NUR 320: Intracranial EAQ Exam
A client with a seizure disorder is receiving phenytoin and phenobarbital. What client statement
indicates that the instructions regarding the medications are understood? - VERIFIED ANS "Stopping
the drugs can cause continuous seizures and I may die."
Which information should be included in the teaching plan for the client diagnosed with epilepsy? -
VERIFIED ANS People taking phenytoin must floss regularly.
Rational: Gingival hyperplasia is a common side effect of phenytoin
A client has a tonic-clonic seizure. Which is the priority nursing intervention during the tonic-clonic
stage of the seizure? - VERIFIED ANS Protect the client from injury
A client is admitted to the hospital after having a tonic-clonic seizure and is diagnosed with a seizure
disorder. Which is most important for the nurse to include in a teaching program? - VERIFIED ANS
Explain ways to prevent physical trauma from occurring during a seizure.
A 2-year-old toddler is admitted to the pediatric unit with a diagnosis of bacterial meningitis. What is
the most important safety measure for the nurse to institute immediately after the child has a
seizure? - VERIFIED ANS Placing the child in the side-lying position
A client has a tonic-clonic seizure at work and is admitted to the emergency department. Which
question is most useful when planning nursing care related to the client's seizure? - VERIFIED ANS
"Were you aware of anything different or unusual just before your seizure began?"
Rationale: Identification of a sensation that occurs before each seizure (aura) is helpful in identifying
the cause of the seizure and planning how to identify and avoid a future seizure.
Warfarin is prescribed for the client who takes phenytoin for a seizure disorder. Why must the nurse
observe the client closely during the initial days of treatment with warfarin? - VERIFIED ANS Warfarin
affects the metabolism of phenytoin.
What action should the nurse take when caring for a client who has a possible skull fracture as a
result of trauma? - VERIFIED ANS Monitor the client for signs of brain injury.
A client with a seizure disorder is receiving phenytoin and phenobarbital. What client statement
indicates that the instructions regarding the medications are understood? - VERIFIED ANS "Stopping
the drugs can cause continuous seizures and I may die."
Which information should be included in the teaching plan for the client diagnosed with epilepsy? -
VERIFIED ANS People taking phenytoin must floss regularly.
Rational: Gingival hyperplasia is a common side effect of phenytoin
A client has a tonic-clonic seizure. Which is the priority nursing intervention during the tonic-clonic
stage of the seizure? - VERIFIED ANS Protect the client from injury
A client is admitted to the hospital after having a tonic-clonic seizure and is diagnosed with a seizure
disorder. Which is most important for the nurse to include in a teaching program? - VERIFIED ANS
Explain ways to prevent physical trauma from occurring during a seizure.
A 2-year-old toddler is admitted to the pediatric unit with a diagnosis of bacterial meningitis. What is
the most important safety measure for the nurse to institute immediately after the child has a
seizure? - VERIFIED ANS Placing the child in the side-lying position
A client has a tonic-clonic seizure at work and is admitted to the emergency department. Which
question is most useful when planning nursing care related to the client's seizure? - VERIFIED ANS
"Were you aware of anything different or unusual just before your seizure began?"
Rationale: Identification of a sensation that occurs before each seizure (aura) is helpful in identifying
the cause of the seizure and planning how to identify and avoid a future seizure.
Warfarin is prescribed for the client who takes phenytoin for a seizure disorder. Why must the nurse
observe the client closely during the initial days of treatment with warfarin? - VERIFIED ANS Warfarin
affects the metabolism of phenytoin.
What action should the nurse take when caring for a client who has a possible skull fracture as a
result of trauma? - VERIFIED ANS Monitor the client for signs of brain injury.
