The patient who is diagnosed with a seizure disorder is prescribed a ketogenic diet. The nurse knows that the patient understands the teaching when they state, "My diet will include:
high sodium and high sugar."
moderate protein and low fat."
high carbohydrates and high protein."
high fats and low carbohydrates."
The Correct Answer is D
A. A ketogenic diet does not focus on high sodium or high sugar, as high sugar intake would increase carbohydrate levels.
B. A ketogenic diet is high in fat rather than low in fat.
C. High carbohydrates are avoided in a ketogenic diet, as the goal is to limit carbohydrates to promote ketone production.
D. The ketogenic diet consists of high fat and low carbohydrates, which helps to manage seizure activity by altering the brain's energy source to ketones rather than glucose.
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Correct Answer is C
Explanation
A. Antibiotics are not typically used unless there is a specific infection; Meniere's is not caused by an infection.
B. Beta blockers are used for various cardiovascular conditions and may help with some vestibular disorders, but they are not the first-line treatment for Meniere's Disease.
C. Diuretics are commonly prescribed for Meniere's Disease to help reduce fluid retention and decrease endolymphatic pressure in the inner ear, which can help alleviate symptoms such as vertigo and hearing loss.
D. Antidepressants are not a primary treatment for Meniere's Disease, although they might be prescribed for anxiety or depression that may accompany the chronic nature of the disease.
Correct Answer is C
Explanation
A. Surgery to remove the eye is not the immediate course of action and is only considered in severe cases where infection cannot be managed.
B. Referral for a drug rehabilitation program is beneficial for the patient's long-term health but is not the priority in this case where there is an active eye infection.
C. Admission for IV and intravitreal antibiotics is necessary to treat a possible severe eye infection, which can be sight-threatening, especially in immunocompromised patients, such as those with a history of IV drug use.
D. An outpatient follow-up with an eye specialist may be part of ongoing care but does not address the acute need for immediate antibiotic therapy to prevent further complications.