RN101
Home of the Registered Nurses (RN) and
Licensed Practical Nurses (LPN)

ANSWERS

 

CASE I

Question 1:

1. Never put anything in patient mouth during seizure.

2. Never restrain the patient during seizure activity.

CASE II

Question 1:

1. Reduce environmental stimuli that may distract the patient.

2. Position yourself on the unaffected side.

3. Look at the patient to show your facial expression, maintain eye contact.

4. Speak in a normal tone and level of voice.

5. Express one idea or thought at a time.

6. Use short simple sentences.

7. Ask simple questions answerable by yes or no. (closed-ended questions)

8. Let the patient speak, do not interrupt. Allow the patient to complete his/her thought.

9. Encourage gestures or demonstrations (“show me…, or point to what you want”) Nodding or shaking head.

10. Allow body contacts (clasp of hand, touching). May be the only way the patient can express his feelings.

11. Never pretend to understand the patient if you do not. Calmly tell the patient that you do not understand and allow him to WRITE IT or DRAW! Use a thick black marker or big printed letter.

12. Do not treat the patient like a child. “No baby talk”.

CASE III

Question 1:

1. Carefully move patient to a flat surface, turn him on his side, and protect his head.

CASE IV

Question 1:

1. Monitor for skin rash. (D/C medication and notify MD)

2. Perform good oral hygiene. (D/t risk for gingival hyperplasia)

3. Perform neccessary blood work for phenytoin (Dilantin) level.

4. Notify physician for any problems with walking, coordination, slurred speech or nausea.

CASE V

Question 1:

1. Any allergies to seafood or iodine. (Seafood and radiopaque dye used in CT contain iodine).