Author Question: The nurse knows that the client with a history of epilepsy might also have what nursing diagnosis? ... (Read 29 times)

jman1234 · **on:** Jul 24, 2018

The nurse knows that the client with a history of epilepsy might also have what nursing diagnosis?

1. Impaired gas exchange
2. Risk for injury
3. Chronic pain
4. Risk for infection

Question 2

The nurse is caring for a client with epilepsy. The client informs the nurse that she is pregnant. What condition should the nurse warn this client about?

1. Vitamin C deficiency
2. Anemia
3. Decreased oxygen
4. Folate deficiency

asware1 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

Correct Answer: 2

Rationale 1: Impaired gas exchange is incorrect because chronic pain, risk for infection, and impaired gas exchange do not apply to epilepsy.
Rationale 2: A seizure is a disturbance of electrical activity in the brain that can affect consciousness, motor activity, and sensation. Some seizures involve convulsions, which are involuntary, violent spasms of the large skeletal muscles of the face, neck, arms, and legs. Because convulsions are involuntary, serious injury can occur.
Rationale 3: Chronic pain is incorrect because chronic pain, risk for infection, and impaired gas exchange do not apply to epilepsy.
Rationale 4: Risk for infection is incorrect because chronic pain, risk for infection, and impaired gas exchange do not apply to epilepsy.

Global Rationale: A seizure is a disturbance of electrical activity in the brain that can affect consciousness, motor activity, and sensation. Some seizures involve convulsions, which are involuntary, violent spasms of the large skeletal muscles of the face, neck, arms, and legs. Because convulsions are involuntary, serious injury can occur. Impaired gas exchange is incorrect because chronic pain, risk for infection, and impaired gas exchange do not apply to epilepsy. Chronic pain is incorrect because chronic pain, risk for infection, and impaired gas exchange do not apply to epilepsy. Risk for infection is incorrect because chronic pain, risk for infection, and impaired gas exchange do not apply to epilepsy.

Answer to Question 2

Correct Answer: 4

Rationale 1: Vitamin C deficiency is incorrect because while vitamin C deficiency, decreased oxygen, and anemia can occur in pregnancy, they are not a direct result of antiseizure medications.
Rationale 2: Anemia is incorrect because while vitamin C deficiency, decreased oxygen, and anemia can occur in pregnancy, they are not a direct result of antiseizure medications.
Rationale 3: Decreased oxygen is incorrect because while vitamin C deficiency, decreased oxygen, and anemia can occur in pregnancy, they are not a direct result of antiseizure medications.
Rationale 4: Vitamins with a folic acid supplement are an important factor in reducing the risk of certain kinds of birth defects, and clients need to take folic acid before they become pregnant. Antiseizure medication can cause decreased absorption of folic acid, vitamin D, magnesium, and calcium.

Global Rationale: Vitamins with a folic acid supplement are an important factor in reducing the risk of certain kinds of birth defects, and clients need to take folic acid before they become pregnant. Antiseizure medication can cause decreased absorption of folic acid, vitamin D, magnesium, and calcium. Vitamin C deficienc, decreased oxygen, and anemia are all ncorrect because while these conditions can occur in pregnancy, they are not a direct result of antiseizure medications.