MEDizzy - A client with a history of seizures is admitted with a

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Neuromusculoskeletal System

A client with a history of seizures is admitted with a partial occlusion of the left common carotid artery. The client has been taking phenytoin (Dilantin) for 10 years. When planning care for this client, what should the nurse do first?

ExplanationB. Phenytoin (Dilantin) is an anticonvulsant most effective in controlling tonic-clonic seizures. Data collection before planning nursing care for a client with a seizure disorder should always include a history of the seizures (e.g., type and incidence). A. Although protection is important, the use of restraints and insertion of an object into the mouth during a seizure often cause injury as a result of tonic-clonic muscle contractions and should not be used. C. Although these may be removed during a seizure, the client’s normal routines should be respected. D. Increased restlessness may be evidence of the prodromal phase of a seizure in some individuals, but signs and symptoms vary so widely that the client’s history should be obtained.