A nurse is preparing discharge teaching for an adolescent with a ...

[Charlie]

A nurse is preparing discharge teaching for an adolescent with a new diagnosis of epilepsy. What information should the nurse provide? (Select all that apply.)
 
  A.
  Driving is not allowed while taking anti-seizure drugs.
  B.
  Participating in sports again in the future is possible.
  C.
  Several drugs will be tried at once, then reduced over time.
  D.
  Wearing a Medic-Alert bracelet is not needed for seizures.
  E.
  You should check the school's seizure action plan.

Question 2

The nurse is admitting an adolescent with known myasthenia gravis to the intensive care unit with respiratory failure. Which questions would be most important for the nurse to ask to attempt to find the cause of the problem? (Select all that apply.)
 
  A.
  Could your child have skipped doses of his medication?
  B.
  Do you know if your child uses drugs or drinks alcohol?
  C.
  Has your child been sick or overly fatigued recently?
  D.
  How long has your child been diagnosed with myasthenia gravis?
  E.
  Is it possible that your child took too much medication?

[Rilsmarie951]

Answer to Question 1

ANS: B, E
Once drug levels are therapeutic and the child has been seizure-free for several months (usually at least 6 months), he or she can return to participating in sports. School nurses should be aware of a child's diagnosis of a seizure disorder and treatment plan; the parents should check on the school's seizure action plan so they are aware of actions that will be taken if their child has a seizure on campus. Driving is allowed (depending on state law) with therapeutic drug levels and a certain period of seizure-free time. Monotherapy is the optimal treatment plan, but if a single drug does not work to control seizures, other drugs may be added to the regimen. Anyone with epilepsy or a seizure disorder should wear a Medic-Alert bracelet or necklace

Answer to Question 2

ANS: A, C
This child appears to be in a myasthenic crisis, which is usually caused by underdosing or skipping medication and illness, infection, or fatigue. The other questions will not help identify the cause of the crisis.

[Charlie]

Thank you

[Rilsmarie951]

No problemo