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</p> Signup and view all the answers

    What is the nature of the seizure used to indicate?

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

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

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

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

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

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

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

    What does idiopathic epilepsy refer to?

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

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

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

    What has aided in the diagnosis of epilepsy?

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

    What does idiopathic epilepsy refer to?

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

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

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

    What is the leading cause of seizures in older adults?

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

    What is the relationship between epilepsy and intellectual level?

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

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

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

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