A nurse is completing discharge teaching to a patient who has seizures and received a vagal nerve stimulator to decrease seizure activity. Which of the following statements should the nurse include in the teaching?

You should place a magnet over the implantable device when you feel an aura occurring

It's safe to use a microwave that is 12,000 watts or less

You should avoid the use of CT scan with contrast

It's recommended that you use a burst catheter for pain management .

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Magnet activation: Placing a magnet over the implantable device activates an on-demand feature of the VNS, delivering extra stimulation to the vagus nerve. This can potentially disrupt or shorten a seizure, especially when used at the onset of an aura (a warning sign that a seizure may be imminent).
Patient empowerment: Teaching the patient how to use the magnet provides them with a sense of control and a way to actively manage their seizures. It can reduce anxiety and improve quality of life.
Choice B rationale:
Microwave safety: While there's no definitive evidence that microwaves directly interfere with VNS devices, manufacturers generally recommend avoiding close or prolonged exposure to microwaves as a precaution. Specific guidelines may vary, but they often suggest keeping a distance of at least 15-20 inches from microwaves. The statement in Choice B about 12,000 watts or less is inaccurate and misleading.
Choice C rationale:
CT scans with contrast: There's no contraindication for patients with VNS to undergo CT scans with contrast. The device is designed to withstand common imaging procedures.
Choice D rationale:
Pain management: Burst catheters are typically used for pain management after surgery or during childbirth. They have no direct relevance to VNS therapy or seizure management.

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Correct Answer is B

Explanation

Choice A rationale:
While taking colchicine with food can help minimize gastrointestinal side effects like nausea, it's not the most crucial instruction for this medication. The primary concern with colchicine is its potential for muscle toxicity.

Choice B rationale:
Colchicine can cause muscle pain, tenderness, or weakness, which can be a sign of a serious condition called rhabdomyolysis. Rhabdomyolysis involves the breakdown of muscle tissue, potentially leading to kidney damage and other complications.
It's crucial for patients to monitor for muscle pain and report it to their healthcare provider promptly if it occurs. Early detection and intervention can help prevent serious complications.

Choice C rationale:
Increased bruising is not a common side effect of colchicine. It's more frequently associated with medications that affect blood clotting, such as warfarin or aspirin.

Choice D rationale:
Grapefruit juice can interact with many medications, including colchicine. It can increase the concentration of colchicine in the bloodstream, potentially leading to toxicity.
It's crucial for patients taking colchicine to avoid grapefruit juice and other grapefruit products.

A. Loosen the patient's clothing B. Ease the patient to the floor if standing C. Restrain the patient D. Protect the patient's mouth with a padded tongue blade E. Provide privacy

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale:
Loosening the patient's clothing around the neck and chest promotes easier breathing during the seizure. It also prevents potential injury from constrictive clothing that could restrict movement or circulation.
Choice B rationale:
Easing the patient to the floor if they are standing helps to prevent falls and injuries that could occur due to loss of consciousness and muscle control during the seizure. It's crucial to guide the patient gently to the floor to avoid abrupt movements that could trigger or worsen the seizure.
Choice C rationale:
Restraining the patient during a seizure is not recommended as it can cause harm. Attempting to restrain a patient's movements during a seizure can lead to muscle strains, joint injuries, or even fractures. It can also increase anxiety and agitation, potentially prolonging the seizure.
Choice D rationale:
Protecting the patient's mouth with a padded tongue blade is not necessary and can even be dangerous. It was once a common practice, but it's now discouraged as it can cause oral injuries, obstruct the airway, or induce vomiting.

Choice E rationale:
Providing privacy helps to protect the patient's dignity and reduce any potential embarrassment during the seizure. It also creates a calmer and less stimulating environment, which can be beneficial in managing the seizure.

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A nurse is completing discharge teaching to a patient who has seizures and received a vagal nerve stimulator to decrease seizure activity. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

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Correct Answer is B

Explanation

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Correct Answer is ["A","B","E"]

Explanation

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