NEURO QUIZ 1

6. The client tells the nurse that he is unclear about what an aura is. The nurse would correctly define an aura as? A. Hallucinations occurring during a seizure B. A feeling of relaxation as the seizure begins to subside C. A symptom that occurs just before a seizure D. A post seizure state of amnesia

C. A symptom that occurs just before a seizure

26. The primary responsibility of a nurse during a client's generalized motor seizure is? A. Determining if an aura was experienced B. Inserting a plastic airway between the teeth C. Clearing the immediate environment for safety D. Administering the prescribed prn anticonvulsant

C. Clearing the immediate environment for safety

24. During a generalized tonic clonic seizure a child becomes cyanotic. The nurse should? A. Insert an oral airway B. Administer oxygen by mask C. Continue to observe the seizure D. Notify the physician immediately

C. Continue to observe the seizure

17. Which statement made by Elif indicates that she understands factors that may precipitate seizure activity? A. It is all right for me to drink coffee for breakfast B. My menstrual cycle will not affect my seizure disorder C. I am going to take a class in stress management D. I should wear dark glasses when I am out in the sun

C. I am going to take a class in stress management

25. When reviewing nursing care of the child with seizures, the nurse charts clonic episode as? A. Generalized rigidity B. A loss of consciousness C. Tremors of the upper extremities D. A spasmodic jerking of the entire body

D. A spasmodic jerking of the entire body

15. Paul is an 8-year-old child who is in status epilepticus. The attending physician ordered 150 milligram intravenous push phenytoin. The child already has an intravenous of D5.45 normal saline running at 75 milliliter per hour. The appropriate action of the nurse is to? A. Flush the IV line with saline, administer the drug slowly, then flush with saline B. Administer the medication slow IV push over 1-min. period C. Slow the IV rate to keep open rate and administer the phenytoin) D. Change the infusing fluid DSW and administer the phenytoin

D. Change the infusing fluid DSW and administer the phenytoin

13. While in the Emergency department in one of the tertiary hospital, Ed, a male client with a seizure disorder develops status epilepticus. The physician orders diazepam 10 milligram intravenous. How soon can nurse alvin administer a second dose of Diazepam? A. In 30 to 45 seconds B. In 10 to 15 minutes C. In 30 to 45 minutes D. In 1 to 2 hours

B. In 10 to 15 minutes

9. The occupational health nurse is concerned about preventing occupation-related acquired seizures. Which intervention should the nurse implement? A. Ensure that helmets are worn in appropriate areas B. Implement daily exercise programs for the staff C. Provide health foods in the cafeteria D. Encourage employees to wear safety glasses

A. Ensure that helmets are worn in appropriate areas

5. Sandra is prescribed phenytoin for a seizure disorder. Which statement indicates that Sandra understands the discharge teaching concerning this medication? A. I will brush my teeth after every meal B. I will check my Dilantin level daily C. My urine will turn orange while on Dilantin D. I won't have any seizures while on this medication

A. I will brush my teeth after every meal

14. Nurse Buhunu observes a child having a seizure that begins with tonic contractions of the fingers in the left hand and progresses into tonic clonic movements that proceed up the muscles or the tent side or the body. The nurse should report these seizures as? A. Jacksonian B. Rolandic C. General D. Complex

A. Jacksonian

11. Upon review of Rick's phenytoin levels, a nurse notes a value of 16microgram per millimeter. what should the nurse do next? A. No action is needed at this time B. Contact the physician because these levels are elevated and may require a change in dosage C. Assess client compliance with the prescribed medication regimen because these values are below therapeutic levels D. Ask the laboratory to run the test again because these are critical values

A. No action is needed at this time

18. Nurse Robbie asks Harvy a client with epilepsy if he has auras with his seizure. Harvy says I don't know what you mean. What are auras? Which statement by nurse robbie would be the best response? A. Some people have a warning that the seizure is about to start B. Auras occur when you are physically and psychologically exhausted C. You're concerned that you do not have auras before your seizures D. Auras usually cause you to be sleepy after you have a seizure

A. Some people have a warning that the seizure is about to start

27. Nurse Cathy inquires whether the male client experiences auras with his seizures. I'm not sure what you're talking about, the client says. What are auras? Which of the nurse's statements would be the most appropriate response? A. Some people have a warning that the seizure is about to start B. Auras occur when you are physically and psychologically exhausted C. You're concerned that you do not have auras before your seizures D. Auras usually cause you to be sleepy after you have a seizure

A. Some people have a warning that the seizure is about to start

16. A child is 1 year of age has experienced a febrile seizure. To prevent another seizure the nurse teaches the parents to? A. Administer antibiotics when the child exhibits symptoms of a cold B. Administer acetaminophen for temperature over 38 degree celsius C. Administer phenobarbital when temperature is above 40 degrees celsius D. Place the child in an ice bath for a temperature above 39 degree celsius

B. Administer acetaminophen for temperature over 38 degree celsius

22. The nurse has given medications instructions to the client receiving Phenytoin. The nurse determines that the client has an adequate understanding if the client states that? A. Alcohol is not contraindicated while taking this medication B. Good oral hygiene is needed, including brushing and flossing C. The medication done maybe self-adjusted depending on side effects D. The morning dose of the medication should be taken before a serum drug level is taken

B. Good oral hygiene is needed, including brushing and flossing

29. The nurse is preparing a female client with tonic-clonic seizure disorder for discharge. The nurse should include all the following instructions about phenytoin except? A. Monitor for skin rashes B. It is safe to take even when pregnant C. Perform good oral hygiene D. Report problem of motor incoordination

B. It is safe to take even when pregnant

1. Nurse Zelensky observes a child having seizure that begins with tonic contractions of the fingers in the left hand and progresses into tonic clonic movements that proceed un the muscles of the left side of the body. Nurse Zelensky should report these seizures as? A. Grand Mal seizure B. Jacksonian seizure C. Tonic Clonic seizure D. Complex seizure

B. Jacksonian seizure

20. The nurse is planning to institute seizure precautions for a client who is being 7admitted from the emergency department. Which of the following measures would the nurse avoid in planning for a client's safety? A. Padding the siderails of the bed B. Putting a padded tongue blade at the head of the bed C. Placing an airway, oxygen and suction equipment at the bedside D. Having intravenous equipment ready for insertion of an intravenous catheter

B. Putting a padded tongue blade at the head of the bed

21. The nurse is caring for a client who begins to experience seizure activity while in bed. Which of the following actions by the nurse would be contraindicated? A. Loosening restrictive clothing B. Restraining the client's limb C. Removing the pillow and raising padded side rails D. Positioning the client to side, it possible, with the head flexed forward

B. Restraining the client's limb

10. The unlicensed nursing assistant is attempting to put an oral airway in the mouth of a client having tonic clonic seizure. Which action should the primary nurse take? A. Help the assistant to insert the oral airway in the mouth B. Tell the assistant to stop trying to insert anything in the mouth C. Take no action because the assistant is handling the situation D. Notify the charge nurse of the situation immediately

B. Tell the assistant to stop trying to insert anything in the mouth

30. Mr. Glenn was diagnosed as having Atonic seizures. Which of the following best describes Mr. Glenn's seizure? A. He has sudden uncontrollable jerking movements of either a single muscle group or multiple groups B. There is total loss of muscle tone, through mild, with brief nodding of the head C. Ten percent of his seizure attacks are grand mal seizures D. None of the descriptions fit the client's diagnosis

B. There is total loss of muscle tone, through mild, with brief nodding of the head

19. The client with a history of a seizure that has been compliant with medication therapy is admitted to the hospital with seizure activity. Phenytoin administered to the client intravenously, and subsequently a sample for the serum phenytoin level is drawn. The nurse determines that the medication therapy has been most effective if the laboratory result is? A. 3 microgram per milliliter B. 8 microgram per milliliter C. 16 microgram per milliliter D. 24 microgram per milliliter

C. 16 microgram per milliliter

4. Rod having a history of epilepsy is admitted to the medical surgical unit. While assisting him from the bathroom, the nurse observes the start of a tonic clonic seizure. Which nursing intervention is inappropriate for Rod? A. Assist the client to the floor B. Turn the client to his side C. Insert an oral suction device to remove the secretions in the mouth D. Place a pillow under the client's head

C. Insert an oral suction device to remove the secretions in the mouth

7. The client who just had a three (3)-minute seizure has no apparent injuries and is oriented to name, place, and time but is very lethargic and just wants to sleep. Which intervention should the nurse implement? A. Perform a complete neurological assessment. B. Awaken the client every 30 minutes. C. Turn the client to the side and allow the client to sleep. D. Interview the client to find out what caused the seizure.

C. Turn the client to the side and allow the client to sleep.

3. Ken is admitted to medical surgical facility after having an episode of status epilepticus. after Joe is stabilized, which factor is most beneficial in determining the potential cause of the episode? A. The type of anticonvulsant prescribed to manage the epileptic condition B. Recent stress level C. Recent weight gain and loss D. Compliance with the prescribed medication regimen

D. Compliance with the prescribed medication regimen

2. Gregorio is sitting in the chair and his entire body is rigid with his arms and legs contracting and relaxing. Gregorio is not aware of what is going on and is making guttural or rasping sounds. Which action should the nurse implement? A. Push aside any furniture B. Place the client on his side C. Assess the client's vital signs D. Ease the client to the floor

D. Ease the client to the floor

23. While in the playroom, a seven-year-old child has a twitching of the right arm and leg that almost immediately progresses to a generalized tonic clonic seizure with clenched jaws. The nurse's best initial action would be to? A. Take the other children to the rooms B. Put a plastic airway into the child's mouth C. Place a large pillow under the child's head D. Move the toys and furniture away from the child

D. Move the toys and furniture away from the child

28. A client with epilepsy is having a seizure. During the active seizure phase the nurse should? A. Place the client on his back, remove dangerous object and insert a bite block B. Place on his side, remove dangerous object, and insert a bite block C. Place the client on his back, remove dangerous object and hold down his arm D. Place the client on his side. protect his head and remove dangerous object

D. Place the client on his side. protect his head and remove dangerous object

8. The nurse has given medications instructions to the client receiving Phenytoin. The nurse determines that the client has an adequate understanding if the client states that? A. Alcohol is not contraindicated while taking this medication B. Good oral hygiene is not needed C. The medication done maybe self-adjusted depending on side effects D. The morning dose of the medication should be taken before a serum drug level is taken.

D. The morning dose of the medication should be taken before a serum drug level is taken.

12. Which of the following statements would best describe the seizure activity of a tonic clonic seizure? A. The client eyes become vacant with an abrupt cessation of all activity B. The client exhibits facial grimaces, patting motions, and lip smacking C. Seizure activity begins in one extremity and spreads gradually to adjacent areas D. The seizure activity is marked by sudden loss of consciousness and stiffening of the body followed by violent muscle contractions

D. The seizure activity is marked by sudden loss of consciousness and stiffening of the body followed by violent muscle contractions