10 notecards = 3 pages (4 cards per page)
A client is admitted with bacterial meningitis. Which nursing intervention is the highest priority for this client?
A. Assessing neurologic status at least every 2–4 hours
Which change in the cerebrospinal fluid (CSF) indicates to the nurse that a client may have bacterial meningitis?
A. Cloudy, turbid CSF
The nurse is caring for a client diagnosed with partial seizures after encephalitis, who is to receive carbamazepine (Tegretol). The nurse plans to monitor the client for which adverse effects? Select all that apply.
The nurse is administering the intake assessment for a newly admitted client with a history of seizures. The client suddenly begins to seize. What does the nurse do next?
C. Positions the client on the side.
A client has been admitted with new-onset status epilepticus. Which seizure precautions does the nurse put in place? Select all that apply.
B. Intravenous access (IV)
D. Suction equipment at the bedside
E. Siderails raised
Which is the most effective way for a college student to minimize the risk for bacterial meningitis?
B. Get the meningococcal vaccine.
The nurse has received report on a group of clients. Which client requires the nurse’s attention first?
B. Young adult who has experienced four tonic–clonic seizures within the past 30 minutes
The nurse is providing medication instructions for a client for whom phenytoin (Dilantin) has been ordered for treatment of epilepsy. The nurse instructs the client to avoid which beverage?
C. Grapefruit juice
A client admitted with cerebral edema suddenly begins to have a seizure while the nurse is in the room. What does the nurse do first?
C. Establish an airway.
A client with a history of seizures is placed on seizure precautions. What emergency equipment will the nurse provide at the bedside? Select all that apply.