A nurse assesses clients on a medical-surgical unit. Which clients should the nurse identify as at risk for secondary seizures? (Select all that apply.)
a. A 26-year-old woman with a left temporal brain tumor
b. A 38-year-old male client in an alcohol withdrawal program
c. A 42-year-old football player with a traumatic brain injury
d. A 66-year-old female client with multiple sclerosis
e. A 72-year-old man with chronic obstructive pulmonary disease
ANS: A, B, C
Clients at risk for secondary seizures include those with a brain lesion from a tumor or trauma, and those who are experiencing a metabolic disorder, acute alcohol withdrawal, electrolyte disturbances, and high fever. Clients with a history of stroke, heart disease, and substance abuse are also at risk. Clients with multiple sclerosis or chronic obstructive pulmonary disease are not at risk for secondary seizures.
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What will be an ideal response?