Seizure Triggering Factors and Types
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Questions and Answers

What type of generalized seizure involves both stiffening of muscles and rhythmic jerking of extremities?

  • Tonic seizure
  • Myoclonic seizure
  • Tonic-clonic seizure (correct)
  • Atonic seizure
  • Which seizure type is characterized by brief jerking or stiffening of the extremities?

  • Clonic seizure
  • Focal seizure
  • Myoclonic seizure (correct)
  • Atonic seizure
  • What is a common manifestation during the clonic phase of a tonic-clonic seizure?

  • Rhythmic jerking of extremities (correct)
  • Muscle tone loss
  • Loss of consciousness
  • Aura
  • Which of the following is NOT a characteristic of a tonic seizure?

    <p>Duration exceeding 30 seconds</p> Signup and view all the answers

    What occurs during the postictal phase following a tonic-clonic seizure?

    <p>Confusion and sleepiness</p> Signup and view all the answers

    Which type of seizure has a loss of consciousness without notable motor activity?

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

    What duration describes an absence seizure?

    <p>10 to 30 seconds</p> Signup and view all the answers

    Which of the following describes an atonic seizure?

    <p>Loss of muscle tone leading to falls</p> Signup and view all the answers

    Which of the following factors is a common trigger for seizures?

    <p>Excessive stress</p> Signup and view all the answers

    Generalized seizures involve which of the following?

    <p>Both cerebral hemispheres</p> Signup and view all the answers

    What distinguishes complex partial seizures from simple partial seizures?

    <p>Automatisms are present in complex partial seizures.</p> Signup and view all the answers

    Which statement accurately describes a simple partial seizure?

    <p>The individual remains aware throughout the event.</p> Signup and view all the answers

    What types of sensations might a person experience during a simple partial seizure?

    <p>Unusual sensations and a sense of déjà vu.</p> Signup and view all the answers

    Which of the following is NOT a feature of complex partial seizures?

    <p>Unilateral abnormal extremity movements.</p> Signup and view all the answers

    During which type of partial seizure may a person exhibit behaviors they are not aware of?

    <p>Complex partial seizure.</p> Signup and view all the answers

    What is the primary focus of nursing care during a seizure?

    <p>Protect the client’s privacy and prevent injury</p> Signup and view all the answers

    Which action is appropriate after a seizure has occurred?

    <p>Perform neurological checks and check vital signs</p> Signup and view all the answers

    What should be avoided during a seizure to prevent injury?

    <p>Inserting items into the airway</p> Signup and view all the answers

    What is the primary goal when administering antiepileptic drugs?

    <p>To control seizure activity using one medication</p> Signup and view all the answers

    Why is it essential to educate clients about taking antiepileptic medications consistently?

    <p>To prevent the potential development of tolerance</p> Signup and view all the answers

    What position should a client be placed in after a seizure?

    <p>Side-lying position to prevent aspiration</p> Signup and view all the answers

    What common side effect should clients be monitored for when on antiepileptic medications?

    <p>Oral gum overgrowth</p> Signup and view all the answers

    Which factor can potentially trigger seizures in clients?

    <p>Fatigue and sleep deprivation</p> Signup and view all the answers

    What should be done regarding the monitoring of antiepileptic drug levels?

    <p>Conduct routine blood tests on a scheduled basis</p> Signup and view all the answers

    What is a potential consequence of developing tolerance to antiseizure medications over time?

    <p>Increased intensity of seizures</p> Signup and view all the answers

    What is the purpose of initiating a social services referral for a client with seizure activity?

    <p>To enhance medication adherence by providing financial assistance.</p> Signup and view all the answers

    What specific type of seizures is vagal nerve stimulation used to treat?

    <p>Focal seizures</p> Signup and view all the answers

    What should clients avoid to prevent complications while using a vagal nerve stimulator?

    <p>Using microwave ovens</p> Signup and view all the answers

    Which statement is correct regarding responsive neurostimulation systems (RNS)?

    <p>They interrupt seizure activity in the brain.</p> Signup and view all the answers

    What is a characteristic of laser interstitial thermal therapy (LiTT)?

    <p>It applies heat via a laser probe to ablate tissue.</p> Signup and view all the answers

    Which procedure is typically done before conventional surgical procedures for seizures?

    <p>Discontinuation of antiepileptic drugs.</p> Signup and view all the answers

    What role does the disability office play for a school-age child with seizure activity?

    <p>Develops an Individualized Education Program (IEP).</p> Signup and view all the answers

    What is a common misconception regarding seizure-related discrimination?

    <p>Discrimination is only illegal in specific states.</p> Signup and view all the answers

    What is the primary function of the vagal nerve stimulator device?

    <p>To stimulate the brain via vagus nerve stimulation.</p> Signup and view all the answers

    Which of the following actions can clients with a vagal nerve stimulator take during a seizure?

    <p>Hold a magnet over the device.</p> Signup and view all the answers

    What does the intracarotid amobarbital (Wada) test primarily assess?

    <p>Impact on language or memory</p> Signup and view all the answers

    What is the purpose of a partial corpus callosotomy?

    <p>To reduce the severity of seizures</p> Signup and view all the answers

    What potential complication might arise from surgical procedures on the brain?

    <p>Loss of cerebral function</p> Signup and view all the answers

    Which nursing action is essential for a client with seizures?

    <p>Educate about the importance of medical identification tags</p> Signup and view all the answers

    What aspect of antiepileptic drug (AED) management is critical for clients?

    <p>Monitoring levels to maintain therapeutic range</p> Signup and view all the answers

    Which is a potential limitation for individuals with a history of seizures regarding driving?

    <p>State laws that may restrict or limit driving</p> Signup and view all the answers

    How can an individual's seizures impact the effectiveness of oral contraceptives?

    <p>They can decrease the effectiveness of oral contraceptives</p> Signup and view all the answers

    What kind of testing can evaluate if visuospatial function is affected?

    <p>Neuropsychological testing</p> Signup and view all the answers

    In performing a brain procedure, which of these factors must be significant in decision-making?

    <p>Potential impact on vital brain function</p> Signup and view all the answers

    What should clients with a history of seizures be educated about regarding their condition?

    <p>Monitor AED levels and drug interactions</p> Signup and view all the answers

    What defines status epilepticus?

    <p>Repeated seizures without full recovery within 30 minutes</p> Signup and view all the answers

    Which is a complication of status epilepticus?

    <p>Continued assault on neuronal tissue</p> Signup and view all the answers

    Which nursing action is NOT a priority for managing status epilepticus?

    <p>Administer oral antiepileptic medication</p> Signup and view all the answers

    What is one of the primary risk factors for Sudden Unexpected Death in Epilepsy (SUDEP)?

    <p>Multiple antiepileptic medications</p> Signup and view all the answers

    Which nursing action is important for the prevention of SUDEP?

    <p>Promote sleep hygiene</p> Signup and view all the answers

    What percentage of SUDEP cases occur during sleep?

    <p>Between 40 to 60%</p> Signup and view all the answers

    Which of the following is a non-pharmacological intervention for managing seizure activity?

    <p>Using seizure alert devices</p> Signup and view all the answers

    Why is it important for clients to keep a journal of their seizure activity?

    <p>To identify and avoid potential seizure triggers</p> Signup and view all the answers

    Which of the following is NOT a potential consequence of status epilepticus?

    <p>Increased neuronal recovery time</p> Signup and view all the answers

    What is a common emergency medication used in the treatment of status epilepticus?

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

    Study Notes

    Seizure Triggering Factors

    • Increased physical activity
    • Excessive stress
    • Hyperventilation
    • Overwhelming fatigue
    • Acute alcohol ingestion
    • Excessive caffeine intake
    • Exposure to flashing lights
    • Substances like cocaine, aerosols, and inhaled glue products
    • Illness

    Seizure Types: Generalized Seizures

    • Involve both cerebral hemispheres
    • Can begin with an aura (altered vision, smell, hearing, or feelings)
    • Five types:
      • Tonic-clonic:
        • Tonic phase (muscle stiffening, loss of consciousness, few seconds)
        • Clonic phase (rhythmic jerking, 1-2 minutes)
        • Breathing stops/irregular, cyanosis possible, cheek/tongue biting, incontinence
        • Postictal phase (confusion, sleepiness)
      • Tonic:
        • Only tonic phase experienced
        • Sudden loss of consciousness, increased muscle tone, autonomic manifestations (arrhythmia, apnea, vomiting, incontinence, salivation)
        • Generally lasts less than 30 seconds (some sources say several minutes)
      • Clonic:
        • Only clonic phase experienced (rhythmic jerking)
        • Muscles contract and relax
        • Can last several minutes
      • Myoclonic:
        • Brief jerking or stiffening of extremities (symmetrical or asymmetrical)
        • Lasts seconds
      • Atonic/Akinetic:
        • Loss of muscle tone for a few seconds
        • Often results in falling
        • Followed by confusion
      • Absence:
        • Loss of consciousness (10-30 seconds)
        • No or mild symmetrical activity (e.g., blinking.)
        • Can occur hundreds of times daily
        • Rare in adults, usually stops during adolescence

    Seizure Types: Focal Seizures

    • Involve only one cerebral hemisphere
    • Two types:
      • Partial/focal/local: (specific information not provided)

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    Description

    This quiz explores the various triggering factors of seizures and the different types of generalized seizures. You will learn about specific causes such as stress and physical activity, as well as the features of tonic-clonic and tonic seizures. Test your knowledge on this vital topic related to epilepsy.

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