Seizure Disorder

this type of seizure is characterized by a few seconds in which the muscle tone is lost followed by a period of confusion. the loss of muscle tone frequently results in falling

atonic seizure

besides eeg what other diagnostic procedures can be utilized when diagnosing/ruling out seizures

mri ct pet csf

this type of seizure consist of brief jerking or stiffening of the extremities which may be symmetrical or asymmetrical. this type of seizure lasts for seconds

myoclonic seizure

these are abrupt abnormal excessive and uncontrolled electrical discharge of neurons within the brain that may cause alterations in the loc and/or changes in motor and sensory ability and/or behavior

seizures

in this seizure consciousness is maintained throughout. seizure activity may consist of unusual sensations a sense of deja vu autonomic abnormalities such as changes in hr and abnormal flushing unilateral abnormal extremity movements pain or offensive smell

simple partial seizure

a client with a seizure disorder is being discharged. the clients family has many questions about what to do if the client has a seizure at home. the nurse tells the family members that the first action to take in the event of a seizure is to a. support and protect the clients head b. ease the client to the floor if seated or standing c. loosen constrictive clothing d. turn the client on his side

a

a nurse is providing education for a client who is scheduled to have an eeg the following day. which of the following instructions is appropriate to provide a. decaffeinated coffee can be consumed the morning of the procedure b. hair should not be washed prior to the procedure c. food may not be consumed the morning of the procedure d. get plenty of sleep prior to the test

a

a nurse understands that a client with a seizure disorder who frequently experiences an aura is describing a. sensory warning that seizure is imminent b. continuous seizure state in which seizures occur in rapid succession c. period of sleepiness following the seizure during which arousal is difficult d. brief loss of consciousness accompanied by staring

a

which of the following is a priority intervention for a nurse caring for a client who has just experienced a generalized seizure a. keep the client in a side lying position b. take the clients vs c. reorient the client to the environment d. check the client for injuries

a

A nurse is reviewing trigger factors that can cause seizures with a client who has a new diagnosis of generalized seizures. Which of the following information should the nurse include in this review? (Select all that apply.) A.Overwhelming fatigue should be avoided. B.Caffeinated products should be removed from the diet. C.Looking at flashing lights should be limited. D.Aerobic exercise may be performed. E.Episodes of hypoventilation should be limited. F.Use of aerosol hairspray is recommended

a,b,c

a client is admitted for surgical repair on an inguinal hernia. the client has a seizure disorder and states that he thinks he is about to have a seizure. which of the following nursing interventions should be implemented (select all) a. provide privacy b. ease the client to the floor if standing c. move furniture away from the client d. loosen the clients clothing e. insert airway or padded tongue blade f. protect the clients head with padding g. restrain the client to protect from injury

a,b,c,d,f

these seizures are most common in children and consist of a loc lasting a few seconds blank staring and baseline neurological function returns after

absence seizure

a client calls the clinic and tells the nurse that her morning dose of phenytoin (dilantin) was accidentally skipped and it is now 3 hr before the next dose is due. the client typically takes phenytoin 3 times a day. which of the following actions should the nurse tell the client to take a. take a double dose of the med at the next scheduled time b. wait until the next scheduled time and take a reg dose c. take the skipped dose now and take another dose at the next scheduled time d. wait until the next day to take additional doses and then resume the reg schedule

b

A nurse is completing discharge teaching to a client who has seizures and received a vagal nerve stimulator to decrease seizure activity. Which of the following information should the nurse include in the teaching? A.The use of a microwave to heat food is permitted. B.Inform a provider to order only a MRI when a scan is needed. C.Place a magnet over the implantable device when an aura occurs. D.The use of ultrasound diathermy for pain management is recommended

c

A nurse is providing discharge instructions to a female client who has a prescription for phenytoin (Dilantin). Which of the following information should the nurse include? A.Consider taking oral contraceptives when on this medication. B.Watch for receding gums when taking the medication. C.Take the medication at the same time every day. D.Provide a urine sample to determine therapeutic levels of the medication

c

in this type of seizure only the clonic phase is experienced fatigue does not usually follow

clonic seizure

this type of seizure has associated automatisms (behaviors that the client is unaware of like lip smacking or picking at clothes). it can cause a loc for several minutes and amnesia may occur immediately prior to and after the seizure

complex partial seizure

in the patient experiencing status epilepticus the should admin a loading dose of _____ followed by a continuous fusion of ________

diazepam (valium) or lorazepam (ativan) phenytoin (dilantin)

this diagnostic procedure for seizures records electrical activity and may identify the origin of seizure activity

eeg

this is the term used to define the medical disorder characterized by chronic recurring abnormal brain electrical activity

epilepsy

this type of seizure may begin with an aura. it begins with a 15 to 20 second tonic episode loc and a 1-2 min clonic episode

generalized tonic-clonic seizure

in this type of seizure there is prolonged seizure activity occurring over a 30 min period. this acute condition requires immediate treatment to prevent loss of brain function which may become permanent

status epilepticus

the complication associated with this seizure condition are related to decreased o2 levels inability of the brain to return to normal functioning and continues assault on neuronal tissue

status epilepticus

in this type of seizure only the tonic phase is experienced seizure usually lasts only a few seconds there is no loc

tonic seizure

true or false lab tests for seizures should include alcohol and illicit drug levels hiv testing and presence of excessive toxins

true