Nursing Management of Seizures Quiz

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Questions and Answers

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

  • Assisting with breathing exercises
  • Providing emotional support to the patient
  • Administering medication
  • Observing and recording the sequence of signs (correct)

What does the occurrence of an aura indicate?

  • The need for immediate medication
  • The location of the seizure origin in the brain (correct)
  • The type of treatment required
  • The patient's emotional state

What should be documented regarding the circumstances before a seizure?

  • Auditory or olfactory stimuli, tactile stimuli, emotional or psychological disturbances, sleep, hyperventilation (correct)
  • Only emotional disturbances
  • Only visual stimuli
  • Only sleep patterns

What gives clues to the location of the seizure origin in the brain?

<p>The patient's first response during the seizure (A)</p> Signup and view all the answers

What is the nature of the seizure used to indicate?

<p>The type of treatment required (B)</p> Signup and view all the answers

What is the significance of documenting the circumstances before a seizure?

<p>It helps in identifying the type of treatment required (B)</p> Signup and view all the answers

What is the purpose of documenting the occurrence of an aura?

<p>To give clues to the location of the seizure origin in the brain (D)</p> Signup and view all the answers

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

<p>To guide treatment and identify the location of the seizure origin in the brain (A)</p> Signup and view all the answers

What does an aura refer to in the context of a seizure?

<p>A premonitory or warning sensation (C)</p> Signup and view all the answers

What should be documented regarding the patient's first response during a seizure?

<p>Where the movements or the stiffness begins, conjugate gaze position, and the position of the head at the beginning of the seizure (A)</p> Signup and view all the answers

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

<p>The location of the seizure origin in the brain (C)</p> Signup and view all the answers

What information can be obtained from documenting the patient's first response during a seizure?

<p>The location of the seizure origin in the brain (D)</p> Signup and view all the answers

What is the most appropriate action for the nurse during a seizure?

<p>Loosen constrictive clothing and remove eyeglasses (B)</p> Signup and view all the answers

What is the recommended position for the patient after a seizure to prevent aspiration?

<p>Sidelying position (C)</p> Signup and view all the answers

What is the risk the patient is at after a seizure?

<p>Hypoxia (C)</p> Signup and view all the answers

What should the nurse do if the patient becomes agitated after a seizure?

<p>Stay a distance away and observe (D)</p> Signup and view all the answers

What is the purpose of placing the patient on one side with the head flexed forward after a seizure?

<p>To clear the airway (D)</p> Signup and view all the answers

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

<p>Preventing injury and supporting the patient (D)</p> Signup and view all the answers

What is the recommended action regarding the patient's position if they are in bed during a seizure?

<p>Remove pillows and raise side rails (A)</p> Signup and view all the answers

What is the purpose of easing the patient to the floor during a seizure?

<p>To prevent injury from falling (A)</p> Signup and view all the answers

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

<p>Guide the patient gently to a bed or chair (C)</p> Signup and view all the answers

What is the purpose of providing privacy and protecting the patient from curious onlookers during a seizure?

<p>To maintain the patient's dignity (C)</p> Signup and view all the answers

What should the nurse do if the patient is drowsy and wishes to sleep after a seizure?

<p>Allow the patient to sleep (A)</p> Signup and view all the answers

What is the purpose of placing the bed in a low position with side rails up and padded after a seizure?

<p>To prevent injury to the patient (D)</p> Signup and view all the answers

What percentage of people are estimated to be affected by epilepsy during their lifetime?

<p>3% (C)</p> Signup and view all the answers

What is the classification of epilepsy when the cause is known and the epilepsy is a symptom of another underlying condition?

<p>Secondary epilepsy (D)</p> Signup and view all the answers

Which age groups are mentioned as the most affected by most forms of epilepsy?

<p>Children and older adults (B)</p> Signup and view all the answers

What has increased the number of patients at risk for seizures after recovery from certain conditions?

<p>Improved treatment for cerebrovascular disorders, head injuries, brain tumors, meningitis, and encephalitis (C)</p> Signup and view all the answers

What has reduced the stigma associated with epilepsy, leading to more people acknowledging that they have epilepsy?

<p>Public education about epilepsy (A)</p> Signup and view all the answers

What does idiopathic epilepsy refer to?

<p>Epilepsy with unknown causes (C)</p> Signup and view all the answers

What can follow birth trauma, head injuries, and some infectious diseases, among other conditions?

<p>Epilepsy (D)</p> Signup and view all the answers

What has aided in the diagnosis of epilepsy?

<p>Advances in EEG (A)</p> Signup and view all the answers

What has increased the number of patients at risk for seizures after recovery from certain conditions?

<p>Improved treatment for cerebrovascular disorders, head injuries, brain tumors, meningitis, and encephalitis (A)</p> Signup and view all the answers

What has reduced the stigma associated with epilepsy, leading to more people acknowledging that they have epilepsy?

<p>Public education about epilepsy (C)</p> Signup and view all the answers

What does idiopathic epilepsy refer to?

<p>Epilepsy with unknown causes (D)</p> Signup and view all the answers

What can follow birth trauma, head injuries, and some infectious diseases, among other conditions?

<p>Epilepsy (D)</p> Signup and view all the answers

What is the leading cause of seizures in older adults?

<p>Cerebrovascular disease (B)</p> Signup and view all the answers

What increases the risk of congenital fetal anomalies in pregnant women with epilepsy?

<p>A combination of maternal seizures, anticonvulsant medications, and genetic predisposition (D)</p> Signup and view all the answers

Which group of patients is particularly at risk for Sudden Unexpected Death in Epilepsy (SUDEP)?

<p>Patients with medically refractory generalized events (B)</p> Signup and view all the answers

What is the relationship between epilepsy and intellectual level?

<p>Epilepsy is not associated with intellectual level (D)</p> Signup and view all the answers

What is a potential effect of long-term use of anticonvulsant medications?

<p>Increased risk of osteoporosis (A)</p> Signup and view all the answers

What aspect of older adults' physiology necessitates close monitoring when prescribing anticonvulsant medications?

<p>Decreased renal and liver function due to age-related changes (B)</p> Signup and view all the answers

What factor is linked to an increase in seizure frequency during menses in women with epilepsy?

<p>Alteration in cerebral cortex excitability due to an increase in sex hormones (D)</p> Signup and view all the answers

Which patients with epilepsy need to have blood studies to detect the level of anticonvulsant medications during pregnancy?

<p>Women who take certain anticonvulsant medications (B)</p> Signup and view all the answers

Which of the following is a risk associated with the interaction of anticonvulsant medications and contraceptives?

<p>Decreased effectiveness of contraceptives (D)</p> Signup and view all the answers

What is a common feature of Sudden Unexpected Death in Epilepsy (SUDEP)?

<p>Postmortem examination reveals no anatomic or toxicologic cause of death (A)</p> Signup and view all the answers

What contributes to the increased risk of epilepsy in children born to mothers at high risk?

<p>Damage to the fetus during pregnancy and delivery (D)</p> Signup and view all the answers

Which factor does NOT contribute to the high incidence of new-onset epilepsy in older adults?

<p>Congenital malformations (D)</p> Signup and view all the answers

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