Author Question: A high school teacher who has just been diagnosed with epilepsy after having a generalized ... (Read 59 times)

jessicacav · **on:** Jun 25, 2018

A high school teacher who has just been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, I cannot teach anymore, it will be too upsetting if I have a seizure at work. Which response by the nurse is best?

a. You might benefit from some psychologic counseling.
b. Epilepsy usually can be well controlled with medications.
c. You will want to contact the Epilepsy Foundation for assistance.
d. The Department of Vocational Rehabilitation can help with work retraining.

Question 2

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?

a. Insert an oral airway during the seizure to maintain a patent airway.
b. Restrain the patient's arms and legs to prevent injury during the seizure.
c. Time and observe and record the details of the seizure and postictal state.
d. Avoid touching the patient to prevent further nervous system stimulation.

micaelaswann · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The nurse should inform the patient that most patients with seizure disorders are controlled with medication. The other information may be necessary if the seizures persist after treatment with antiseizure medications is implemented.

Answer to Question 2

ANS: C
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.