NUR 2038 Final EXAM Questions With
Correct Answers
Abnormal |electrical |activity |in |the |brain |that |typically |manifest |with |involuntary |movement |- |
CORRECT |ANSWER✔✔-seizures
Where |do |seizures |stem |from? |- |CORRECT |ANSWER✔✔-cortical |neuronal |network
Do |all |seizures |have |involuntary |movement? |- |CORRECT |ANSWER✔✔-no |(pediatric |patients |
may |stare |off |or |have |a |tongue |thrust)
What |are |the |two |categories |of |seizures? |- |CORRECT |ANSWER✔✔-generalized |and |focal
seizure |that |originates |from |one |hemisphere |of |the |brain |and |is |seen |on |one |side |of |the |body
|- |CORRECT |ANSWER✔✔-focal |seizure
Seizure |that |originates |from |both |hemispheres |of |the |brain |and |is |seen |bilaterally |- |CORRECT |
ANSWER✔✔-generalized |seizure
What |occurs |during |a |seizure |internally? |- |CORRECT |ANSWER✔✔-metabolic |rate, |glucose, |and |
oxygen |use |increase
Seizure |caused |by |an |unknown |stimulus? |- |CORRECT |ANSWER✔✔-idiopathic |seizure
Seizure |caused |by |underlying |disease |such |as |trauma, |infection, |hypoglycemia, |tumors |- |
CORRECT |ANSWER✔✔-acquired |seizure
,Seizure |resulting |from |a |rapid |increase |OR |decrease |in |body |temperature |- |CORRECT |
ANSWER✔✔-febrile |seizure
Febrile |seizures |are |most |common |in |who? |- |CORRECT |ANSWER✔✔-babies |and |pediatrics |(3-5
|years |old)
Seizure |caused |by |a |sudden |cessation |of |activity |in |the |brain |- |CORRECT |ANSWER✔✔-Absence
|seizure
How |would |a |patient |present |with |a |absence |seizure? |- |CORRECT |ANSWER✔✔-blank |stare, |no
|movement, |no |one |is |home
Absence |seizures |can |occur |hundreds |to |thousands |times |a |day. |This |can |affect |what? |- |
CORRECT |ANSWER✔✔-brain |development
Seizure |characterized |by |rigidity |followed |by |alternating |muscle |contraction |and |relaxation |- |
CORRECT |ANSWER✔✔-tonic-clonic |seizure
What |should |you |expect |with |a |tonic-clonic |seizure? |- |CORRECT |ANSWER✔✔-loud |moan |or |
cry
What |does |the |tonic |part |of |the |seizure |look |like? |- |CORRECT |ANSWER✔✔-pulling |arms |in |and
|tensing |up
What |does |the |clonic |part |of |a |tonic-clonic |seizure |look |like? |- |CORRECT |ANSWER✔✔-
involuntary |movement |of |the |extremity
Seizure |or |cluster |of |seizures |where |the |patient |does |not |regain |consciousness |and |lasts |more |
than |5 |minutes |- |CORRECT |ANSWER✔✔-status |epilepticus
,Recurrent |seizures |induced |by |underlying |CNS |disorder |such |as |autism |or |developmental |
delays |- |CORRECT |ANSWER✔✔-Epilepsy
What |are |the |risk |factors |for |seizures? |- |CORRECT |ANSWER✔✔-age, |SGA, |brain |tumors, |
infection, |ischemic |stroke, |drugs, |withdrawal, |family |history
What |are |the |prevention |measures |for |seizures? |- |CORRECT |ANSWER✔✔-Avoid |triggers, |
medication |compliance, |and |lifestyle |choices
What |are |some |possible |tiggers |for |seizures? |- |CORRECT |ANSWER✔✔-stress, |fatigue, |
hypoglycemia, |hyperventilation, |menstrual |cycle |(hormone |flux)
What |are |the |clinical |manifestations |of |an |active |seizure? |- |CORRECT |ANSWER✔✔-Decreased |
LOC, |jerking, |twitching, |Staring, |pallor, |cyanosis, |hypo/hypertension
What |usually |occurs |before |a |seizure |begins? |- |CORRECT |ANSWER✔✔-staring
What |is |the |postictal |period? |- |CORRECT |ANSWER✔✔-period |after |a |seizure
What |are |the |clinical |manifestations |of |the |postictal |period |of |a |seizure? |- |CORRECT |
ANSWER✔✔-confusion, |headache, |fatigue, |muscle |aches, |amnesia
What |lab |tests |do |you |want |to |run |for |when |a |patient |has |a |seizure? |- |CORRECT |ANSWER✔✔-
CBC, |chemistry |panel, |lumbar |puncture, |EEG, |CT/MRI, |serum |drug |levels, |toxicology
Medication |that |patients |take |daily |to |prevent |seizures |from |occurring |- |CORRECT |
ANSWER✔✔-anticonvulsant
, What |are |the |types |of |anticonvulsants? |- |CORRECT |ANSWER✔✔-keppra, |phenobarbital, |
dilantin
Medication |administered |to |interrupt |and |stop |an |active |seizure |- |CORRECT |ANSWER✔✔-
Anxiolytic
What |are |examples |of |anxiolytic |drugs? |- |CORRECT |ANSWER✔✔-Ativan, |xanax, |clonopin, |
valium
How |do |anticonvulsant |drugs |work? |- |CORRECT |ANSWER✔✔-They |act |by |increasing |the |
threshold |of |neuron |firing
Is |medication |usually |prescribed |for |febrile |seizures? |- |CORRECT |ANSWER✔✔-no
What |is |the |preferred |treatment |for |febrile |seizures? |- |CORRECT |ANSWER✔✔-monotherapy |
(decrease |fever |or |whatever |lead |to |seizure)
How |long |does |the |postictal |period |last? |- |CORRECT |ANSWER✔✔-30 |minutes |to |2 |hours
Pediatric |clients |with |seizures |should |develop |what? |- |CORRECT |ANSWER✔✔-seizure |action |
plan
How |should |you |discontinue |anticonvulsant |therapy? |- |CORRECT |ANSWER✔✔-slowly
What |are |the |assessment |considerations |for |seizures? |- |CORRECT |ANSWER✔✔-aura, |patient |
history, |LOC, |duration, |start |and |end |time, |characteristics, |vital |signs
What |are |the |safety |measures |for |caring |for |a |client |with |seizures? |- |CORRECT |ANSWER✔✔-
padded |side |rails, |suction |and |oxygen |at |bedside, |side |lying |if |safe, |head |protection
Correct Answers
Abnormal |electrical |activity |in |the |brain |that |typically |manifest |with |involuntary |movement |- |
CORRECT |ANSWER✔✔-seizures
Where |do |seizures |stem |from? |- |CORRECT |ANSWER✔✔-cortical |neuronal |network
Do |all |seizures |have |involuntary |movement? |- |CORRECT |ANSWER✔✔-no |(pediatric |patients |
may |stare |off |or |have |a |tongue |thrust)
What |are |the |two |categories |of |seizures? |- |CORRECT |ANSWER✔✔-generalized |and |focal
seizure |that |originates |from |one |hemisphere |of |the |brain |and |is |seen |on |one |side |of |the |body
|- |CORRECT |ANSWER✔✔-focal |seizure
Seizure |that |originates |from |both |hemispheres |of |the |brain |and |is |seen |bilaterally |- |CORRECT |
ANSWER✔✔-generalized |seizure
What |occurs |during |a |seizure |internally? |- |CORRECT |ANSWER✔✔-metabolic |rate, |glucose, |and |
oxygen |use |increase
Seizure |caused |by |an |unknown |stimulus? |- |CORRECT |ANSWER✔✔-idiopathic |seizure
Seizure |caused |by |underlying |disease |such |as |trauma, |infection, |hypoglycemia, |tumors |- |
CORRECT |ANSWER✔✔-acquired |seizure
,Seizure |resulting |from |a |rapid |increase |OR |decrease |in |body |temperature |- |CORRECT |
ANSWER✔✔-febrile |seizure
Febrile |seizures |are |most |common |in |who? |- |CORRECT |ANSWER✔✔-babies |and |pediatrics |(3-5
|years |old)
Seizure |caused |by |a |sudden |cessation |of |activity |in |the |brain |- |CORRECT |ANSWER✔✔-Absence
|seizure
How |would |a |patient |present |with |a |absence |seizure? |- |CORRECT |ANSWER✔✔-blank |stare, |no
|movement, |no |one |is |home
Absence |seizures |can |occur |hundreds |to |thousands |times |a |day. |This |can |affect |what? |- |
CORRECT |ANSWER✔✔-brain |development
Seizure |characterized |by |rigidity |followed |by |alternating |muscle |contraction |and |relaxation |- |
CORRECT |ANSWER✔✔-tonic-clonic |seizure
What |should |you |expect |with |a |tonic-clonic |seizure? |- |CORRECT |ANSWER✔✔-loud |moan |or |
cry
What |does |the |tonic |part |of |the |seizure |look |like? |- |CORRECT |ANSWER✔✔-pulling |arms |in |and
|tensing |up
What |does |the |clonic |part |of |a |tonic-clonic |seizure |look |like? |- |CORRECT |ANSWER✔✔-
involuntary |movement |of |the |extremity
Seizure |or |cluster |of |seizures |where |the |patient |does |not |regain |consciousness |and |lasts |more |
than |5 |minutes |- |CORRECT |ANSWER✔✔-status |epilepticus
,Recurrent |seizures |induced |by |underlying |CNS |disorder |such |as |autism |or |developmental |
delays |- |CORRECT |ANSWER✔✔-Epilepsy
What |are |the |risk |factors |for |seizures? |- |CORRECT |ANSWER✔✔-age, |SGA, |brain |tumors, |
infection, |ischemic |stroke, |drugs, |withdrawal, |family |history
What |are |the |prevention |measures |for |seizures? |- |CORRECT |ANSWER✔✔-Avoid |triggers, |
medication |compliance, |and |lifestyle |choices
What |are |some |possible |tiggers |for |seizures? |- |CORRECT |ANSWER✔✔-stress, |fatigue, |
hypoglycemia, |hyperventilation, |menstrual |cycle |(hormone |flux)
What |are |the |clinical |manifestations |of |an |active |seizure? |- |CORRECT |ANSWER✔✔-Decreased |
LOC, |jerking, |twitching, |Staring, |pallor, |cyanosis, |hypo/hypertension
What |usually |occurs |before |a |seizure |begins? |- |CORRECT |ANSWER✔✔-staring
What |is |the |postictal |period? |- |CORRECT |ANSWER✔✔-period |after |a |seizure
What |are |the |clinical |manifestations |of |the |postictal |period |of |a |seizure? |- |CORRECT |
ANSWER✔✔-confusion, |headache, |fatigue, |muscle |aches, |amnesia
What |lab |tests |do |you |want |to |run |for |when |a |patient |has |a |seizure? |- |CORRECT |ANSWER✔✔-
CBC, |chemistry |panel, |lumbar |puncture, |EEG, |CT/MRI, |serum |drug |levels, |toxicology
Medication |that |patients |take |daily |to |prevent |seizures |from |occurring |- |CORRECT |
ANSWER✔✔-anticonvulsant
, What |are |the |types |of |anticonvulsants? |- |CORRECT |ANSWER✔✔-keppra, |phenobarbital, |
dilantin
Medication |administered |to |interrupt |and |stop |an |active |seizure |- |CORRECT |ANSWER✔✔-
Anxiolytic
What |are |examples |of |anxiolytic |drugs? |- |CORRECT |ANSWER✔✔-Ativan, |xanax, |clonopin, |
valium
How |do |anticonvulsant |drugs |work? |- |CORRECT |ANSWER✔✔-They |act |by |increasing |the |
threshold |of |neuron |firing
Is |medication |usually |prescribed |for |febrile |seizures? |- |CORRECT |ANSWER✔✔-no
What |is |the |preferred |treatment |for |febrile |seizures? |- |CORRECT |ANSWER✔✔-monotherapy |
(decrease |fever |or |whatever |lead |to |seizure)
How |long |does |the |postictal |period |last? |- |CORRECT |ANSWER✔✔-30 |minutes |to |2 |hours
Pediatric |clients |with |seizures |should |develop |what? |- |CORRECT |ANSWER✔✔-seizure |action |
plan
How |should |you |discontinue |anticonvulsant |therapy? |- |CORRECT |ANSWER✔✔-slowly
What |are |the |assessment |considerations |for |seizures? |- |CORRECT |ANSWER✔✔-aura, |patient |
history, |LOC, |duration, |start |and |end |time, |characteristics, |vital |signs
What |are |the |safety |measures |for |caring |for |a |client |with |seizures? |- |CORRECT |ANSWER✔✔-
padded |side |rails, |suction |and |oxygen |at |bedside, |side |lying |if |safe, |head |protection
