Seizures

Question 1

Experiencing absence seizures. What kind of signs and symptoms might you expect his mother to share with the doctor (SATA)
A: begins with brief change in level consciousness
B: blank stare
C: slight mouth movements
D: child has difficulty continuing pre seizure activity
E: seizures last from 30-60 seconds

Answer 1

BLANK STARE AND SLIGHT MOUTH MOVEMENTS

*absence is both hemispheres

Question 2

which factors related to all occurrences to status epileptics (SATA)
A: continuous seizure state
B: treatment involves IV thiamine
C: always considered emergency
D: accompanied by respiratory distress
E: can occur during all types of seizures
F: occurs during generalized tonic-clonic only

Answer 2

A
C
D
E

thiamine is only for alcoholic withdrawal

remember: start of seizures starts at respiratory acidosis because expelling of air, but prolonged is metabolic acidosis

can lead to hypoxia: metabolic acidosis: schema: increase respirations and increase glucose

Question 3

During seizure activity, which metabolic phenomena occurs? SATA
A: increase ATP
B: decrease ATP
C: decrease oxygen
D: increase oxygen
E: increase glucose
F: decrease glucose

Answer 3

decrease ATP
decrease oxygen
decrease glucose

Everything is decreased, needs to be replenished!
increase need means decrease levels

Question 4

what metabolic conditions can seizure produce (SATA)
A: hypoxia
B: cell death
C: lactate elimination
D: progressive brain tissue injury

Answer 4

A
B
D

lactate elimination is wrong because lactate ACCUMULATES: anabolic metabolism

Question 5

which are considered as common manifestations of seizure activity (SATA)
A: cyanosis
B: tachypnea
C: diaphoresis 
D: hypotension
E: pupil constriction
F: increase salivation

Answer 5

A,C,F

hypoxia, increase respirations, increase ATP and heat, now swallowing

Question 6

What are possible causes o tonic-clonic seizures? (SATA)
A: head trauma from initial fall
B: hypoxia brain damage
C: aspiration pneumonia
D: alcohol withdrawal
E: hypernatremia 
F: hypoglycaemia
G: hypothermia

Answer 6

A
B
C
D
F

trauma oxygen glucose

Question 7

Place following in correct order:
body stiffening 
post ictal
occurrence of aura  
person falls to floor
body alternates between muscle spasm and relaxation

Answer 7

1. occurrence of aura
2. person falls to flow
3. body stiffens
4. body alternates between muscle spasm and relaxation
5. post ictal

Question 8

during sustained seizure activity, which acid base imbalance occurs
A: metabolic acidosis
B: metabolic alkalosis 
C: respiratory acidosis
D: metabolic alkalosis

Answer 8

A: metabolic acidosis

SUSTAINED

if it said initial: it would be respiratory acidosis

Question 9

When preparing to admit patient being treated with status epileptics in emerging which equipment should nurse have available in the room? (SATA)
A: Suction tubing
B: oxygen mask
C: nasogastric tube
D: side rail pads
E: tongue blade
F: oral airway

Answer 9

A
B
D
F

Question 10

The nurse witnesses a patient with a seizure disorder as the patient suddenly jerks the arms and legs, falls to the floor, and regains consciousness immediately. It would be most important for the nurse to do which of the following first?
A: document the timing and description of seizure
B: notify the patient’s health care provider
C: give the scheduled dose of anti-seizure medication
D: assess the patient for a possible head injury

Answer 10

ASSESSMENT IS THE FIRST PHASE OF THE NURSING PROCESS