Bacterial, viral, fungal, and parasitic infections: isolation precautions for client who has
influenza
1. A nurse is caring for a client who has Haemophilus influenza type B. Which of the following
types of isolation
...
Bacterial, viral, fungal, and parasitic infections: isolation precautions for client who has
influenza
1. A nurse is caring for a client who has Haemophilus influenza type B. Which of the following
types of isolation should the nurse implement?
a. Airborne
b. Droplet
c. Contact
d. Protective
- Seizures and Epilepsy: priority interventions for a client experiencing a seizure
Tonic clonic: May be preceded by aura.
3 phases:
Tonic episode: stiffening of muscles, loss of consciousness
Clonic episode: 1-2 min of rhythmic jerking of extremities
Postical phase: confusion, sleepiness
Absence: loss of consciousness for a few seconds. Key features: blank staring, eye
fluttering, lip smacking, picking at clothes
Myoclonic: brief stiffening of extremities
Atonic: loss of muscle tone, results in falling
Status epilepticus: repeated seizure activity within 30 min or a single seizure lasting more
than 5 min:
Epilepsy = chronic seizures (2 or more)
• Diagnosis: EEG to identify origin of seizure
• Nursing care
• During seizure: Turn patient to the side, loosen restrictive clothing, do not insert
airway or restrain patient, document onset/duration of seizure
• Surgeries: Vagal nerve stimulatory, craniotomy to remove brain tissue causing
seizures.
• Meds:
• Antiepileptics: Phenytoin (Dilantin)
• Lamotrigine, carbamazepine, valproic acid
▪ Indications: seizures
▪ Side effects: gingival hyperplasia, diplopia, nystagmus, rash, ataxia,
hypotension
▪ Key points: serum phenytoin levels need to be monitored routinely d/t
narrow therapeutic range. Decreases effectiveness of oral contraceptives
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