A parent states, The doctors all say that my son's problem is ...

[OSWALD]

A parent states, The doctors all say that my son's problem is epilepsy, but I don't think that is correct. I have never seen him jerk or thrash. What nursing response is indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. The episodes of jerking and thrashing are called convulsions.
  2. Seizures take many forms.
  3. Your son may have seizures, but not epilepsy.
  4. Seizures can be a sign that epilepsy is present.
  5. If there is no physical movement, epilepsy is ruled out.

Question 2

The patient takes nitroglycerine (Nitrostat) for relief of occasional stable angina. The nurse would be most concerned about which statement made by the patient?
 
  1. I'm getting married tomorrow; I hope my erectile dysfunction isn't a problem.
  2. I'm going water skiing tomorrow; I hope my angina isn't a problem.
  3. I really don't like those little pills. I've heard about patches: can I try them?
  4. My angina has been a little more frequent. Do I need a painkiller too?

[snackralk]

Answer to Question 1

1,2,4
Rationale 1: Convulsions are the involuntary, violent spasms of the large skeletal muscles of the face, neck, arms, and legs. It is important to provide this parent with correct terminology.
Rationale 2: There are many types of seizures.
Rationale 3: It is inappropriate to lead the parent to believe that the diagnosis is incorrect. The nurse does not have all the necessary information.
Rationale 4: Epilepsy is any disorder that is characterized by recurrent seizures.
Rationale 5: Many seizures do not include physical movement, yet the patient still is diagnosed with epilepsy.

Global Rationale: Convulsions are the involuntary, violent spasms of the large skeletal muscles of the face, neck, arms, and legs. It is important to provide this parent with correct terminology. There are many types of seizures. Epilepsy is any disorder that is characterized by recurrent seizures. It is inappropriate to lead the parent to believe that the diagnosis is incorrect. The nurse does not have all the necessary information. Many seizures do not include physical movement, yet the patient still is diagnosed with epilepsy.

Answer to Question 2

1
Rationale 1: A patient with erectile dysfunction is likely to use sildenafil (Viagra). Concurrent use of sildenafil (Viagra) and nitroglycerine (Nitrostat) may cause life-threatening hypotension and cardiovascular collapse.
Rationale 2: An activity like waterskiing could precipitate angina; however, this can be prevented by taking nitroglycerine (Nitrostat) prior to the activity (prophylactic use).
Rationale 3: Patches can be substituted for pills in many cases; this is a reasonable question but not the primary concern at this time.
Rationale 4: Occurrences of stable angina can change somewhat in frequency; however, an analgesic is not indicated.
Global Rationale: A patient with erectile dysfunction is likely to use sildenafil (Viagra). Concurrent use of sildenafil (Viagra) and nitroglycerine (Nitrostat) may cause life-threatening hypotension and cardiovascular collapse. An activity like waterskiing could precipitate angina; however, this can be prevented by taking nitroglycerine (Nitrostat) prior to the activity (prophylactic use). Occurrences of stable angina can change somewhat in frequency; however, an analgesic is not indicated. Patches can be substituted for pills in many cases; this is a reasonable question but not the primary concern at this time.

[OSWALD]

TY

[snackralk]

You're welcome