A client required endotracheal intubation with sedation due to being in status epilepticus.
An electroencephalogram (EEG) monitor is prescribed by the physician.
The client's family member asks, "if he's resting now, why does he need that monitor too?" The nurse instructs the family member that the EEG:

Helps determine if there has been bleeding to brain tissue.

Checks for adequate oxygen intake by cerebral tissue.

Will assess brain waves to see if seizure activity is still occurring.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While bleeding could indicate trauma, EEG does not detect blood presence or volume but instead evaluates electrical brain activity indicative of neuronal function.

Choice B rationale

Cerebral oxygen intake assessment requires pulse oximetry or arterial blood gas analysis rather than EEG, which monitors electrical signals, not oxygenation status.

Choice C rationale

EEG identifies abnormal brain wave patterns suggesting ongoing seizure activity, even in sedated patients, aiding in targeted interventions and preventing potential complications.

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Correct Answer is C

Explanation

Choice A rationale

Soft restraints are utilized for agitation but are not prioritized in epilepsy care. Emergency equipment like suction ensures airway safety during seizures.

Choice B rationale

Glasgow Coma Scale evaluates neurological function but is less relevant for epilepsy management compared to essential tools like suction equipment for airway protection.

Choice C rationale

Suction equipment and oxygen are vital in epilepsy management to clear secretions and maintain oxygenation during seizures. Patent IV access allows rapid administration of emergency medications.

Choice D rationale

Dextrose infusion is used to treat hypoglycemia rather than seizures. Epilepsy care prioritizes tools like suction and oxygen for immediate seizure-related complications. .

A. Is in the latent period of the disease. B. Continues to remain in HIV positive status. C. Has acquired immunodeficiency syndrome (AIDS). D. Has seroconverted.

Correct Answer is C

Explanation

Choice A rationale

The latent period of HIV includes asymptomatic phases when the CD4+ count remains above 200 cells/mm. Pneumocystic pneumonia and low CD4+ counts signify progression beyond latent HIV.

Choice B rationale

HIV-positive status reflects infection presence, but it does not confirm AIDS unless CD4+ count drops below 200 cells/mm and opportunistic infections occur, such as pneumocystic pneumonia.

Choice C rationale

AIDS is diagnosed when CD4+ count decreases below 200 cells/mm, coupled with opportunistic infections. Pneumocystic pneumonia indicates a weakened immune system due to advanced disease.

Choice D rationale

Seroconversion marks the initial immune response to HIV infection with detectable antibodies but occurs before CD4+ counts decline significantly and opportunistic infections appear.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with epilepsy who has recently had a change in their prescribed medication combination.Which of the following options are priority to institute?

Correct Answer is C

Explanation

A client, who has tested positive for human immunodeficiency virus (HIV), now presents with a CD4+ count of less than 200 cells/mm and pneumocystic pneumonia.A normal range for a CD4+ count is 500-1500 cells/mm.How would the nurse evaluate these findings? The client:

Correct Answer is C

Explanation

The nurse is reviewing discharge instructions for a patient with a spinal cord injury to T-10 going home with an indwelling urinary catheter.What would the nurse emphasize about catheter care? (Select All that Apply.)

To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:

When considering the pharmacologic management of a patient who has sustained a traumatic head injury, the nurse can anticipate an order for which of the following medications to manage increases in intracranial pressure (ICP)?

A client is to receive 250 mL of IV fluid over 90 minutes by gravity. The drop factor on the IV tubing is 20 gtts/mL. How many gtts/min should be administered?

The nurse is caring for a patient with a spinal cord injury who has a flaccid or atonic bladder.The nurse would provide discharge education to the patient and family regarding which bladder management technique?

A client with an intracranial aneurysm that resulted in a cerebral bleed is to be discharged to a rehabilitation facility.Which of the following rehabilitation outcomes would be appropriate for this client?

The nurse observes increased eye blinking and lip smacking in a client who has a history of absence seizures.The nurse is aware these symptoms indicate:

The nurse is performing an admission assessment on a client with a diagnosis of detached retina.Which of the following is associated with this eye disorder?