Status Epilepticus Quiz
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Questions and Answers

What is the definition of status epilepticus?

  • A seizure lasting 5 minutes or longer or serial seizures occurring without full recovery of consciousness between attacks (correct)
  • A seizure lasting 3 minutes or longer or serial seizures occurring without full recovery of consciousness between attacks
  • A seizure lasting 10 minutes or longer or serial seizures occurring without full recovery of consciousness between attacks
  • A seizure lasting 7 minutes or longer or serial seizures occurring without full recovery of consciousness between attacks

What are the cumulative effects of status epilepticus?

  • No cumulative effects
  • Reduced metabolic demand and improved respirations
  • Mild muscular contractions imposing a light metabolic demand and improvement in respirations
  • Vigorous muscular contractions imposing a heavy metabolic demand and interference with respirations (correct)

How long must continuous clinical or electrical seizures last to be considered status epilepticus?

  • At least 20 minutes
  • At least 30 minutes (correct)
  • At least 40 minutes
  • At least 10 minutes

What is considered a medical emergency?

<p>Status epilepticus (A)</p> Signup and view all the answers

What are the goals of treatment for status epilepticus?

<p>To stop the seizures as quickly as possible, ensure adequate cerebral oxygenation, and maintain the patient in a seizure-free state (C)</p> Signup and view all the answers

What is the initial medication given to attempt to halt seizures immediately?

<p>IV diazepam, lorazepam, or fosphenytoin (D)</p> Signup and view all the answers

What factors can precipitate status epilepticus?

<p>Interruption of anticonvulsant medication, fever, concurrent infection, or other illness (A)</p> Signup and view all the answers

What intervention is performed if the patient remains unconscious and unresponsive?

<p>Insertion of an endotracheal tube (A)</p> Signup and view all the answers

What may repeated episodes of cerebral anoxia and edema lead to?

<p>Irreversible and fatal brain damage (B)</p> Signup and view all the answers

What do vigorous muscular contractions impose during status epilepticus?

<p>A heavy metabolic demand and interference with respirations (C)</p> Signup and view all the answers

What should be established in the medical management of status epilepticus?

<p>An airway and adequate oxygenation (B)</p> Signup and view all the answers

What is the purpose of obtaining blood samples to monitor serum electrolytes, glucose, and phenytoin levels?

<p>To determine the effectiveness of anticonvulsant medication (C)</p> Signup and view all the answers

What does a low serum concentration of anticonvulsant medication suggest?

<p>The patient is not taking the medication or the dosage is too low (A)</p> Signup and view all the answers

What is the potential life-threatening complication associated with postictal state?

<p>Cerebral edema (C)</p> Signup and view all the answers

Why is ongoing assessment and monitoring of respiratory and cardiac function initiated in patients receiving anticonvulsant medications and sedatives?

<p>To prevent delayed depression of respiration and blood pressure (C)</p> Signup and view all the answers

What is the purpose of turning the patient to a side-lying position during a seizure?

<p>To prevent aspiration of pharyngeal secretions (B)</p> Signup and view all the answers

Why must suction equipment be available during seizures?

<p>To prevent aspiration (A)</p> Signup and view all the answers

What is a significant risk for patients who have received long-term anticonvulsant therapy?

<p>Fractures resulting from bone disease (B)</p> Signup and view all the answers

What is the purpose of using seizure precautions for a patient having seizures?

<p>To protect the patient from injury (B)</p> Signup and view all the answers

Why should nurses protect themselves when caring for a patient having seizures?

<p>To protect against inadvertent injury (B)</p> Signup and view all the answers

What is the potential consequence of an IV line becoming dislodged during seizures?

<p>Aspiration (A)</p> Signup and view all the answers

What is the potential life-threatening complication associated with delayed depression of respiration and blood pressure?

<p>Cerebral edema (A)</p> Signup and view all the answers

Why is IV infusion of dextrose given if the seizure is caused by hypoglycemia?

<p>To correct the low blood glucose level (B)</p> Signup and view all the answers

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