MyLab 11.2 seizure disorders

A patient is being admitted for recurrent seizure activity. What assessment data is most important for the nurse to obtain? - Surgical history - Past seizure activity - Menopause status - Occupational history

- Past seizure activity

A 4-year-old child presents with a high fever. The child's mother states, "My son began to seize. What caused this?" Which response by the nurse is correct? - "Fever does not cause seizures without other risk factors being present." - "Fever is known to be a trigger for seizures in children." - "Seizures in children are usually caused by a birth defect." - "Seizures are usually the result of an inherited disorder."

"Fever is known to be a trigger for seizures in children."

A patient who has a history of a recent stroke was brought to the emergency department by their son because they had a seizure earlier. The son asks the nurse, "Why did this happen?" Which response by the nurse is accurate? - "Infection is often a cause of seizures in older adults." - "It is not uncommon for a patient with a history of stroke to have a seizure." - "Does your father have renal failure?" - "Are there birth defects in your family?"

"It is not uncommon for a patient with a history of stroke to have a seizure."

A parent brought their 2-year-old child to the emergency department following a seizure due to a high fever. They ask the nurse, "Will my child need to take medicine to prevent this from happening again?" Which response from the nurse correctly answers this question? - "The next time your daughter has a fever, do not give her acetaminophen (Tylenol)." - "The healthcare provider will most likely prescribe a medication that your daughter will need to take for the rest of her life." - "The healthcare provider will make that determination, but long-term antiseizure medicine is not recommended for seizures caused by fever." - "The healthcare provider will order a glucose test before making that decision."

"The healthcare provider will make that determination, but long-term antiseizure medicine is not recommended for seizures caused by fever."

A patient was brought to the emergency department after an episode explained by their son as a blank-stare lack of response. The patient eventually had difficulty speaking and was confused. Which statement by the nurse is most accurate? - "This will resolve quickly." - "Seizures like these can be controlled with antihypertensive medication." - "Don't worry, your mom's independence will not be affected." - "Your mother most likely had a seizure

"Your mother most likely had a seizure

During a teenager's visit to the doctor for a physical examination to play school sports, the mother asks if there is anything they can do to prevent a seizure. Which statement by the nurse is an action the patient can use to help prevent seizures? ANSWER "Your son may be able to recognize certain sensory or experiential seizure warning signs prior to a seizure." "Your son could try to incorporate a vegan diet." "Continuing to play football and soccer will help your son stay physically active." "You could look into visiting an herbalist if you are interested in trying a more naturalistic path for treatment."

"Your son may be able to recognize certain sensory or experiential seizure warning signs prior to a seizure."

the nurse is providing care for a patient who is newly diagnosed with tonic clonic seizures. the patient asks "what type of testing should i expect". how should the nurse respond? - "A blood culture will show if you have an infection in your brain." - "An electromyogram will show if you have a tumor in your brain." - "An electrocardiogram will show the electrical activity in your brain." - "A CT scan will help to rule out a brain tumor."

- "A CT scan will help to rule out a brain tumor."

A patient scheduled for a resection for intractable seizures asks the nurse, "What will they do?" How should the nurse respond? - "The skull will be opened to allow pressure to be reduced." - "A section of the brain tissue identified as the source of the seizure initiation is removed." - "It is a procedure that places a vagus nerve stimulator in the chest." - "The procedure interrupts nerve pathways by which the seizure impulses are transmitted."

- "A section of the brain tissue identified as the source of the seizure initiation is removed."

A patient has stopped taking their anti-seizure medication and tells the nurse, "I stopped taking my medication because it makes me feel funny." Which statement by the nurse is appropriate? - "It can take trying more than one medication to find the one that is right for you." - "That is fine. You may not have any more seizures." - "I think you should try something else." "- If you don't take your medication, the healthcare provider may want to perform surgery."

- "It can take trying more than one medication to find the one that is right for you."

the nurse is caring for a patient who experienced a seizure. the patient indicates that they were watching television when the seizure occurred and asks why they had the seizure. which response from the nurse indicates a correct understanding of a cause of seizures. - "Seizures are caused by low blood sugar." - "Seizures are caused by having a fever." - "Seizures are often caused by watching television." - "Seizures are caused by abnormal electrical impulses in the brain."

- "Seizures are caused by abnormal electrical impulses in the brain."

aa young women who is prescribed anti-seizure medication plans to get pregnant. which response by the nurse is accurate? - "You will stay on your same dose of medication throughout the pregnancy." - "You will need to stop taking your antiseizure medication throughout the pregnancy." - "The possible adverse effects of the medication on the fetus can be prevented with vitamins." - "There is too great a risk to the baby to take medication during pregnancy."

- "The possible adverse effects of the medication on the fetus can be prevented with vitamins."

the nurse is preparing discharge teaching for a patient who was newly diagnosed with tonic clonic seizures. which instruction about driving safety should the nurse include? - A patient can drive as soon as the antiepileptic medication is in the bloodstream. - A patient cannot drive if taking medications for seizures. - The patient will need to take the driving test again due to having had a seizure. - A patient can drive once they have met the state and local requirements for those with epilepsy.

- A patient can drive once they have met the state and local requirements for those with epilepsy.

which comorbidity in children is associated with a seizure disorder? - otitis media - hypertension - hyperglycemia - ADHD

- ADHD

which is a treatment for a child with a history of febrile seizures? - Antipyretics when fever occurs - No special treatment is required - Anti-seizure medication - Glucose testing

- Antipyretics when fever occurs

the nurse is caring for a patient with a suspected seizure disorder. which diagnostic test should the nurse anticipate to be ordered? - Electromyogram (EMG) - Electroencephalogram (EEG) - Electrocardiogram (ECG) - Erythrocyte sedimentation rate (ESR)

- Electroencephalogram (EEG)

The nurse is caring for a patient who was transported to the emergency department after having a seizure. Which nursing actions are critical during the postictal period of seizure activity? - Ensuring safety and drawing blood for ordered tests - Performing neurologic checks and suctioning every 15 minutes - Monitoring vital signs, inserting an intravenous line, and performing cardiopulmonary resuscitation - Monitoring vital signs, performing neurological checks, and ensuring safety

- Monitoring vital signs, performing neurological checks, and ensuring safety

a patient is having a seizure. which priority action should the nurse take? - Administering oral antiepileptic medication immediately - Holding the patient's arms and chest down - Moving the patient into a side-lying position - Placing an oral airway between the teeth

- Moving the patient into a side-lying position

The mother of a child who was recently diagnosed with epilepsy is overwhelmed with the idea of their child having a chronic illness which nursing intervention should help both the child and mother once they are at home? - Referring the patient and family to support groups and counseling services - Discouraging the mother from sharing their feelings with others - Finding out if the mother has relatives or friends with epilepsy - Encouraging the mother not to share the child's condition with anyone other than healthcare providers

- Referring the patient and family to support groups and counseling services

a school age child with epilepsy is transferring to a new school. which action should the nurse suggest the parents implementt? - The child should be given home schooling. - There are no special considerations. - The parents should request that the child be separated from other children to prevent seizures. - Work with administrators to develop an individualized care plan to include medications and precautions.

- Work with administrators to develop an individualized care plan to include medications and precautions.

which dietary practice is important for the promotion os self care for a patient with a seizure disorder? - avoiding alcohol - increasing consumption of oils and fats - eating a gluten free diet - increasing megavitamin doses

- avoiding alcohol

which condition is a seizure disorder associated with pregnancy? - preeclampsia - stroke - eclampsia - hypotension

- eclampsia

the nurse is caring for a child during a well visit. the parent expresses concern regarding the possibility of a seizure. which condition should the nurse identify as a possible trigger for a seizure in a child? - increases bilirubin - genetic defect - inherited disorder - fever

- fever

a nurse is carding for a 7 year old child who was recently diagnosed with absence seizures. when providing discharge teaching to the parents, which clinical therapy should the nurse recommend be implemented at home? - restricting fluid intake - maintaining a ketogenic diet - monitoring urine ketones every month - reporting weight loss in the child

- maintaining a ketogenic diet

what is the most common surgery used in the treatment of intractable seizure disorder? - craniotomy - resection - vagus nerve stimulator - transection

- resection

an infant is being evaluated after having a seizure. the nurse should asses the infant for which risk factor? - small for gestational. age - multiple sclerosis - ADHD - sciatica

- small for gestational. age

the nurse is caring for a patient immediately after a seizure. which assessment finding should the nurse expect? - the patient is sleepy but arousable - the patient is cyanotic - the patient is unconscious - the patient is experiencing muscular contractions

- the patient is sleepy but arousable

A patient who is newly diagnosed with a seizure disorder asks the nurse, "What lifestyle alterations can I make to reduce stress and help prevent seizure activity?" Which suggestion should the nurse include? - St. John's wort - Meditation - Flashing-light therapy - Extreme sports

medication