Seizures, Epilepsy, & Headaches

_____ phase: a warning or aura _____ before the seizure.

*Preictal* phase: a warning or aura *immediately* before the seizure.

_____ _____: numbness or weakness on an extremity or side of face lasting minutes to 48 hours can occur after a simple partial seizure

*Todd paralysis:* numbness or weakness on an extremity or side of face lasting minutes to 48 hours can occur after a simple partial seizure

6 types of generalized seizures: _____, _____, _____, _____, _____ _____, and _____.

6 types of generalized seizures: *absence, myoclonic, clonic, tonic, tonic-clonic, and atonic.*

A client is admitted to an acute care facility after an episode of status epilepticus. After the client is stabilized, which factor is most beneficial in determining the potential cause of the episode? 1. The type of anticonvulsant prescribed to manage the epileptic condition. 2. Recent stress level. 3. Recent weight gain or loss. 4. Compliance with the prescribed medication regimen.

A client is admitted to an acute care facility after an episode of status epilepticus. After the client is stabilized, which factor is most beneficial in determining the potential cause of the episode? 1. The type of anticonvulsant prescribed to manage the epileptic condition. 2. Recent stress level. 3. Recent weight gain or loss. *4. Compliance with the prescribed medication regimen. *

A client newly diagnosed with seizures asks about stigma associated with epilepsy. The nurse will respond with the following statement: 1. "in most people, epilepsy is usually synonymous with mental retardation." 2. "in most people, epilepsy is usually synonymous with mental illness." 3. "many people with developmental disabilities resulting from neurologic damage also have epilepsy." 4. "cases of epilepsy are often associated with intellectual level."

A client newly diagnosed with seizures asks about stigma associated with epilepsy. The nurse will respond with the following statement: 1. "in most people, epilepsy is usually synonymous with mental retardation." 2. "in most people, epilepsy is usually synonymous with mental illness." *3. "many people with developmental disabilities resulting from neurologic damage also have epilepsy."* 4. "cases of epilepsy are often associated with intellectual level."

A client with epilepsy is having a seizure. During the active seizure phase, the nurse should: 1. Place the client on their side, remove dangerous objects, and protect the head. 2. Place the client on their back, remove dangerous objects, and how down their arms. 3. Place the client on their side, remove dangerous objects, and insert a bite block 4. Place the client on their back, remove dangerous objects, and insert a bite block.

A client with epilepsy is having a seizure. During the active seizure phase, the nurse should: *1. Place the client on their side, remove dangerous objects, and protect the head. * 2. Place the client on their back, remove dangerous objects, and how down their arms. 3. Place the client on their side, remove dangerous objects, and insert a bite block 4. Place the client on their back, remove dangerous objects, and insert a bite block.

A seizure is a clinical presentation of the central nervous system characterized by _____ _____ _____ _____.

A seizure is a clinical presentation of the central nervous system characterized by *abnormal cerebral electrical discharges.*

Complex partial seizure: awareness is _____ _____.

Complex partial seizure: awareness is *impaired / lost.*

During a class on seizures, the instructor best describes seizure activity as: 1. Uncontrolled normal electric charges throughout the brain. 2. A dysrhythmia in the motor strip of the brain. 3. A dysrhythmia in the nerve cells in a section of the brain. 4. Abnormal recurring controlled electrical charges in the brain.

During a class on seizures, the instructor best describes seizure activity as: 1. Uncontrolled normal electric charges throughout the brain. 2. A dysrhythmia in the motor strip of the brain. *3. A dysrhythmia in the nerve cells in a section of the brain.* 4. Abnormal recurring controlled electrical charges in the brain.

Epilepsy is _____, _____ _____ caused by biochemical, anatomical, and physiological changes.

Epilepsy is *recurrent, unprovoked seizures* caused by biochemical, anatomical, and physiological changes.

Following a _____ _____ seizure, the postictal phase is more severe and can include amnesia, confusion, fatigue, or coma

Following a *tonic-clonic* seizure, the postictal phase is more severe and can include amnesia, confusion, fatigue, or coma

Ictal phase: _____, uncontrolled, abnormal, excessive discharge of electrical activity in the brain.

Ictal phase: *paroxysmal*, uncontrolled, abnormal, excessive discharge of electrical activity in the brain.

Partial seizures involve ____ ____ of the brain. Generalized seizures involve the _____ _____.

Partial seizures involve *one area* of the brain. Generalized seizures involve the *whole brain*.

Prodromal phase: _____ and _____ changes several hours to several days prior to seizure.

Prodromal phase: *malaise* and *emotional* changes several hours to several days prior to seizure.

Simple partial seizure: awareness is _____ _____.

Simple partial seizure: awareness *not impaired.*

The nurse is assessing a client's knowledge of possible triggers for seizures. Which of the following is not a trigger? 1. Menses 2. Reading books 3. Caffeine 4. Flashing lights 5. Sleep deprivation.

The nurse is assessing a client's knowledge of possible triggers for seizures. Which of the following is not a trigger? 1. Menses *2. Reading books* 3. Caffeine 4. Flashing lights 5. Sleep deprivation.

Two types of partial seizures: _____ and _____.

Two types of partial seizures: *simple and complex.*

What is the difference between partial and generalized seizures? *1. Partial seizures impact one side of the brain and generalized are bilateral.* 2. Partial seizures impact one side of the brain and generalized are unilateral. 3. Partial seizures do not lose consciousness and generalized do. 4. Generalized seizures do not lose consciousness and partial do.

What is the difference between partial and generalized seizures? *1. Partial seizures impact one side of the brain and generalized are bilateral.* 2. Partial seizures impact one side of the brain and generalized are unilateral. 3. Partial seizures do not lose consciousness and generalized do. 4. Generalized seizures do not lose consciousness and partial do.

What two things are always a priority for nurses to consider when patients are having seizure activity? 1. cleanliness and safety. 2. airway and stairway 3. airway and safety. 4. safety and happiness.

What two things are always a priority for nurses to consider when patients are having seizure activity? 1. cleanliness and safety. 2. airway and stairway *3. airway and safety. * 4. safety and happiness.

Which of the following is one of the earliest signs of increased ICP? 1. coma 2. sleepy 3. headache 4. decreased level of consciousness

Which of the following is one of the earliest signs of increased ICP? 1. coma 2. sleepy 3. headache *4. decreased level of consciousness*

While completing a health history on a newly diagnosed patient with generalized seizures disorder, the nurse would assess for what characteristic associated with the post-ictal state? 1. epileptic cry 2. confusion 3. body rigidity 4. experience an aura

While completing a health history on a newly diagnosed patient with generalized seizures disorder, the nurse would assess for what characteristic associated with the post-ictal state? 1. epileptic cry *2. confusion* 3. body rigidity 4. experience an aura