A child has been seizure free for 2 years. A father asks the nurse how much longer the child will need to take the antiseizure medications. How should the nurse respond?
a. Medications can be discontinued at this time.
b. The child will need to take the drugs for 5 years after the last seizure.
c. A step-wise approach will be used to reduce the dosage gradually.
d. Seizure disorders are a lifelong problem. Medications cannot be discontinued.
ANS: C
A predesigned protocol is used to wean a child gradually off antiseizure medications, usually when the child is seizure free for 2 years. Medications must be gradually reduced to minimize the recurrence of seizures. The risk of recurrence is greatest within 6 months after discontinuation.
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A Native American client is admitted to an emergency department (ED) with an ulcerated toe, secondary to uncontrolled diabetes mellitus. The client refuses to talk to a physician unless a shaman is present
Which nursing intervention is most appropriate? 1. Try to locate a shaman that will agree to come to the ED. 2. Explain to the client that "voodoo" medicine will not heal the ulcerated toe. 3. Ask the client to explain what the shaman can do that the physician cannot. 4. Inform the client that refusing treatment is a client's right.
After teaching a group of pregnant women about breastfeeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after childbirth?
A) Placental estrogen B) Progesterone C) Gonadotropin-releasing hormone D) Prolactin
Which is the most correct method of infant car seat use?
a. Place the infant car seat in the front seat. b. Have the infant car seat face the front of the car. c. Place the infant car seat sideways in the back seat of the car. d. Place the infant car seat in the back seat of the car facing the rear of the car.
The nurse determines that the has client sustained no injury from self-administration of medications. This describes which part of the nursing process?
a. assessment c. evaluation b. implementation d. nursing diagnosis