Seizure Practice Quiz 21 questions (Cox)

A patient has experienced a seizure in which she became rigid and then experienced alternating muscle relaxation and contraction. What type of seizure does the nurse recognize? Unclassified seizure Absence seizure Generalized seizure Focal seizure

Generalized seizure

Which medication classification is used preoperatively to decrease the risk of postoperative seizures? Diuretics Corticosteroids Anticonvulsants Antianxiety

Anticonvulsants

A client experiences loss of consciousness, tongue biting, and incontinence, along with tonic and clonic phases of seizure activity. The nurse should document this episode as which type of seizure? Jacksonian Absence Generalized Sensory

Generalized

A client has experienced a seizure in which she became rigid and then experienced alternating muscle relaxation and contraction. What type of seizure does the nurse recognize? Unclassified seizure Absence seizure Generalized seizure Focal seizure

Generalized seizure

When educating a patient about the use of antiseizure medication, what should the nurse inform the patient is a result of long-term use of the medication in women? Anemia Osteoarthritis Osteoporosis Obesity

Osteoporosis

A client is having a tonic-clonic seizure. What should the nurse do first? Elevate the head of the bed. Restrain the client's arms and legs. Place a tongue blade in the client's mouth. Take measures to prevent injury.

Take a measure to prevent injury

A client with meningitis has a history of seizures. Which activity should the nurse do while the client is actively seizing? Place a cooling blanket beneath the client Provide oxygen or anticonvulsants, whichever is available Turn the client to the side during a seizure and do not restrain movements Suction the client's mouth and pharynx

Turn to client to the side during a seizure and do not restrain movements

A nurse assesses the patient's level of consciousness using the Glasgow Coma Scale. What score indicates severe impairment of neurologic function? 3 6 9 15

3

The school nurse notes a 6-year-old running across the playground with his friends. The child stops in midstride, freezing for a few seconds. Then the child resumes his progress across the playground. The school nurse suspects what in this child? An absence seizure A myoclonic seizure A partial seizure A tonic-clonic seizure

An absence seizure

While completing a health history on a patient who has recently experienced a seizure, the nurse would assess for what characteristic associated with the postictal state? Epileptic cry Confusion Urinary incontinence Body rigidity

Confusion

You are taking care of a client who is taking an anticonvulsant. Why should you advise the client not to stop taking the drug abruptly? It may cause loss in appetite. It may trigger status epilepticus. It may cause alopecia. It may cause severe and ugly skin rashes.

It may trigger status epilepticus

A client with epilepsy is having a seizure. What intervention should the nurse do after the seizure? Keep the client on one side. Place a cooling blanket beneath the client. Help the client sit up. Pry the client's mouth open to allow a patent airway.

Keep the client on one side.

A patient with a documented history of seizure disorder experiences a generalized seizure. What nursing action is most appropriate? Restrain the patient to prevent injury. Open the patient's jaws to insert an oral airway. Place patient in high Fowler's position. Loosen the patient's restrictive clothing.

Loosen the patients restrictive clothing

The nurse is providing care for a client who is unconscious. What nursing intervention takes highest priority? Maintaining accurate records of intake and output Maintaining a patent airway Inserting a nasogastric (NG) tube as prescribed Providing appropriate pain control

Maintain a patent airway

A client the nurse is caring for experiences a seizure. What would be a priority nursing action? Restrain the client during the seizure. Insert a tongue blade between the teeth. Protect the client from injury. Suction the mouth during the convulsion.

Protect to client from injury

Following a generalized seizure in a client, which nursing assessment is a priority for detailing the event? Seizure began at 1300 hours. The client cried out before the seizure began. Seizure was 1 minute in duration including tonic-clonic activity. Sleeping quietly after the seizure

Seizure was 1 minute in duration including tonic-clonic activity.

After a seizure, the nurse should place the patient in which of the following positions to prevent complications? High Fowler's, to prevent aspiration Side-lying, to facilitate drainage of oral secretions Supine, to rest the muscles of the extremities Semi-Fowler's, to promote breathing

Side-lying, to facilitate drainage of oral secretions

The nurse is providing care for a patient who is withdrawing from heavy alcohol use. The nurse and other members of the care team are present at the bedside when the patient has a seizure. In preparation for documenting this clinical event, the nurse should note which of the following? The ability of the patient to follow instructions during the seizure. The success or failure of the care team to physically restrain the patient. The patient's ability to explain his seizure during the postictal period. The patient's activities immediately prior to the seizure.

The patient's activities immediately prior to the seizure.

A client falls to the floor in a generalized seizure with tonic-clonic movements. Which is the first action taken by the nurse? Insert an airway or bite block. Manually restrain the extremities. Turn client to side-lying position. Monitor vital signs.

Turn client to side-lying position

A client with epilepsy is having a seizure. During the active seizure phase, the nurse should: place the client on his back, remove dangerous objects, and insert a bite block. place the client on his side, remove dangerous objects, and insert a bite block. place the client on his back, remove dangerous objects, and hold down his arms. place the client on his side, remove dangerous objects, and protect his head.

place the client on his side, remove dangerous objects, and protect his head.

A client is sitting in a chair and begins having a tonic-clonic seizure. The most appropriate nursing response is to: hold the client's arm still to keep him from hitting anything. carefully move the client to a flat surface and turn him on his side. allow the client to remain in the chair but move all objects out of his way. place an oral airway in the client's mouth to maintain an open airway.

carefully move the client to a flat surface and turn him on his side.