Kaplan NCLEX Questions
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Seizures II NCLEX Quesons: This is documented as: Posctal phase History of epilepsy who reports having an aura • MRI or CT - to look for abnormalities. • EEG - electroencephalogram NCLEX TIP Assesses electrical activity in the brain by placing sticky electrodes on the scalp • Wash Hair (before/ after) to make sure it sticks • NO Caffeine (tea, coffee, soda) or stimulants: 12 - 24 hours before • NO Seizure meds • NO Sleep - Sleep deprivation is BEST • YES Eat before test - no need for NPO Memory trick • EEG think of EGG head - electrical activity of the EGGhead • ECG - C think C - Cardiac rhythms #1 - Airway Turn client to side NCLEX TIP Prepare for suconing Call for help & Stay with Client Loosen restricve clothing (Neck & chest) NEVER insert anything in the mouth! NEVER restrain or “Hold down arms” #1 Drug = STOP the Seizure Lorazepam (brand: Avan) Diazepam (brand: Valium) Rectal or IV Safety AFTER seizure acvity Protect - Clear area for any objects Pad Side Rails Record Time Assess LOC, Neuro, Vitals Prepare for suconing Anticonvulsants - Phenytoin: Toxic Over 20 hold med - Levetiracetam: Driving permissions from HCP ? Prodromal Aura Ictal Posctal MEDICAL emergency!! NCLEX TIP Key points • 5 min. or longer for 1 seizure, or • 30 min. Repeated seizure activity • #1 Priority = STOP the Seizure (after airway and breathing are secure) IV or Rectal benzodiazepine Lorazepam (brand: Ativan) Diazepam (brand: Valium) #1 1 ST Status Epilepticus Pharmacology Diagnostics Interventions during SZ Kaplan Aura: Unusual sensaons prior to the seizure Client with seizure disorder tells the nurse “I smell oranges and there aren’t any on my tray” What is the best response? “Have you experienced this sensaon before?” Kaplan Scenario:
Transcript of Kaplan NCLEX Questions
Seizures II
NCLEX Questions:
This is documented as: Postictal phase
History of epilepsy who reports having an aura
• MRI or CT - to look for abnormalities.• EEG - electroencephalogram NCLEX TIP Assesses electrical activity in the brain by placing sticky electrodes on the scalp • Wash Hair (before/ after) to make sure it sticks • NO Caffeine (tea, coffee, soda) or stimulants: 12 - 24 hours before • NO Seizure meds • NO Sleep - Sleep deprivation is BEST • YES Eat before test - no need for NPO Memory trick • EEG think of EGG head - electrical activity of the EGGhead • ECG - C think C - Cardiac rhythms
#1 - AirwayTurn client to side NCLEX TIPPrepare for suctioning
Call for help & Stay with Client
Loosen restrictive clothing (Neck & chest)
NEVER insert anything in the mouth!NEVER restrain or “Hold down arms”
#1 Drug = STOP the SeizureLorazepam (brand: Ativan)Diazepam (brand: Valium)
Rectal or IV
Safety
AFTER seizure activity
Protect - Clear area for any objectsPad Side Rails
Record TimeAssess LOC, Neuro, VitalsPrepare for suctioning
Anticonvulsants - Phenytoin: Toxic Over 20 hold med - Levetiracetam: Driving permissions from HCP
?
Prodromal Aura Ictal Postictal
MEDICAL emergency!! NCLEX TIP Key points• 5 min. or longer for 1 seizure, or • 30 min. Repeated seizure activity • #1 Priority = STOP the Seizure (after airway and breathing are secure) IV or Rectal benzodiazepine Lorazepam (brand: Ativan) Diazepam (brand: Valium)
#1
1ST
Status Epilepticus
Pharmacology
Diagnostics
Interventions during SZ
Kaplan
Aura: Unusual sensations priorto the seizure
Client with seizure disorder tells the nurse “I smell oranges and there aren’tany on my tray”
What is the best response?“Have you experienced this sensationbefore?”
Kaplan Scenario:
