Quiz
Exemplar 11.2: Seizure Disorders
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Questions in this quiz (9)
1Drag and drop the seizure type with the description.
[blank_start]Simple partial[blank_end]:
-Typically only involves motor portion of brain.
-Manifests as recurrent muscle contractions of face or contralateral part of body.
-If ANS is disrupted, it may also cause tachycardia, flushing, hypotension, or hypertension.
-May have psychological manifestations, such as deja vu, inappropriate fear or anger, abnormal sensations, or hallucinations.
-No alteration in consciousness
-Involves a restricted part of one cerebral hemisphere.
[blank_start]Tonic clonic[blank_end]:
-Sudden loss of consciousness preceded by a warning aura.
-[blank_start]Clonic phase:[blank_end] Alternating contraction & relaxation of muscles, hyperventilation, eyes rolled back, frothing at the mouth, subsides after 60-90 seconds.
-[blank_start]Tonic phase[blank_end]: Sharp muscle contraction that forces air out of lungs, loss of postural control, rigid muscles, extended arms and legs, jaw clenched, urinary & bowel incontinence, cessation of breathing & cyanosis, fixed & dilated pupils, lasting 15-60 seconds.
-[blank_start]Postictal phase[blank_end]: Unconscious & unresponsive, but regaining conscious gradually; relaxed & breathing quietly; may be confused & disoriented when walking; headache, muscle ache, fatigue; may sleep for several hours; amnesia for duration of & after seizure.
[blank_start]Absence[blank_end]:
-Impaired level of consciousness
-Brief cessation of motor activity
-Blank stare, unresponsiveness,
-Usually 5-10 seconds.
-Can be up to several hundred per day.
-Both hemispheres of brain, as well as deeper structures,
[blank_start]Status epilepticus[blank_end]:
-Continual seizure activity w/short periods of calm
-Any type, but usually generalized tonic-clonic
-Danger of hypoxia, acidosis, hypoglycemia, hyperthermia, and exhaustion.
[blank_start]Complex partial[blank_end]:
-Often proceeded by an aura
-Impaired consciousness lasting for several hours
-Repetitive non purposeful activity, called automatisms
-Amnesia is common after.
-Activation of only a restricted part of one cerebral hemisphere, usually originating in temporal lobe.- ASimple partial
- BTonic clonic
- CClonic tonic
- DClonic phase:
- ETonic phase
- FPostictal phase
- GAbsence
- HStatus epilepticus
- IComplex partial
2Which of the following is NOT a reason that a person may have a seizure?
- AGenetic factors
- BTrauma
- CInfection
- DHypoglycemia
- EHypotonic dehydration
- FElectrolyte imbalances
- GEndocrine dysfunction
- HToxins
- ITumors & lesions
- JHypertonic dehydration
3Anticonvulsant drugs only work by raising the seizure threshold.
- ATrue
- BFalse
4Which of the following is NOT an appropriate intervention for status epilepticus?
- AMaintaining a patent airway w/jaw thrust maneuver & oxygen
- BEstablishing an IV line
- CAdministering 50% dextrose
- DAdminister diazepam, lorazepam, for midazolam IV every 10 minutes until seizure activity stops.
- EMonitor vital signs and circulation
- FKeep suction equipment at bedside
- GManage thermoregulation
- HPerform neurological assessment
- IAdminister carbamazepine and diazepam IV every 15 minutes until seizure activity stops.
5Select the nursing considerations unique to phenytoin.
- AGingival hyperplasia
- BMonitor serum calcium level
- CAdminister 2 hours after antacids.
- DAdminister with food.
6You have a 23-year-old patient with epilepsy. She is being given primidone to control her seizures. What would you be looking for in this patient?
- ADrops in blood pressure, heart rate, and respirations.
- BBlurred or dimmed vision
- CSlurred speech
- DNystagmus
- EConfusion
- FIncreases in blood pressure, heart rate, and respirations
- GNervousness
- HDry mouth
7You have a patient brought into the E.D. following a seizure in the department store. She is conscious, but disoriented and sleepy. She reports that one second she had a ringing in her ears and felt "out-of-body" and the next she's on the floor with a 7/10 headache and people around her "freaking out". She reports that this has never happened before.
You believe that she had a tonic-clonic seizure, but you need to get a clearer image. The patient's husband watched the whole episode. Which of the following questions is inappropriate for the information you currently have?- A"What was your wife doing just before the seizure?"
- B"Were you able to see what part of the body the seizure started in?"
- C"Did she make a loud noise before she fell?"
- D"Can you describe the movements she was making after she fell? Did the location and character change at some point in time?"
- E"Did you notice her head or eyes turn to one side before the seizure started?"
- F"Did she hit her head when she fell?"
- G"Was she foaming or frothing at the mouth?"
- H"Did you notice eyelid fluttering, chewing, lip smacking, or swallowing?"
8You are teaching a group of employees at a department store about what to do if a customer has a seizure. Which of the following statements made by an employee shows that more teaching is needed?
- A"I need to put something in the customer's mouth to prevent tongue biting,"
- B"I will position the customer on his/her side."
- C"I will move any objects that may be around the customer."
9Oxygen should be administered to the seizing patient immediately.
- ATrue
- BFalse
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- Description
- NCLEX Nursing (Medical-Surgical) Quiz on Exemplar 11.2: Seizure Disorders, created by Olivia McRitchie on 02/10/2018.
- Author
- Olivia McRitchie
- Language
- English
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