Author Question: A patient with a seizure disorder asks the nurse why bright spots are always seen before ... (Read 59 times)

jwb375 · **on:** Jul 23, 2018

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 · **Reply #1 on:** Jul 23, 2018

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.