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 A

Explanation

A. Avoid caffeine-containing beverages before sleep

The highest priority teaching point to help relieve sleeplessness would be to advise the client to avoid caffeine-containing beverages before sleep. Caffeine is a stimulant that can interfere with the ability to fall asleep and maintain a restful sleep.

B. Perform strenuous exercise before bedtime

Strenuous exercise close to bedtime can actually stimulate the body and make it more difficult for the individual to relax and fall asleep. It is generally recommended to engage in exercise earlier in the day.

C. Drink lots of fluids before bedtime

Drinking excessive fluids before bedtime may lead to disrupted sleep as it can increase the need to wake up for bathroom trips during the night. It's advisable to limit fluid intake close to bedtime.

D. Eat a heavy meal before bedtime

Consuming a heavy meal before bedtime can cause discomfort and indigestion, potentially disrupting sleep. It is recommended to have a light, easily digestible meal if eating close to bedtime.

A. Decreasing physical activity B. Decreasing fluid intake C. Nutritional diet high in fiber D. Increasing fluid intake E. Increasing daily activity

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

Explanation

A. Decreasing physical activity: This is not a helpful intervention for preventing constipation. Physical activity, such as regular exercise, is beneficial for promoting bowel regularity.

B. Decreasing fluid intake: This is not a helpful intervention for preventing constipation. An adequate fluid intake is crucial for maintaining bowel regularity.

C. Nutritional diet high in fiber: This is a correct choice. Consuming a diet rich in fiber helps add bulk to the stool and promotes regular bowel movements, preventing constipation.

D. Increasing fluid intake: This is a correct choice. Staying well-hydrated is important for maintaining bowel regularity. Fluids help soften the stool and aid in its passage.

E. Increasing daily activity: This is a correct choice. Regular physical activity helps stimulate bowel movements and can contribute to preventing constipation.

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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 nurse is teaching a client measures to help relieve sleeplessness. Which would be the highest priority teaching point during the instructional session?

Correct Answer is A

Explanation

Constipation is a problem for many older adults. What intervention can a nurse educate the client about in order to prevent constipation? (Select all that apply)

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

Explanation

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