A patient with a seizure disorder asks the nurse why bright spots ...

[jwb375]

A patient with a seizure disorder asks the nurse why bright spots are always seen before experiencing a seizure. What is the nurse's best response?
 
  a. Some people experience a strange sensation called an aura before each seizure.
  b. This is an unusual occurrence. I will notify your prescriber right away.
  c. Bright spots before a seizure could indicate pressure in your brain from a tumor.
  d. After the seizure do you feel confused, lethargic, and unable to respond to people?

Question 2

A patient is prescribed 50 mg of amphotericin B (Fungizone) by intravenous infusion in 500 mL of dextrose 5 in water (D5W) over 6 hours. How many milliliters per minute does the nurse set the pump to infuse?
 
  a. 1.4
  b. 2.2
  c. 4.2
  d. 6.2

[Sammyo]

Answer to Question 1

A
Before a seizure, some people experience an aura, which is a strange sensation. It can be an odor, sound, taste, or visual sensation such as bright spots or flashes. It is a common occurrence and not an indicator of tumors or pressure in the brain. Confusion, lethargy, and an inability to re-spond are common for the postictal phase of a seizure, but asking about these symptoms does not address the patient's question.

Answer to Question 2

A
500 mL  6 = 83.3 mL/hr. Divide 83.3 mL by 60 minutes = 1.38 mL per minute. Round up to 1.4.

[jwb375]

Excellent

[FergA]

Thanks for the timely response, appreciate it