| A | B |
|---|
| What is the first and most important nursing intervention to be performed if a client is having seizures? | Assess & support ABC’s |
| A sensation that warns the client of the impending seizure is known as --------- | Aura |
| What observations should a nurse make while a client is actively seizing? | the type, the character and progression of movements during the seizure |
| What assessments should a nurse do soon after a client has a seizure activity? | The state of consciousness, motor ability and speech ability |
| Describe the type of seizure that is more common in children | Absence seizure, lasts for seconds, client may or may not lose consciousness, no loss of muscle tone, appears to be day dreaming/staring. |
| What education should a nurse provide to a client with seizures | Lifelong medication, follow up care including determination of medication blood levels, avoid alcohol, excessive stress, fatigue, and strobe lights, wear a medic alert bracelet. |
| What CSF/lumbar puncture findings would a nurse anticipate to find in a client with Multiple sclerosis? | Increased gamma globulin level, but the serum globulin level is normal. |
| What are the potential complications that can develop in a client with multiple sclerosis? | Urinary tract infection, calculi, pressure ulcers, respiratory infections and contractures. |
| What are some assessments the nurse would perform on a client with MS to address safety concerns? | Fatigue, weakness, vertigo, tremors, spasticity, parasthesias, blurred vision, transient blindness, decreased perception or pain, touch and temperature. |
| What education should a nurse provide to a client with MS regarding nutrition? | Instruct the client to increase fluid intake, eat a balanced diet, including low fat diet, high fiber foods and foods high in potassium. |
| What intervention would a nurse provide for a client with MS if he/she develops diplopia? | Place and eye patch on the eye for diplopia |
| What client education should a nurse provide to a client with MS regarding safety measures related to sensory & motor loss? | Sensory loss – regulating the temperature of bath water & avoiding heating pads; motor loss- avoid use of scatter rugs and using assistive devices. |
