Which position should a nurse instruct a patient to assume after a lumbar puncture to prevent a headache?

A. Aura phase:

The aura phase occurs before the seizure and is characterized by subjective sensations or experiences that some individuals may have. It serves as a warning sign that a seizure is about to occur. This phase precedes the seizure itself and is not applicable to the period immediately afterward.

B. Presence of automatisms:

Automatisms refer to repetitive, involuntary movements or actions that some individuals may exhibit during certain types of seizures, such as complex partial seizures. They are not typically observed during the postictal phase of a generalized tonic-clonic seizure.

C. Postictal phase:

The postictal phase, also known as the postictal state, refers to the period following a seizure during which the individual may experience confusion, drowsiness, or other altered states of consciousness. This phase typically lasts for minutes to hours and is characterized by gradual recovery of normal function.

D. Presence of absence seizures:

Absence seizures are characterized by brief episodes of altered consciousness, often manifesting as staring spells or momentary loss of awareness. They are distinct from generalized tonic-clonic seizures and do not involve the same postictal phase characterized by drowsiness and altered arousal.

A. "I will notify my provider before taking any other medications."

This statement demonstrates understanding of the importance of consulting the provider before taking any other medications. It is correct because phenytoin may interact with other drugs, so notifying the provider is essential to avoid potential interactions.

B. "I have made an appointment to see my dentist next week."

This statement indicates that the client understands the importance of dental care while taking phenytoin. Phenytoin can cause gum overgrowth (gingival hyperplasia), so regular dental check-ups are recommended to monitor oral health. This statement is correct.

C. "I will take this medication with meals."

This statement suggests that the client plans to take phenytoin with meals. However, phenytoin should generally be taken on an empty stomach to enhance absorption, unless gastrointestinal upset occurs. Therefore, this statement indicates a need for further teaching.

D. "I'll be glad when my seizures stop so I can quit taking this medicine."

This statement reflects a misconception about the management of epilepsy. Phenytoin is typically used as a long-term treatment to prevent seizures, not as a short-term solution to stop seizures. Therefore, this statement indicates a need for further education about the chronic nature of epilepsy and the need for ongoing medication adherence.

E. “I’ll take this medication before meals.”

This statement correctly indicates the timing of phenytoin administration before meals. Taking phenytoin before meals helps enhance absorption and minimize the risk of gastrointestinal side effects. Therefore, this statement is correct.