Nursing Management During Seizure Quiz

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What is the major responsibility of the nurse during a seizure?

To restrain the patient

To perform CPR

To administer medication immediately

To observe and record the sequence of signs (correct)

What does the occurrence of an aura refer to?

Involuntary muscle movements

Loss of consciousness

Increased heart rate

A premonitory or warning sensation (correct)

Why is it important to document the circumstances before a seizure?

To monitor blood pressure changes

To determine the patient's emotional state

To assess the patient's cognitive function

To identify potential triggers or stimuli (correct)

What does the position of the head at the beginning of a seizure provide clues to?

The location of the seizure origin in the brain Signup and view all the answers

What is an aura in the context of a seizure?

A premonitory or warning sensation Signup and view all the answers

What does the nurse need to document regarding the patient's movements during a seizure?

Where the movements or stiffness begins Signup and view all the answers

Why is it important to state whether the beginning of the seizure was observed in the documentation?

To provide accurate information about the seizure onset Signup and view all the answers

What does the nature of the seizure indicate?

The type of treatment required Signup and view all the answers

What is an important consideration for the nurse regarding the patient's sleep before a seizure?

To document the circumstances before the seizure Signup and view all the answers

What does the patient's conjugate gaze position provide clues to?

The location of the seizure origin in the brain Signup and view all the answers

What is the purpose of documenting emotional or psychological disturbances before a seizure?

To identify potential triggers or stimuli Signup and view all the answers

Why does the nurse need to document the patient's response to tactile stimuli before a seizure?

To identify potential triggers or stimuli Signup and view all the answers

What is the nurse's role after a patient has a seizure?

Document the events leading to and occurring during and after the seizure and prevent complications Signup and view all the answers

Why is the patient placed in the sidelying position after a seizure?

To facilitate drainage of oral secretions and prevent aspiration Signup and view all the answers

What is one of the nursing care precautions maintained after a seizure?

Having available functioning suction equipment with a suction catheter Signup and view all the answers

Why is the floor padded as an additional safety measure after a seizure?

To prevent injury to the patient if they fall during a seizure Signup and view all the answers

What should the nurse do if the patient is in bed during a seizure?

Remove pillows and raise side rails Signup and view all the answers

What should the nurse do if the patient is confused or wandering after a seizure?

Guide the patient gently to a bed or chair Signup and view all the answers

Why does the nurse provide privacy and protect the patient from curious onlookers during a seizure?

To ensure the patient's dignity and prevent embarrassment Signup and view all the answers

Why should the nurse ease the patient to the floor if possible during a seizure?

To prevent injury from striking a hard surface Signup and view all the answers

Why does the nurse not attempt to pry open jaws that are clenched in a spasm or attempt to insert anything in the mouth during a seizure?

To prevent injury to the patient's mouth and teeth Signup and view all the answers

Why should the nurse not attempt to restrain the patient during a seizure?

Because muscular contractions are strong and restraint can produce injury Signup and view all the answers

Why should the nurse make sure the airway is patent after a seizure?

To ensure the patient can breathe properly Signup and view all the answers

Why should the nurse stay a distance away, but close enough to prevent injury, if the patient becomes agitated after a seizure?

To prevent injury to the nurse Signup and view all the answers