The nurse should instruct the new mother to look for signs of adequate milk intake in the newborn, such as wet and dirty diapers, and weight gain. The nurse should also teach the mother to observe the baby's sucking pattern while breastfeeding, which should be strong and rhythmic.
Additionally, the nurse should educate the mother on how to check for milk transfer by observing the baby's jaw movement and listening for swallowing sounds during breastfeeding. The nurse should also instruct the mother to keep track of the baby's feeding schedule, noting the duration and frequency of each feeding. It is also important for the nurse to encourage the mother to seek support and advice from a lactation consultant, if needed.
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The nurse is obtaining vital signs on a 3-month-old infant. What is the most reliable site for assessing the pulse rate in this infant?
The most reliable site for obtaining pulse rate on a 3-month-old infant is: the brachial artery.
The pulse rate is defined as the number of time the heart beats in a minute. The beating of the heart is actually how many time the heart pumps the blood. The normal pulse rate in adults in 60-100 per minute. Whereas in infants, it can be up to 100-150 beats per minute.
Brachial artery is one of the major blood vessels of the upper arm of an individual. It is the further extension of the axillary artery that begins at the lower margin of the teres major muscle. The artery runs up to the crease in front of the elbow.
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Which of the following nursing measures has the highest priority when an intrapartum woman has a prolapsed umbilical cord
Place sterile gloved hand into patient's vagina to push the fetus off the umbilical cord.
Which of the following are risk factors for prolapsed umbilical cord?Risk factors for umbilical cord prolapse include abnormal fetal presentation, multiparity, low birth weight, prematurity, polyhydramnios, and spontaneous rupture of membranes, particularly in those with high Bishop scores. The flexible, tube-like umbilical cord that connects the mother and fetus during pregnancy. The baby's lifeline to the mother is the umbilical cord. It delivers nutrients to the infant and removes waste from the infant. It consists of two arteries and one vein, making up its three blood vessels. Uncommon but potentially fatal obstetric emergency is umbilical cord prolapse. The prolapsed cord is compressed between the fetal presenting portion and the cervix when this happens during labor or delivery.
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Skin appendages, also referred to as....., include....
Eccrine glands are responsible for.....
The eccrine sweat gland is composed of ....
The eccrine sweat gland opens to...
Eccrine glands are mostly located on ...
Apocrine sweat glands are responsible for....
Apocrine sweat glands are mostly located on...
Apocrine sweat glands open to...
Apocrine sweat glands are composed of...
Answer: The eccrine sweat glands concerned with temperature regulation are innervated by sympathetic cholinergic fibers, unlike apocrine glands on palms and soles which are influenced by circulating substances, including catecholamines.
Explanation:
The nurse is to administer a cyclic feeding through a gastric tube. It is most important for the nurse to
Answer:
Check the residual volume before the feeding
Explanation:
The nurse will deliver a cyclic feeding through a stomach tube. It also is critical therefore for nurses to lift the bed's head should 45 degrees.
Elevating a head of a bed 30 to 45 degrees helps reduce aspiration into in the lungs. As according to Maslow's hierarchy of needs, this is a priority.
Most patients who are unable to obtain an appropriate oral intake via food or oral nutritional supplements, or who are unable to eat and drink safely, may benefit from nasogastric tube feeding. The purpose of this strategy is to enhance and maintain each patient's dietary intake and nutritional status.
Nasogastric tube (NG tube) is used in individuals with dysphagia who are unable to achieve nutritional demands despite dietary modifications and are at risk of aspiration.
Nasogastric (NG) intubation is a process in which a thin, plastic tube is placed into the nose, down into the stomach, and out. Once an NG tube has been correctly put and secured, healthcare workers such as nurses can directly feed food and medicine to the stomach or take things from it.
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a patient with ulcers in the mouth is compalining of pain. How would the nurse most likely classify this pain
The nurse would most likely classify this pain as Deep pain.
Pain is a distressing sensory and emotional experience caused by either real or potential tissue injury. The skin and mucous membranes are the source of superficial discomfort. Deep discomfort originates in tissues under the skin. Skeletal muscles, ligaments, and joints cause somatic discomfort. Organs and smooth muscles cause visceral discomfort.
Pain pushes people to avoid dangerous circumstances, safeguard a wounded bodily part while it heals, and avoid similar experiences in the future. Most pain goes away once the noxious stimulus is withdrawn and the body heals, but it can last even after the stimulus is gone and the body appears to be healed. Pain can occur in the absence of any apparent stimuli, injury, or disease.
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what genetic conditions cause cellular injury? (cellular pathology)
Answer:
There are many genetic conditions that can cause cellular injury, also known as cellular pathology. Some examples include:
Sickle cell anemia: a genetic disorder in which the body produces abnormal hemoglobin, leading to the formation of sickle-shaped red blood cells that can become lodged in blood vessels, causing damage to organs and tissues.
Tay-Sachs disease: a genetic disorder in which the body is unable to produce an enzyme necessary for the breakdown of a fatty substance called ganglioside, leading to a build-up of this substance in cells, particularly in the brain and nervous system.
Hemophilia: a genetic disorder in which the blood does not clot properly, leading to excessive bleeding and the potential for injury to internal organs.
Cystic fibrosis: a genetic disorder that affects the secretory glands, which can lead to the accumulation of thick, sticky mucus in the lungs and pancreas, resulting in respiratory and digestive problems.
Huntington's disease: a genetic disorder caused by a mutation in the huntingtin gene, resulting in the degeneration of brain cells, leading to symptoms such as movement disorder, cognitive decline and emotional instability.
These are only a few examples and there are many more genetic conditions which cause cellular injury.
Explanation:
Outpatient care accounts for what percent of gross patient revenue for all US hospitals?
a.10%
b.20%
c.40%
d.60%
Answer: 40%
Explanation:
An infant's ventilatory rate generally is too fast to sustain adequate tidal volume when the rate is over
An infant's ventilatory rate generally is too fast to sustain adequate tidal volume when the rate is over 60 breaths per minute.
The positive pressure ventilation technique is one of the resuscitation measures that aim to introduce air into the baby's lungs. Ventilation measures are carried out by placing a mask (oxygen mask) with a size that fits the baby's face so that it covers the baby's chin, mouth, and nose.
If there is no breathing or the baby is gasping, positive pressure ventilation is initiated using a resuscitation bag and mask, at a rate of 40-60 breaths/minute. If the heart rate is <100 beats/min, even if the baby is breathing, VTP should be started at a rate of 40-60 beats/min. If the heart rate is still <60 bpm after 30 adequate pressure ventilation, chest compressions should be started.
So, adequate tidal volume baby's when the rate is over 60 bpm.
This question is multiple choice:
A. 60
B. 50
C. 40
D. 30
The correct answer is A.
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At an organizational level, which of the following strategies would assist in ensuring that EBP is incorporated into nursing care
Answer: The options are
a. Formation of nursing-only implementation teams
b. Restriction of evidence to RCT's
c. Formation of a network of individuals doing research and/or interested in research utilization
d. Avoidance of partnership with experienced researcher
The answer to this question is Formation of a network of individuals doing research and/or interested in research utilization
Explanation: Collaboration, partnerships, and consideration of a variety of evidence appropriate to the clinical questions are important in ensuring translation of evidence into practice. Collaboration is considered particularly critical and can occur through practice-based networks.
HOPE THIS WAS HELPFUL
The strategy that would assist in ensuring that EBP is incorporated into nursing care is the formation of a network of individuals doing research and/or interested in research utilization.
What is the significance of nursing care?The significance of nursing care is determined by the fact that they play an essential role in society today by being advocates for health promotion, educating the public and patients on preventing injury and illnesses, participating in rehabilitation, and providing care and support.
According to the context of this question, the process of nursing care increases the collaboration, consideration, and participation of a variety of evidence that is valid for the circumstance according to the requirement of the patients. The research is always done under the collaboration of similar scientists with respect o your interests.
Therefore, the strategy that would assist in ensuring that EBP is incorporated into nursing care is the formation of a network of individuals doing research and/or interested in research utilization.
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Your question seems incomplete. The most probable complete question is as follows:
At an organizational level, which of the following strategies would assist in ensuring that EBP is incorporated into nursing care?
Formation of nursing-only implementation teams.Restriction of evidence to RCT's.Formation of a network of individuals doing research and/or interested in research utilization.Avoidance of partnership with an experienced researcher.To indicate that the infant is making a successful transition immediately after birth, the nurse checks the heart rate. The newborn is 4 hours old. Which rate would the nurse identify as a cause for concern
The heart rate which is alarming cause of concern for the 4 hour old infant is 108 beats/minute.
AGPAR score is the first evaluation done on the infant to check the vital signs and movements of the body of the child to ensure that the child is healthy and normal. It has 5 parameters which are heart rate, muscle tone, reflex irritability, respiratory effort, and the color of the body. Heart rate is evaluated by stethoscope. Heart rate of infants is generally high to fuel their growth and make up for greater heat loss to the environment. Heart beat of 108 beats/ minutes is indicative of tachycardia which can be harmful for the body of the child and may require some immediate treatment.
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Electronic health records (EHRs) are being instituted at Pleasant Valley Hospital. Some of the staff on Unit 4 complain to the manager that acquiring the technologic skills required is too time consuming. They question its value in patient care. The manager responds that:
Electronic health records (EHRs) can increase the effectiveness of care by enhancing coordination and improving patient outcomes.
By having an electronic record that is accessible to all care providers, communication between providers is increased. This allows for more complete, timely, and accurate care.
Additionally, having data in an electronic format makes it easier to track patient progress. This can lead to better care decisions and reduced duplication of services. Furthermore, by having the data accessible in an electronic format, it also allows for better analysis of trends and patterns that can be used to improve patient outcomes. With EHRs, providers can more quickly identify areas of improvement and implement changes to improve patient care.
Finally, EHRs enable more efficient data sharing, allowing for better collaboration between providers, leading to improved outcomes for patients.
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When a patient is obese or has a thick chest wall, what is difficult to palpate?
A. Grade 4 murmur B. Sternal angle C. JVP D. Apical impulse
When a patient is obese or has a thick chest wall, option D: apical impulse is difficult to palpate.
The best place to measure your heart rate is on your chest, where your apical pulse is located. It is also known as the apex beat and the point of maximal impulse (PMI). Along your arteries are where your other pulse spots are situated. Obesity negatively affects the diastolic function of the heart. Because of different loading conditions and an increased LV mass that may negatively affect the ventricle's passive filling capabilities, obesity can change the LV filling indexes. This can consequently affect apical impulse caused due to affected cardiac output. Thus, option D is the correct choice.
The apex beat, also known as the apical impulse, is the palpable cardiac impulse that is located in the fifth intercostal space, closest to the midclavicular line (MCL), and furthest down on the chest wall. It is typically caused by the LV.
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The fastest, and probably the most effective, treatment for severe cases of depression is
A.imipramine (Tofranil).
B.paroxetine (Paxil).
C.electroconvulsive therapy (ECT).
D.psychotherapy.
Electroconvulsive therapy is the quickest and most likely successful treatment for severe instances of depression (ECT).
The correct option is C.
Exists a current electroconvulsive therapy?ECT is frequently still an option for those who are unable to take drugs for mental health issues for whatever reason. This can significantly alter a person's quality of life if they have issues with organ function or are expecting (ECT is safe during all three trimesters of pregnancy). When used in conjunction with medicine, it is very helpful.
Why would someone use electroconvulsive therapy?Electroconvulsive therapy (ECT) is a procedure that uses small electric currents to deliberately induce a brief seizure in the brain while the patient is under general anesthesia. The indications and symptoms of a number of mental health issues tend to be quickly relieved by ECT because it appears to change the brain's chemistry.
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a nurse is caring for a client with hyperparthyroidism and notes that the client's serum calcium level is 13 mg/dl. which medication
a nurse is caring for a client with hyperparthyroidism and notes that the client's serum calcium level is 13 mg/dl. medication Calcitonin (Miacalcin)
The parathyroid hormone, which is made by the thyroid glands, aids in preserving the proper level of calcium in the blood and in tissues that require calcium for healthy function. For bone health as well as nerve and muscle function, this is extremely crucial.
Hyperparathyroidism comes in two flavors. Primary hyperparathyroidism is characterized by an overproduction of parathyroid hormone brought on by enlargement of one or more parathyroid glands. High blood calcium levels as a result of this can result in a number of health issues. The most often used therapy for primary hyperparathyroidism is surgery.
Another condition that first results in low calcium levels in the body can lead to secondary hyperparathyroidism. As the body struggles to maintain a high calcium level, elevated parathyroid hormone levels develop over time.
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Which established the Medicare clinical laboratory fee schedule, which is a data set based on local fee schedules for outpatient clinical diagnostic laboratory services
The Balanced Budget Act of 1997 established the Medicare Clinical Laboratory Fee Schedule (CLFS), which is a data set based on local fee schedules for outpatient clinical diagnostic laboratory services.
This fee schedule was implemented as a way to control the cost of laboratory services under the Medicare program and to ensure that payments to laboratories are based on fair and reasonable charges. The CLFS sets payment rates for laboratory services based on the median charges for laboratory tests in a given geographic area, taking into account the cost of providing the service, the volume of tests performed, and other factors. This fee schedule applies to clinical laboratory services furnished to beneficiaries in all settings, including physicians' offices, hospitals, and independent laboratories.
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A client is visiting the emergency department because of massive bleeding from the nose that will not stop. Blood is on the client's shirt, and bleeding from the nose continues. The nurse intervenes by
The nurse intervenes by telling the client who is visiting the emergency department, to sit upright with the head tilted forward.
Bleeding from the nose are not generally serious. still, frequent or heavy nosebleeds may indicate more serious health problems, similar as high blood pressure or a blood clotting complaint, and should be checked. inordinate bleeding over a prolonged period of time can also lead to farther problems similar as anaemia.
An emergency department, also known as an accident department, exigency room, exigency ward or casualty department, is a medical treatment installation specializing in exigency drug, the acute care of cases who present without previous appointment; either by their own means or by that of an ambulance.
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The nurse is caring for an 8-year-old girl who was in a car accident. Which symptom suggests the child has a cerebral contusion
why would newborn baby mother whale large dog or a professional football player weigh about 8 pounds answer
Newborn baby, mother whale, large dog and professional football player do not weigh about 8 pounds. They differ greatly in their weight.
A newborn baby typically weighs between 5-10 pounds, some mother whale can weight up to 25,000 pounds, large dog breeds can weigh from 50-100 pounds and professional football players weigh from around 200-300 pounds.
Dietary interventions, which include foods that shift the _____ balance, are a staple of Traditional Chinese Medicine.
Dietary interventions, which include foods that shift the yin-yang balance, are a staple of Traditional Chinese Medicine.
Dietary interventions are a staple of Traditional Chinese Medicine and are used to maintain balance between the yin and yang energies in the body. In this practice, different foods are believed to have different effects on the body's yin and yang balance. Yin foods are considered cooling and moistening, and are thought to nourish the body and calm the mind. Yang foods are considered warming and drying.
39. The closed-glove technique is used: a. Only when the hands have never passed through the gown cuffs b. When re-gloving without assistance during the procedure c. To assist a surgeon in donning sterile attire d. As a method for correcting glove contamination
The closed-glove technique is used is only when the hands have never passed through the gown cuffs.
The correct answer is A.
The use of closed gloves is a method of putting on sterile gloves by placing the hand that has undergone scrubbing inside the cuff.
Wear gloves with a closed method:
With hands covered by the gown, remove the first glove from the package, not letting the hand come out of the cuff of the gown.Place the glove on the jacket and the thumb of the glove on the thumb with the fingers pointing toward the elbow.Grasp the bottom of the cuff with the protected fingers of the hand you will be wearing gloves onHold the top of the cuff with your other hand, which is also covered in the jacket.Raise the top cuff over the jacket cuff and the hand to be gloved. Grasp the glove cuff and suit cuff together and tuck your fingers into the glove and lay them out.To wear the second glove, repeat steps 1 to 6.Learn more about the closed-glove technique at https://brainly.com/question/2931784
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The nurse is developing a plan for psychoeducational sessions for a small group of adults diagnosed with schizophrenia. Which goal is best for this group
Demonstrate improved social skills, Improved social skills help patients maintain relationships with others.
What is schizophrenia?A severe mental illness called schizophrenia causes people to have aberrant perceptions of reality. The symptoms of schizophrenia may include hallucinations, delusions, and incredibly abnormal thought and behavior that make it difficult to go about daily activities and can even be incapacitating. Schizophrenia sufferers need ongoing care. Although the precise origin of schizophrenia is unknown, a mix of genetics, environment, and altered brain chemistry and structure may contribute.Decreased participation in daily activities, disordered speech or behavior, and ideas or sensations that seem disconnected from reality are all symptoms of schizophrenia. Also possible are issues with memory and focus.A combination of drugs, psychotherapy, and well-coordinated specialty care services are frequently used in the course of treatment, which is typically lifelong.To learn more about schizophrenia refer to:
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A patient diagnosed with type 2 diabetes requests a refill of a prescription for extended-release glipizide. The patient is approximately 15 days late in refilling the prescription. The patient, when asked if the medication is being taken as directed, says, "Yes, I always take it at breakfast, but many days I simply don't have time to eat before I leave for work." How should the pharmacy technician respond?
Ask the patient to speak with the pharmacist to clarify the prescription directions.
Diabetes is a long-term (chronic) illness that affects how your body converts food into energy. The majority of the food you consume is converted by your body into sugar (glucose), which is then released into your circulation. Your pancreas releases insulin when your blood sugar levels rise.
What causes diabetes primarily?Most kinds of diabetes lack a recognized precise etiology. Sugar builds up in the bloodstream in every situation. This occurs as a result of inadequate insulin production by the pancreas. Diabetes of either type 1 or type 2 may result from a mix of hereditary and environmental causes.
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this form of treatment uses sound energy from high-frequency sound waves to treat pain, relax muscles spasms. stimulate circulation, and break up calcium deposits and scar tissue.
Ultrasound therapy is the form of treatment uses sound energy from high-frequency sound waves to treat pain, relax muscles spasms. stimulate circulation, and break up calcium deposits and scar tissue.
Ultrasound therapy uses high- frequency sound waves to produce heat that can reduce pain. It may be used to treat conditions similar as musculoskeletal injuries, arthritis and fibromyalgia. Ultrasound therapy is a noninvasive treatment in which sound swells are used to access soft apkins, adding blood inflow. This can help relieve pain, ameliorate rotation, and promote towel mending.
Ultrasound therapy can be used as frequently as necessary, there are no limits. We generally use it for five twinkles at a time during treatment. Whether we use it or not will depend on the customer's injuries.
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Mr. Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at:
The C4 to C5 range of motion is the most important range of motion for cervical mobility because it is the area of the neck where most of the movement occurs.
This area is made up of the rotational joints between the fourth and fifth cervical vertebrae (C4-C5), and movement in this area is important for activities like turning the head to look over the shoulder or behind us while driving.
Because Mr. Black’s job involves computer data entry, which likely requires a lot of head turning and neck movement, it is likely that the C4-C5 range of motion is the greatest degree of cervical mobility. Other ranges of motion like C3-C4 or C5-C6 are important for range of motion, but C4-C5 is the most important for activities like turning the head.
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a 39 year old patient underwent a left femoral hernia repair. The postoperative diagnosis was recurrent left femoral hernia. What is the diagnosis code for this encounter
A femoral hernia typically develops near the top of the inner thigh when fatty tissue or a portion of the colon protrudes into the groin. Look for Hernia/femoral/recurrent in the ICD-10-CM Alphabetic Index. You're told to go to K41.91. Therefore, K41.91 will be the encounter's diagnosis code.
The femoral canal is when the femoral hernia pushes through a weak place in the abdominal wall, the surrounding muscular wall. Just below the groin, you could notice a bulge in the upper thigh. The majority of femoral hernias are symptomless. You can have some groin pain. When you stand, lift large objects, or exert yourself, it can get worse.
In order to communicate diseases, symptoms, aberrant findings, and other components of a patient's diagnosis in a fashion that is widely recognized by people in the medical and insurance industries, healthcare professionals employ the International Classification of Diseases (ICD) codes.
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Long-term acute care hospitals are defined by Medicare as having an average inpatient length of stay greater than __________ days.
Long-term acute care hospitals (LTACHs) are defined by Medicare as having an average inpatient length of stay greater than 25 days. These hospitals provide care to patients who have a severe and complex medical condition, and require extended hospitalization.
LTACHs typically provide a higher level of care than a traditional acute care hospital and specialize in the management of patients with chronic, medically complex conditions such as multiple organ failure, sepsis, and ventilator dependency. They have specialized staff, equipment and protocols for the care of these patients and also provide rehabilitation services to help patients regain their independence. These hospitals are usually used as a step-down care from the intensive care unit or as an alternative to skilled nursing facilities for patients who require a higher level of care.
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A 9-year-old boy is suffering from headaches but has no signs of physical or neurologic illness. Which intervention would be most appropriate
"Teach the child and his parents to keep a headache diary." would be the most appropriate intervention.
A headache is defined as discomfort in any part of the head. Headaches can occur on one or both sides of the head, be localised, spread throughout the head from a single site, or have a vise-like feel. A headache might be characterised by a severe pain, a throbbing sensation, or a dull discomfort.
Stress, anxiety, bad posture, and other lifestyle issues can all contribute to them. Migraines are another form of prevalent main headache. They are frequently accompanied by one-sided throbbing pain, nausea, vomiting, and sensitivity to light or sound. Nonprimary persistent daily headaches can be caused by inflammation or other issues with the blood arteries in and around the brain, including stroke. Meningitis is an example of an infection. Intracranial pressure that is either too high or excessively low.
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A prenatal client who is 6 weeks' gestation calls the clinic to report vaginal bleeding. For what concern will the nurse further assess the client
The nurse will further assess the client for spontaneous abortion.
Abortion is the surgical removal of an embryo or foetus from a pregnancy. Miscarriage, also known as "spontaneous abortion," occurs in around 30% to 40% of pregnancies and occurs without intervention. An induced abortion, sometimes known as a "induced miscarriage," occurs when purposeful efforts are made to terminate a pregnancy. In its unmodified form, the term abortion frequently refers to an induced abortion. Women get abortions for a number of reasons, which vary by nation.
The spontaneous termination of a pregnancy before twenty weeks of gestation is known as spontaneous abortion. The term "early pregnancy loss" refers solely to first-trimester spontaneous abortions. Miscarriage is referred to as "spontaneous abortion" by medical practitioners. A missed abortion gets its name because this type of miscarriage does not exhibit the usual indications of bleeding and cramping.
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Organization guidelines state that the nurse should perform the NBS assessment on a newborn during the general assessment. During a general assessment of a term newborn, the nurse notices that the newborn is crying and frequently sucking the fists. What is the appropriate nursing action
The nurse notices that a term newborn is crying and quite often sucking his fists while receiving a general assessment. The nursing intervention that is appropriate is "the nurse should facilitate a feeding for the newborn and perform the NBS assessment later". A is the correct answer.
Crying and sucking are common behaviors for a newborn and can be a sign of hunger. While it is critical for the nurse to follow organizational guidelines and perform the NBS assessment, it is also critical to consider the newborn's overall well-being and comfort. Prioritizing the newborn's basic needs, such as hunger, before performing the NBS assessment is essential to providing quality care. The nurse should also talk to the parents and doctors about the delay in the NBS assessment to make sure that the newborn's needs are met and that the rules of the organization are followed.
This question should be provided with answer choices, which are:
A. The nurse should facilitate a feeding for the newborn and perform the NBS assessment later.B. The nurse should increase the skin probe set temperature on the warmer to make the newborn more comfortable.C. The nurse should have the mother hold the newborn while the NBS assessment is performed.D. The nurse should restrain the newborn with his hands centered per the organization's practice and finish the NBS assessment.The correct answer is A.
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The nurse is educating the parents of a 7-year-old girl with epilepsy about managing treatment of the disorder at home. Which intervention is most effective for eliminating breakthrough seizures
For a 7 years old girl nurse (Duties) is to provide information- Maintain a flat, lying posture; turn your head to the side during seizure activity; remove any clothing that is tight around your neck, chest, or abdomen; and suction as necessary.the most effective intervention to understand the side effects medicine.
A seizure is an abrupt, uncontrolled electrical disturbance in the brain. It may alter levels of consciousness as well as actions, feelings, and behavior.The following are some nursing interventions for a child with a seizure disorder:Avoid harm or injury. Teach the SO to recognise the warning indications of a seizure episode, how to care for the patient before and after one, and to avoid using thermometers that could break. When taking a temperature, use a tympanic thermometer; maintain complete bed rest if prodromal symptoms such an aura are present; if out of bed, support head, position on soft surface, or help to the floor; do not attempt to restrain; turn head to the side and suction airway as directed; AED drug levels, associated adverse effects, and seizure activity frequency should all be tracked and recorded.
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