A patient with a seizure disorder asks why bright spots are always seen before experiencing a seizure. What is your best response?
a. "Some people experience a strange sensation called an aura before each seizure."
b. "This is an unusual occurrence. I will notify your prescriber right away."
c. "Bright spots before a seizure could indicate pressure in your brain from a tumor."
d. "After the seizure do you feel confused, lethargic, and unable to respond to people?"
ANS: A
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A client is having difficult with falling and staying asleep and has obtained over-the-counter melatonin to help with this issue. What gland would be responsible for the decreased secretion of melatonin?
A) Pineal B) Adrenal C) Thyroid D) Thymus
A nurse is discussing various ways to obtain a medical abortion with a patient. Which statement by the patient best demonstrates understanding of mifepristone (RU 486) [Mifeprex]? "This drug is most effective if I use it:
a. before the first missed menstrual period." b. the day after unprotected intercourse." c. within 7 weeks of conception." d. immediately after ovulation."
The nurse is caring for a patient whose labor is being augmented with oxytocin. The nurse recognizes that the oxytocin should be discontinued immediately if there is evidence of:
1. uterine contractions occurring every 8 to 10 minutes. 2. an FHR of 180 with absence of variability. 3. when the patient needs to void. 4. when the patient's amniotic membranes rupture.
Which of the following statements made by a new graduate nurse regarding a client's care needs requires follow-up by the mentor?
1. "No one really enjoys being hospitalized." 2. "Every client is offered a back rub at bedtime." 3. "All post surgery clients are reluctant to ambulate." 4. "I always spend extra time with new clients to help them relax."