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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale
Cushing’s Triad, which includes bradycardia (low heart rate), irregular respiration, and widened pulse pressure, is a nervous system response that could prevent brainstem ischemia. Brainstem ischemia is a condition where there is insufficient blood flow to the brainstem, which can lead to cell death.
Choice B rationale

While tachycardia (high heart rate) is a serious condition, it is not typically prevented by Cushing’s Triad.
Choice C rationale
Agonal breathing, which is characterized by gasping, labored breathing, particularly when lying flat, is not typically prevented by Cushing’s Triad.
Choice D rationale
Chest pain is not typically prevented by Cushing’s Triad. Cushing’s Triad is a response to increased intracranial pressure, not a cardiac condition.

A. Patient is confused B. Patient mumbles inappropriate words C. Eyes do not open to name

Correct Answer is A

Explanation

Choice A rationale
A patient in the intensive care unit who was admitted with severe head trauma and cerebral edema, who opens their eyes spontaneously, is oriented, and obeys commands, would be experiencing a decline in their condition if they become confused. Confusion can be a sign of worsening brain function, indicating that the brain is not receiving enough oxygen or is being affected by a buildup of toxins. This could be due to increased intracranial pressure, decreased blood flow to the brain, or further injury to the brain tissue.
Choice B rationale

Mumbling inappropriate words can also be a sign of a decline in a patient’s condition. However, it is less specific than confusion. It could be due to a variety of factors, including medication side effects, sleep deprivation, or mental health issues.
Choice C rationale
If a patient’s eyes do not open to their name, it could indicate a significant decline in their condition. However, this is a more severe symptom than confusion and may not be the first sign of a decline.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A nurse is gathering neurological data on a patient with a neurological injury and observes signs indicative of Cushing’s Triad. The nurse understands that Cushing’s Triad is a nervous system response that could prevent which of the following conditions?

Correct Answer is A

Explanation

A nurse is caring for a patient in the intensive care unit who was admitted with severe head trauma and cerebral edema. The patient opens their eyes spontaneously, is oriented, and obeys commands.Which of the following findings indicate the patient is experiencing a decline in their condition?

Correct Answer is A

Explanation

A nurse is teaching a client about the nervous system. Which of the following neurotransmitters should the nurse include in the teaching as having an inhibitory action?

A nurse is educating a student about cerebral edema. The student nurse inquires, “What type of cerebral edema is associated with a patient who has had a stroke?” Which of the following is the best response from the nurse?

A nurse is caring for a client who has increased intracranial pressure and has a worsening neurological condition. Which of the following cues should the nurse recognize as a worsening condition?

A nurse is caring for a client who has a subarachnoid hemorrhage and asks why they are having a CT angiography. Which of the following should the nurse understand about CT angiography?

A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following groups should the nurse understand has a higher risk of sustaining a TBI?

A client with uncontrolled diabetes mellitus reports experiencing numbness and tingling in their feet that disrupts their sleep.The nurse explains this as a nerve disorder known as peripheral neuropathy. Which statement by the client indicates they understand the cause of this condition?

A nurse is caring for a 77-year-old African American male client in the emergency department. Exhibits Based on the clients progression. Which of the following actions should the nurse take? Select all that apply:

A nurse is reinforcing teaching to a group of nursing students about possible psychosocial changes a client might have after sustaining a neurological injury. Which of the following should the nurse mention?