery with spinal anesthesia. What does the nurse know is/are the best action(s) to take to decrease the possibility of spinal headache? Select All That Apply

Correct Answer is ["C","D"]

Explanation

How will the parents of a 8 year old child diagnosed with ADHD most typically describe their child's behavior?

Correct Answer is C

Explanation

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