While writing a care plan for a patient newly diagnosed with ...

[javeds]

While writing a care plan for a patient newly diagnosed with generalized seizures, the nurse might appropriately choose what nursing diagnosis?
 
  A) Risk for injury related to gastrointestinal (GI) effects
  B) Disturbed thought processes related to central nervous system effects
  C) Monitor complete blood count (CBC) before and periodically during therapy.
  D) Offer support and encouragement.

Question 2

A 66-year-old woman presents at the clinic complaining of motion sickness. The physician orders a scopolamine patch. Which statement by the patient leads you to believe she knows how to use the patch?
 
  A) I will place it on my chest each morning after I shower.
  B) I will use it only if I feel sick to my stomach.
  C) I will change the patch every 4 hours. I can use the patches for 1 week.
  D) I will change the patch every 3 days.

[mceravolo]

Answer to Question 1

B
Feedback:
Disturbed thought processes related to central nervous system (CNS) effects is a nursing diagnosis for a patient receiving any antiepileptic medication for generalized seizures. Monitoring CBC and offering support and encouragement are implementations rather than diagnosis. Risk for injury is incorrect because the risk for injury to this patient is from the CNS effects and not GI effects.

Answer to Question 2

D
Feedback:
The scopolamine patch should be applied to a clean, dry, intact, and hairless area of the body. The area should not be shaved because abrasion of the skin could occur and lead to increased absorption. Patches should be placed at new sites each time to avoid skin irritation. The old patch should be removed and the area where it had been should be cleaned.

[javeds]

TYSM

[ktidd]

Excellent