Author Question: During the client's annual physical examination, the significant other states that the client will ... (Read 49 times)

MGLQZ · **on:** Jul 24, 2018

During the client's annual physical examination, the significant other states that the client will just stop in the middle of a sentence and stare off into space for about 15 seconds fluttering his eyes.

When he stops staring, he just continues what he was saying. I asked him what he was thinking when he was staring and he doesn't remember anything about this episode. It has happened about a dozen times in the last couple of months. What is happening with him? The nurse recognizes this behavior as characteristic of:
a. a simple partial seizure. c. an atonic seizure.
b. a complex partial seizure. d. an absence seizure.

Question 2

A client is prescribed IV phenytoin 300 mg. The nurse will administer this IV bolus over:

a. 3 minutes. c. 15 minutes.
b. 6 minutes. d. 30 minutes.

Tabitha_2016 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D

Feedback
A Incorrect: This is not characteristic of a simple partial seizure.
B Incorrect: This is not characteristic of a complex partial seizure.
C Incorrect: This is not characteristic of an atonic seizure.
D Incorrect: This is characteristic of an absence seizure.

Answer to Question 2

ANS: B

Feedback
A Incorrect: IV bolus phenytoin must not exceed 50 mg/minute.
B Correct: 300 mg divided by 50 mg/min = 6 minutes.
C Incorrect: This is not a feasible time for an IV bolus.
D Incorrect: If infusing a drug over this period of time, a volumetric infusion pump should be used.