Epilepsy: Status epilepticus
Epilepsy: Status epilepticus ( 4 Questions)
This is a correct answer. The nurse should advise the client and their caregiver to avoid triggers such as stress, fatigue, or flashing lights that may provoke seizure activity by altering brain electrical activity or neurotransmitter levels. The nurse should also educate them about other potential triggers such as alcohol, caffeine, nicotine, fever, infection, hormonal changes, or certain medications.
This is a correct answer. The nurse should advise the client and their caregiver to follow a ketogenic diet that is high in fat and low in carbohydrates under medical supervision if pharmacological therapy is ineffective or intolerable. A ketogenic diet can reduce seizure frequency and severity by inducing ketosis, which is a metabolic state where ketone bodies are used as an alternative fuel source for the brain instead of glucose.
This is a correct answer. The nurse should advise the client and their caregiver to wear a medical alert bracelet or necklace that identifies epilepsy and provides emergency contact information. This can help ensure prompt and appropriate care in case of a seizure and prevent unnecessary interventions or complications.
This is an incorrect answer. The nurse should not advise the client and their caregiver to use herbal remedies such as valerian or chamomile to reduce anxiety, as this can have negative effects on seizure activity and medication effectiveness. Herbal remedies can interact with antiepileptic drugs (AEDs) and alter their absorption, metabolism, or excretion, which can increase the risk of toxicity or breakthrough seizures. The nurse should advise the client and their caregiver to consult their provider before using any herbal remedies or supplements.
This is a correct answer. The nurse should advise the client and their caregiver to perform relaxation techniques such as deep breathing or meditation, as this can help prevent seizures by reducing stress, anxiety, or tension that may trigger seizure activity. Relaxation techniques can also improve mood, sleep quality, and coping skills for the client and their caregiver.
Choice A reason:
This is a correct answer. The nurse should advise the client and their caregiver to avoid triggers such as stress, fatigue, or flashing lights that may provoke seizure activity by altering brain electrical activity or neurotransmitter levels. The nurse should also educate them about other potential triggers such as alcohol, caffeine, nicotine, fever, infection, hormonal changes, or certain medications.
Choice B reason:
This is a correct answer. The nurse should advise the client and their caregiver to follow a ketogenic diet that is high in fat and low in carbohydrates under medical supervision if pharmacological therapy is ineffective or intolerable. A ketogenic diet can reduce seizure frequency and severity by inducing ketosis, which is a metabolic state where ketone bodies are used as an alternative fuel source for the brain instead of glucose.
Choice C reason:
This is a correct answer. The nurse should advise the client and their caregiver to wear a medical alert bracelet or necklace that identifies epilepsy and provides emergency contact information. This can help ensure prompt and appropriate care in case of a seizure and prevent unnecessary interventions or complications.
Choice D reason:
This is an incorrect answer. The nurse should not advise the client and their caregiver to use herbal remedies such as valerian or chamomile to reduce anxiety, as this can have negative effects on seizure activity and medication effectiveness. Herbal remedies can interact with antiepileptic drugs (AEDs) and alter their absorption, metabolism, or excretion, which can increase the risk of toxicity or breakthrough seizures. The nurse should advise the client and their caregiver to consult their provider before using any herbal remedies or supplements.
Choice E reason:
This is a correct answer. The nurse should advise the client and their caregiver to perform relaxation techniques such as deep breathing or meditation, as this can help prevent seizures by reducing stress, anxiety, or tension that may trigger seizure activity. Relaxation techniques can also improve mood, sleep quality, and coping skills for the client and their caregiver.