Chapter 58: Chronic Neurologic Problems
Harding: Lewis's Medical-Surgical Nursing.
Exam Questions And Correct Answers
The nurse should determine that teaching about migraine headaches has been effective when the
patient says which of the following? - answer"I will lie down someplace dark and qu...
While the nurse is transporting a patient on a stretcher to the radiology department, the patient
begins having a tonic-clonic seizure. Which action should the nurse take? - answer✔Time and
observe and record the details of the seizure and postictal state.
Rational:
Because the diagnosis and treatment of seizures frequently are based on the description of the
seizure, recording the length and details of the seizure is important. Insertion of an oral airway
and restraining the patient during the seizure are contraindicated. The nurse may need to move
the patient to decrease the risk of injury during the seizure.
A high school teacher who has been diagnosed with epilepsy after having a generalized tonic-
clonic seizure tells the nurse, "I cannot teach any more. It will be too upsetting if I have a seizure
at work." How should the nurse respond to specifically address the patient's
concern? - answer✔"Epilepsy usually can be well controlled with medications."
Rational:
The nurse should inform the patient that most seizure disorders are controlled with medication.
The other information may be necessary if seizures persist after treatment with antiseizure
medications is implemented.
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