A nurse is giving discharge instructions to a client with epilepsy. What should be included in the nurse’s instructions?

Avoid climbing ladders

Do not swim without a partner

Do not drive unless seizure-free for 3 months

Avoid using power tools

Lay the client on the floor during a seizure

Position the client on their back while they recover from a seizure

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A rationale
Climbing ladders can be dangerous for individuals with epilepsy due to the risk of falling during a seizure.
Choice B rationale
Swimming alone can be hazardous for individuals with epilepsy due to the risk of drowning during a seizure.
Choice C rationale
Driving restrictions are often in place for individuals with epilepsy, and they should not drive unless they have been seizure-free for a specified period of time, often determined by local laws.
Choice D rationale
Using power tools can be dangerous for individuals with epilepsy due to the risk of injury during a seizure.
Choice E rationale

Laying the client on the floor during a seizure can help prevent injury. However, positioning the client on their back while they recover from a seizure is not recommended as it can increase the risk of aspiration.
Choice F rationale
Positioning the client on their back while they recover from a seizure is not recommended as it can increase the risk of aspiration.

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Correct Answer is D

Explanation

Choice A rationale
Regulation of the amount of carbon dioxide exhaled can affect cerebral blood flow, but it does not directly maintain cerebral perfusion pressure constant.
Choice B rationale
Catecholamines circulating throughout the body can affect blood pressure and heart rate, but they do not directly maintain cerebral perfusion pressure constant.

Choice C rationale
How much blood is pumped from the heart, also known as cardiac output, can affect cerebral perfusion pressure. However, it does not directly maintain cerebral perfusion pressure constant.
Choice D rationale
Regulation of constriction and dilation of blood vessels in the brain, also known as cerebral autoregulation, is a key mechanism that maintains cerebral perfusion pressure constant. When pressure autoregulation is impaired, cerebral blood flow becomes dependent on cerebral perfusion pressure.

A. The client should maintain systolic BP between 141 and 145 mm Hg B. The client should maintain systolic BP between 120 and 129 mm Hg C. The client should maintain systolic BP between 130 and 135 mm Hg D. The client should maintain systolic BP between 136 and 140 mm Hg .

Correct Answer is B

Explanation

Choice A rationale
Maintaining systolic BP between 141 and 145 mm Hg is considered high and can increase the risk of stroke.
Choice B rationale

The client should maintain systolic BP between 120 and 129 mm Hg. This is considered a normal blood pressure range and can help reduce the risk of stroke.
Choice C rationale
Maintaining systolic BP between 130 and 135 mm Hg is considered elevated and can increase the risk of stroke.
Choice D rationale
Maintaining systolic BP between 136 and 140 mm Hg is considered high and can increase the risk of stroke.

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A nurse is giving discharge instructions to a client with epilepsy. What should be included in the nurse’s instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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