1. A client with a seizure disorder whose disease is well controlled with medication tells the nurse she is trying to get pregnant. Which would be the most appropriate response for the nurse to make?
a. You should see your neurologist as soon as you get a positive pregnancy test because you may need to discontinue your seizure medications.
b. Be sure to see your neurologist if you should have a seizure once you are pregnant because you may need increased doses of medication.
c. You should see your neurologist now because some seizure medications are harmful during pregnancy.
d. You should see your gynecologist to determine if you can get pregnant because seizure drugs can cause changes in the uterus that prevent pregnancy.
2. A child is admitted to the hospital with symptoms of meningitis and a purpuric rash. Until the diagnosis is confirmed, the child should be:
a. entertained to prevent boredom.
b. placed in contact and respiratory isolation
c. kept in a well-lit room to be observed for cyanosis.
d. encouraged to drink fluids to counteract dehydration.
purpuric rash 紫癜性皮疹
1. Correct answer: c.
Some seizure medications are harmful to the fetus/infant when taken by pregnant or lactating women so the client’s neurologist should be consulted prior to her getting pregnant. Pregnancy may require a change in seizure medication but it does not require drug therapy to be discontinued. Seeing a neurologist only if a seizure occurs during pregnancy does not protect the fetus from possible untoward effects of prescribed drugs. Anticonvulsants do not affect the uterus.
2. Correct answer: b.
Until meningococcal meningitis has been ruled out, the child should be placed on isolation. Photophobia is a common symptom of meningitis so a well-lit room will add to the discomfort. The child will probably be placed on fluid restrictions to reduce cerebral edema.