A child diagnosed with epilepsy had a generalized tonic-clonic seizure that lasted 90 seconds. What would the nurse expect to assess after a generalized tonic-clonic seizure?
a. Restlessness
b. Sleepiness
c. Nausea
d. Anxiety
ANS: B
Following a generalized tonic-clonic seizure, the child may have some confusion and may sleep for a time (postictal lethargy) and then return to full consciousness.
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The nurse is caring for a patient who is taking a benzodiazepine. The nurse knows that caution should be used when administering a benzodiazepine to the elderly because of what possible adverse effect?
A) Acute renal failure B) Unpredictable reactions C) Paranoia D) Hallucinations
When the home care assistant recognizes and reports abnormal signs and symptoms, she is using good ____________________ skills.
Fill in the blank(s) with the appropriate word(s).
A demanding patient
A. is using a coping mechanism. B. may be very frustrated. C. feels as if she lacks control. D. has many needs.
During an eye examination of an Asian patient, a nurse notices an involuntary rhythmical, horizontal movement of the patient's eyes. How does a nurse document this finding?
a. An expected racial variation b. Nystagmus c. Exophthalmus d. Myopia