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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Antacids and narcotics.
Antacids can provide temporary relief of symptoms, but they do not treat the underlying H. pylori infection. Narcotics are not typically used as a standard treatment for peptic ulcer disease related to H. pylori.
B. Pepsin inhibitors and antiemetics.
Pepsin inhibitors and antiemetics may address symptoms but do not target the H. pylori infection directly. The standard treatment involves antibiotics to eradicate the bacteria and proton pump inhibitors to reduce acid production.
C. Proton pump inhibitors and antibiotics.
A positive breath test for H. pylori indicates the presence of Helicobacter pylori bacteria, which is associated with peptic ulcer disease. The standard treatment for H. pylori infection involves a combination of proton pump inhibitors (to reduce stomach acid production) and antibiotics (to eradicate the bacteria).
D. Emetic agents and tranquilizers.
Emetic agents are used to induce vomiting and are not indicated for the treatment of H. pylori infection. Tranquilizers are not part of the standard treatment for peptic ulcer disease associated with H. pylori.
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.
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