The client with epilepsy develops stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. How should the nurse document this seizure activity?
A. Generalized atonic seizure
B. Generalized absence seizure
C. Generalized myoclonic seizure
D. Generalized tonic-clonic seizure
D
Seizure activity that begins with a stiffening of the arms and legs, followed by a loss of con-sciousness and jerking of all extremities, is characteristic of a tonic-clonic seizure.
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When developing the plan of care for a client receiving antitubercular therapy, the nurse would identify which of the following as a goal? Select all that apply
A) Client will state adverse reactions to report. B) Client will maintain adequate nutritional status. C) Client and family demonstrate an understanding of the drug regimen. D) Client manages the therapeutic regimen effectively. E) Client exhibits a negative sputum culture.
In the context of drug interactions, identify the true statement about grapefruit juice.
A. Atorvastatin, lovastatin, and simvastatin are not affected by grapefruit juice. B. Taking medication in the presence of grapefruit juice significantly reduces the bioavailability of the medication. C. Grapefruit juice interacts only with drugs that are administered orally. D. Grapefruit juice can significantly increase drug metabolism at the intestinal wall.
An inservice program at a long-term care facility is reviewing the Nursing Outcomes Classification (NOC) with nursing staff. After the presentation the nurses review resident care plans
Which of the following are found to be appropriately written outcomes? (Select all that apply.) a. Suction patient orally every 4 hours and as needed. b. Auscultate lung sounds every 2 hours. c. Provide Tylenol as ordered by health care provider. d. Patient states "Pain has decreased" after medication administration. e. Patient blood pressure recorded as 120/72 after dressing change.
Order: For every 100 mL of urine output, replace with 30 mL of water via PEG tube q.4h. The client's urine output is 350 mL. What is the replacement volume?
1. 10.5 mL 2. 105 mL 3. 1050 mL 4. 11.67 mL