Podcast
Questions and Answers
What is the nurse's role after a patient has a seizure?
What is the nurse's role after a patient has a seizure?
- Administer medication to prevent another seizure
- Immediately move the patient to a different room
- Begin physical therapy exercises with the patient
- Document the events leading to and occurring during and after the seizure, and prevent complications (correct)
What should the nurse do to prevent complications after a seizure?
What should the nurse do to prevent complications after a seizure?
- Administer antiepileptic medication
- Place the patient in the sidelying position and facilitate drainage of oral secretions (correct)
- Administer oxygen therapy
- Administer intravenous fluids
What should the nurse do if the patient becomes agitated after a seizure?
What should the nurse do if the patient becomes agitated after a seizure?
- Leave the patient alone until the agitation subsides
- Stay a distance away, but close enough to prevent injury until the patient is fully aware (correct)
- Immediately administer a sedative
- Apply physical restraints
What should the nurse do to protect the patient during a seizure?
What should the nurse do to protect the patient during a seizure?
What should the nurse do if the patient is in bed during a seizure?
What should the nurse do if the patient is in bed during a seizure?
What should the nurse do if the patient experiences incontinence of urine or stool during a seizure?
What should the nurse do if the patient experiences incontinence of urine or stool during a seizure?
What is the purpose of placing the bed in a low position with side rails up and padded after a seizure?
What is the purpose of placing the bed in a low position with side rails up and padded after a seizure?
What should the nurse do if the patient is drowsy and wishes to sleep after a seizure?
What should the nurse do if the patient is drowsy and wishes to sleep after a seizure?
What is the nurse's role in preventing injury after a seizure?
What is the nurse's role in preventing injury after a seizure?
What should the nurse do if the patient is confused or wandering after a seizure?
What should the nurse do if the patient is confused or wandering after a seizure?
What is the nurse's role in providing nursing care during a seizure?
What is the nurse's role in providing nursing care during a seizure?
What should the nurse do if the patient has an aura before a seizure?
What should the nurse do if the patient has an aura before a seizure?
What is a major responsibility of a nurse during a seizure?
What is a major responsibility of a nurse during a seizure?
What indicates the type of treatment required for a seizure?
What indicates the type of treatment required for a seizure?
What should be documented before and during a seizure?
What should be documented before and during a seizure?
What kind of sensation is an aura?
What kind of sensation is an aura?
What information can the first action of a patient during a seizure provide?
What information can the first action of a patient during a seizure provide?
Why is it important to record the beginning of the seizure?
Why is it important to record the beginning of the seizure?
Which of the following is NOT typically documented before a seizure?
Which of the following is NOT typically documented before a seizure?
What type of stimuli might be documented as circumstances before a seizure?
What type of stimuli might be documented as circumstances before a seizure?
What does the conjugate gaze position during a seizure indicate?
What does the conjugate gaze position during a seizure indicate?
What kind of disturbances are documented before a seizure?
What kind of disturbances are documented before a seizure?
What is the purpose of assessing the patient before and during a seizure?
What is the purpose of assessing the patient before and during a seizure?
What is an important consideration when recording the onset of a seizure?
What is an important consideration when recording the onset of a seizure?
Study Notes
Assessing and Documenting Seizures
- A nurse's primary responsibility is to observe and record the sequence of signs during a seizure, which indicates the type of treatment required.
Pre-Seizure Assessment and Documentation
- The nurse assesses the patient before and during a seizure, documenting the following:
- Circumstances leading up to the seizure, including: • Visual, auditory, or olfactory stimuli • Tactile stimuli • Emotional or psychological disturbances • Sleep • Hyperventilation
- Occurrence of an aura (premonitory or warning sensation), which can be: • Visual • Auditory • Olfactory
Documenting Seizure Onset
- The nurse documents the first thing the patient does during the seizure, including:
- Where the movements or stiffness begin
- Conjugate gaze position
- The position of the head at the beginning of the seizure
- This information provides clues to the location of the seizure origin in the brain.
- It is essential to state whether the beginning of the seizure was observed in the documentation.
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Description
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.