Registered Nurse RN Mod C Quiz
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Questions and Answers

Excitatory neurons release the neurotransmitter _____________, while inhibitory neurons release the neurotransmitter ________________.

glutamate, GABA

Select all the patients who are at MOST risk for seizures:

  • A 63-year-old whose CT scan shows an ischemic stroke. (correct)
  • A 72-year-old who is post op day 5 from open heart surgery.
  • A 58-year-old experiencing ETOH withdrawal. (correct)
  • A 32-year-old with a blood glucose of 20 mg/dL. (correct)
  • A 16-year-old with bacterial meningitis. (correct)
  • Based on a Phenytoin level of 7 mcg/mL, what should the nurse do?

  • Hold the next dose of Phenytoin
  • Continue to monitor the patient
  • Initiate seizure precautions (correct)
  • Assess the patient for a rash
  • Which statement requires re-education about seizure triggers?

    <p>I will limit my alcohol intake to 2 glasses of wine per day.</p> Signup and view all the answers

    A patient experiencing a tonic-clonic seizure is experiencing a focal (partial) seizure.

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

    What type of seizure is characterized by a child appearing to daydream for 10 seconds and not recalling the event afterward?

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

    What should the nurse do when a patient reports having déjà vu and seeing spots in their visual field?

    <p>Lay the patient down on their side with a pillow underneath the head.</p> Signup and view all the answers

    If a tonic-clonic seizure lasts more than 5 minutes, the nurse should?

    <p>Initiate the emergency response system.</p> Signup and view all the answers

    Study Notes

    Neurons and Neurotransmitters

    • Neurons transmit information and come in two main types: excitatory and inhibitory.
    • Excitatory neurons release glutamate, while inhibitory neurons release GABA.

    Patients at Risk for Seizures

    • Patients at most risk for seizures include those with:
      • Low blood glucose (20 mg/dL)
      • Ischemic stroke
      • Bacterial meningitis
      • Alcohol withdrawal
    • Post-operative patients, like those on day 5 post-open heart surgery, are not at increased seizure risk compared to others listed.

    Phenytoin and Seizure Precautions

    • Normal Phenytoin levels range from 10 to 20 mcg/mL; a level of 7 mcg/mL indicates under-medication.
    • Initiate seizure precautions for patients with low Phenytoin levels to prevent seizures.

    Seizure Triggers Education

    • Alcohol intake should be strictly limited or avoided altogether to prevent seizures.
    • Recognize that hormonal changes (like those during menstrual cycles), sleep deprivation, and dehydration can trigger seizures.

    Types of Seizures

    • Tonic-clonic seizures are generalized, affecting both brain hemispheres.
    • Absence seizures, common in children, are characterized by short episodes of staring, resembling daydreaming.

    Recognizing Seizure Auras

    • Auras, such as déjà vu or visual disturbances, are warning signs of impending seizures.
    • It is crucial to gently lay the patient on their side, ensuring safety, and remove any tight clothing.

    Managing Prolonged Seizures

    • Tonic-clonic seizures typically last 1-3 minutes; anything over 5 minutes requires emergency intervention.
    • If a seizure lasts more than 5 minutes, do not restrain the patient but activate the emergency response system to ensure proper care.

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    Description

    Test your knowledge on neuron functions and neurotransmitters with this Registered Nurse RN Mod C quiz. Understand the differences between excitatory and inhibitory neurons along with the roles of specific neurotransmitters. Perfect for nursing students preparing for exams!

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