48 Questions
What is the major responsibility of the nurse during a seizure?
Observing and recording the sequence of signs
What does the occurrence of an aura indicate?
The location of the seizure origin in the brain
What should be documented regarding the circumstances before a seizure?
Auditory or olfactory stimuli, tactile stimuli, emotional or psychological disturbances, sleep, hyperventilation
What gives clues to the location of the seizure origin in the brain?
The patient's first response during the seizure
What is the nature of the seizure used to indicate?
The type of treatment required
What is the significance of documenting the circumstances before a seizure?
It helps in identifying the type of treatment required
What is the purpose of documenting the occurrence of an aura?
To give clues to the location of the seizure origin in the brain
Why is it important to state whether the beginning of the seizure was observed?
To guide treatment and identify the location of the seizure origin in the brain
What does an aura refer to in the context of a seizure?
A premonitory or warning sensation
What should be documented regarding the patient's first response during a seizure?
Where the movements or the stiffness begins, conjugate gaze position, and the position of the head at the beginning of the seizure
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
What information can be obtained from documenting the patient's first response during a seizure?
The location of the seizure origin in the brain
What is the most appropriate action for the nurse during a seizure?
Loosen constrictive clothing and remove eyeglasses
What is the recommended position for the patient after a seizure to prevent aspiration?
Sidelying position
What is the risk the patient is at after a seizure?
Hypoxia
What should the nurse do if the patient becomes agitated after a seizure?
Stay a distance away and observe
What is the purpose of placing the patient on one side with the head flexed forward after a seizure?
To clear the airway
What is the major responsibility of the nurse during and after a seizure?
Preventing injury and supporting the patient
What is the recommended action regarding the patient's position if they are in bed during a seizure?
Remove pillows and raise side rails
What is the purpose of easing the patient to the floor during a seizure?
To prevent injury from falling
What should the nurse do if the patient is confused or wandering after a seizure?
Guide the patient gently to a bed or chair
What is the purpose of providing privacy and protecting the patient from curious onlookers during a seizure?
To maintain the patient's dignity
What should the nurse do if the patient is drowsy and wishes to sleep after a seizure?
Allow the patient to sleep
What is the purpose of placing the bed in a low position with side rails up and padded after a seizure?
To prevent injury to the patient
What percentage of people are estimated to be affected by epilepsy during their lifetime?
3%
What is the classification of epilepsy when the cause is known and the epilepsy is a symptom of another underlying condition?
Secondary epilepsy
Which age groups are mentioned as the most affected by most forms of epilepsy?
Children and older adults
What has increased the number of patients at risk for seizures after recovery from certain conditions?
Improved treatment for cerebrovascular disorders, head injuries, brain tumors, meningitis, and encephalitis
What has reduced the stigma associated with epilepsy, leading to more people acknowledging that they have epilepsy?
Public education about epilepsy
What does idiopathic epilepsy refer to?
Epilepsy with unknown causes
What can follow birth trauma, head injuries, and some infectious diseases, among other conditions?
Epilepsy
What has aided in the diagnosis of epilepsy?
Advances in EEG
What has increased the number of patients at risk for seizures after recovery from certain conditions?
Improved treatment for cerebrovascular disorders, head injuries, brain tumors, meningitis, and encephalitis
What has reduced the stigma associated with epilepsy, leading to more people acknowledging that they have epilepsy?
Public education about epilepsy
What does idiopathic epilepsy refer to?
Epilepsy with unknown causes
What can follow birth trauma, head injuries, and some infectious diseases, among other conditions?
Epilepsy
What is the leading cause of seizures in older adults?
Cerebrovascular disease
What increases the risk of congenital fetal anomalies in pregnant women with epilepsy?
A combination of maternal seizures, anticonvulsant medications, and genetic predisposition
Which group of patients is particularly at risk for Sudden Unexpected Death in Epilepsy (SUDEP)?
Patients with medically refractory generalized events
What is the relationship between epilepsy and intellectual level?
Epilepsy is not associated with intellectual level
What is a potential effect of long-term use of anticonvulsant medications?
Increased risk of osteoporosis
What aspect of older adults' physiology necessitates close monitoring when prescribing anticonvulsant medications?
Decreased renal and liver function due to age-related changes
What factor is linked to an increase in seizure frequency during menses in women with epilepsy?
Alteration in cerebral cortex excitability due to an increase in sex hormones
Which patients with epilepsy need to have blood studies to detect the level of anticonvulsant medications during pregnancy?
Women who take certain anticonvulsant medications
Which of the following is a risk associated with the interaction of anticonvulsant medications and contraceptives?
Decreased effectiveness of contraceptives
What is a common feature of Sudden Unexpected Death in Epilepsy (SUDEP)?
Postmortem examination reveals no anatomic or toxicologic cause of death
What contributes to the increased risk of epilepsy in children born to mothers at high risk?
Damage to the fetus during pregnancy and delivery
Which factor does NOT contribute to the high incidence of new-onset epilepsy in older adults?
Congenital malformations
Test your knowledge of nursing management during a seizure with this quiz. Learn about the crucial responsibilities of a nurse in observing, recording, and assessing the patient before and during a seizure, as well as the types of treatment required.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
