The nurse is teaching a client about medications for seizures. Which items should be included in this teaching? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. If seizure activity continues, a different medication is added in small-dose increments while the dose of the first drug is slowly reduced.
2. The amount is gradually increased until seizure control is achieved, or until drug adverse effects prevent additional increases in dose.
3. Once a medication is selected, the patient is placed on a low initial dose.
4. Seizure medication will be stopped when the seizures have been gone for a month.
5. Seizure medications will be required for the rest of your life.
Correct Answer: 1, 2, 3
Rationale 1: If seizure activity continues after the dose has been increased, a different medication is added in small-dose increments while the dose of the first drug is slowly reduced.
Rationale 2: The amount is gradually increased until seizure control is achieved, or until drug adverse effects prevent additional increases in dose. The dose is started at a low dose.
Rationale 3: Once a medication is selected, the patient is placed on a low initial dose, which is then increased, if necessary.
Rationale 4: Seizure medication will be stopped when the seizures have been gone for a month is incorrect because if the seizure medication is stopped at this time the seizures will return.
Rationale 5: Individuals with epilepsy may not require medications for the rest of their lives. Many pediatric clients will "outgrow" their seizure condition, making medications for epilepsy unnecessary.
Global Rationale: If seizure activity continues after the dose has been increased, a different medication is added in small-dose increments while the dose of the first drug is slowly reduced. The amount is gradually increased until seizure control is achieved, or until drug adverse effects prevent additional increases in dose. The dose is started at a low dose. Once a medication is selected, the patient is placed on a low initial dose which is then increased, if necessary. Seizure medication will be stopped when the seizures have been gone for a month is incorrect because if the seizure medication is stopped at this time the seizures will return. Individuals with epilepsy may not require medications for the rest of their lives. Many pediatric clients will "outgrow" their seizure condition making medications for epilepsy unnecessary.
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