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Choice B is wrong because EEG is not a tool to measure the impact and burden of seizures on the patient and the caregiver. EEG is a diagnostic test that records the electrical activity of the brain and can detect abnormal patterns that indicate seizures or epilepsy³. EEG can help confirm the diagnosis, classify the type of seizures, identify the seizure focus, and guide the treatment of epilepsy³. However, EEG cannot measure the subjective aspects of seizure burden, such as quality of life, mood, cognition, or functioning.

Choice C is wrong because serum drug levels are not a tool to measure the impact and burden of seizures on the patient and the caregiver. Serum drug levels are laboratory tests that measure the concentration of anticonvulsant drugs in the blood and can help monitor the effectiveness and toxicity of these drugs. Serum drug levels can help adjust the dose, avoid drug interactions, and prevent breakthrough seizures or adverse effects. However, serum drug levels cannot measure the subjective aspects of seizure burden, such as quality of life, mood, cognition, or functioning.

Choice D is wrong because the quality of life scales or questionnaires is not a tool to measure the impact and burden of seizures on the patient and the caregiver. Quality of life scales or questionnaires are tools that assess the physical, psychological, social, and spiritual aspects of well-being and satisfaction with life. Quality of life scales or questionnaires can help evaluate the outcomes and effectiveness of epilepsy treatment. However, quality-of-life scales or questionnaires cannot measure the objective aspects of seizure burden, such as frequency, duration, severity, or type of seizures.

This is an appropriate action because absence seizures involve brief, sudden lapses of consciousness that last for a few seconds¹²³. The patient may stare blankly into space, stop talking, or stop moving during the seizure¹²³. The nurse should protect the patient from injury by guiding them to a safe place, such as a chair or a bed, and staying with them until they regain awareness¹²³. The nurse should also observe and document the time, duration, and type of seizure¹²³.

This is an appropriate action because absence seizures involve brief, sudden lapses of consciousness that last for a few seconds¹²³. The patient may stare blankly into space, stop talking, or stop moving during the seizure¹²³. The nurse should protect the patient from injury by guiding them to a safe place, such as a chair or a bed, and staying with them until they regain awareness¹²³. The nurse should also observe and document the time, duration, and type of seizure¹²³.

This is an appropriate action because absence seizures involve brief, sudden lapses of consciousness that last for a few seconds¹²³. The patient may stare blankly into space, stop talking, or stop moving during the seizure¹²³. The nurse should protect the patient from injury by guiding them to a safe place, such as a chair or a bed, and staying with them until they regain awareness¹²³. The nurse should also observe and document the time, duration, and type of seizure¹²³.

The action that the nurse should take is choice A. Use a large-bore needle and inject the drug slowly into a large muscle mass. This is the correct action because phenytoin (Dilantin) is a poorly soluble drug that can cause tissue irritation, necrosis, and abscess formation when given intramuscularly¹³. The nurse should use a large-bore needle (at least 21 gauge) and inject the drug slowly into a large muscle mass, such as the gluteus maximus or the vastus lateralis, to minimize these complications¹³. The nurse should also avoid injecting more than 5 mL of solution per site and rotate the injection sites¹³.

The action that the nurse should take is choice A. Use a large-bore needle and inject the drug slowly into a large muscle mass. This is the correct action because phenytoin (Dilantin) is a poorly soluble drug that can cause tissue irritation, necrosis, and abscess formation when given intramuscularly¹³. The nurse should use a large-bore needle (at least 21 gauge) and inject the drug slowly into a large muscle mass, such as the gluteus maximus or the vastus lateralis, to minimize these complications¹³. The nurse should also avoid injecting more than 5 mL of solution per site and rotate the injection sites¹³.

The action that the nurse should take is choice A. Use a large-bore needle and inject the drug slowly into a large muscle mass. This is the correct action because phenytoin (Dilantin) is a poorly soluble drug that can cause tissue irritation, necrosis, and abscess formation when given intramuscularly¹³. The nurse should use a large-bore needle (at least 21 gauge) and inject the drug slowly into a large muscle mass, such as the gluteus maximus or the vastus lateralis, to minimize these complications¹³. The nurse should also avoid injecting more than 5 mL of solution per site and rotate the injection sites¹³.

This statement indicates that the patient understands that carbamazepine can cause a serious skin reaction called Stevens-Johnson syndrome, which requires immediate medical attention. The other statements are incorrect for the following reasons:

This statement indicates that the patient understands that carbamazepine can cause a serious skin reaction called Stevens-Johnson syndrome, which requires immediate medical attention. The other statements are incorrect for the following reasons:

This statement indicates that the patient understands that carbamazepine can cause a serious skin reaction called Stevens-Johnson syndrome, which requires immediate medical attention. The other statements are incorrect for the following reasons: