Nursing Management for Identifying Epileptogenic Zone
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Questions and Answers

What is the most common characteristic of severe and incapacitating headaches?

  • Vasodilation or vasoconstriction
  • Nausea and vomiting
  • Muscle contraction in the neck and scalp
  • Photophobia and phonophobia (correct)

    • Which of the following is not a symptom of the postdrome phase of a severe headache?

  • Muscle contraction in the neck and scalp (correct)
  • Mood changes
  • Tiredness and weakness
  • Cognitive difficulties

    • What is the key characteristic of tension-type headaches?

  • Unilateral pain localized to the eye and orbit
  • Severe and incapacitating pain
  • Steady, constant feeling of pressure (correct)
  • Cause of headache in the older population

    • What is the main difference between tension-type headaches and cluster headaches?

    <p>Tension-type headaches are chronic and less severe</p> Signup and view all the answers

    What is the key characteristic of cluster headaches?

    <p>Unilateral pain localized to the eye and orbit</p> Signup and view all the answers

    What is the main cause of headaches in the older population?

    <p>Cranial arteritis</p> Signup and view all the answers

    What is recommended to prevent contractures and eliminate pressure ulcers in patients?

    <p>Using splints and home boots</p> Signup and view all the answers

    How should the arms be positioned to prevent contractures?

    <p>In abduction with fingers slightly flexed and hands in supination</p> Signup and view all the answers

    What should be done to maintain skin and joint integrity in patients?

    <p>Regularly turning to avoid pressure</p> Signup and view all the answers

    What can be used to preserve corneal integrity in unconscious patients with their eyes open?

    <p>Artificial tears (eye drops)</p> Signup and view all the answers

    Why should cold compresses be used cautiously for patients with eye conditions?

    <p>To prevent damage to the cornea</p> Signup and view all the answers

    What is the purpose of using eye patches for some patients?

    <p>To care for the cornea without damaging it</p> Signup and view all the answers

    Which medication is the drug of choice for treating spasticity in multiple sclerosis?

    <p>Baclofen</p> Signup and view all the answers

    Which class of medications is used to manage fatigue in multiple sclerosis?

    <p>Amantadine, pemoline, or dalfampridine</p> Signup and view all the answers

    Which type of multiple sclerosis is not effectively treated by interferon beta-1a (Rebif) and interferon beta-1B (Betaseron)?

    <p>Primary progressive</p> Signup and view all the answers

    What is the purpose of using warm packs and muscle stretching in the nursing management of multiple sclerosis?

    <p>To minimize spasticity and contractures</p> Signup and view all the answers

    Which medication is used to manage ataxia (lack of muscle coordination) in multiple sclerosis?

    <p>Propranolol and gabapentin</p> Signup and view all the answers

    What is the purpose of instructing patients with multiple sclerosis to walk with their feet apart?

    <p>To widen their stance and improve balance</p> Signup and view all the answers

    What is the main cause of multiple sclerosis?

    <p>Autoimmune response</p> Signup and view all the answers

    Which of the following is NOT a common symptom of multiple sclerosis?

    <p>Fever</p> Signup and view all the answers

    What is the primary goal of medical management for multiple sclerosis?

    <p>Both b and c</p> Signup and view all the answers

    Which diagnostic test is used to detect the presence of multiple plaques in the central nervous system?

    <p>Magnetic resonance imaging (MRI)</p> Signup and view all the answers

    What is the purpose of electrophoresis of cerebrospinal fluid (CSF) in the diagnosis of multiple sclerosis?

    <p>Identify the presence of oligoclonal banding</p> Signup and view all the answers

    Which type of therapy is used to modify the course of multiple sclerosis?

    <p>Disease-modifying therapy</p> Signup and view all the answers

    What is the main purpose of observing and recording the sequence of signs during a seizure?

    <p>To determine the location of the epileptogenic zone in the brain</p> Signup and view all the answers

    Which of the following is NOT a piece of information that should be documented during or before a seizure?

    <p>The patient's blood pressure during the seizure</p> Signup and view all the answers

    What is the primary nursing responsibility during a seizure?

    <p>Ensuring the patient's safety by preventing injury</p> Signup and view all the answers

    Which of the following pieces of information can help determine the type of seizure (local or generalized)?

    <p>The position of the patient's head and eyes during the seizure</p> Signup and view all the answers

    Why is it important to document the patient's unconsciousness and its duration during a seizure?

    <p>To determine the severity of the seizure and the need for medication</p> Signup and view all the answers

    What is the purpose of documenting the patient's inability to speak after a seizure?

    <p>To assess the patient's cognitive status after the seizure</p> Signup and view all the answers

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