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NUR 2038 Final EXAM

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Abnormal electrical activity in the brain that typically manifest with involuntary movement - Correct Ans-seizures Where do seizures stem from? - Correct Ans-cortical neuronal network Do all seizures have involuntary movement? - Correct Ans-no (pediatric patients may stare off or have a tongue thrust) What are the two categories of seizures? - Correct Ans-generalized and focal seizure that originates from one hemisphere of the brain and is seen on one side of the body - Correct Ans-focal seizure Seizure that originates from both hemispheres of the brain and is seen bilaterally - Correct Ans-generalized seizure What occurs during a seizure internally? - Correct Ans-metabolic rate, glucose, and oxygen use increase Seizure caused by an unknown stimulus? - Correct Ans-idiopathic seizure Seizure caused by underlying disease such as trauma, infection, hypoglycemia, tumors - Correct Ans-acquired seizure Seizure resulting from a rapid increase OR decrease in body temperature - Correct Ans-febrile seizure Febrile seizures are most common in who? - Correct Ans-babies and pediatrics (3-5 years old) Seizure caused by a sudden cessation of activity in the brain - Correct Ans-Absence seizure How would a patient present with a absence seizure? - Correct Ans-blank stare, no movement, no one is home Absence seizures can occur hundreds to thousands times a day. This can affect what? - Correct Ans-brain development Seizure characterized by rigidity followed by alternating muscle contraction and relaxation - Correct Ans-tonic-clonic seizure What should you expect with a tonic-clonic seizure? - Correct Ans-loud moan or cry What does the tonic part of the seizure look like? - Correct Ans-pulling arms in and tensing up What does the clonic part of a tonic-clonic seizure look like? - Correct Ans-involuntary movement of the extremity Seizure or cluster of seizures where the patient does not regain consciousness and lasts more than 5 minutes - Correct Ans-status epilepticus Recurrent seizures induced by underlying CNS disorder such as autism or developmental delays - Correct Ans-Epilepsy What are the risk factors for seizures? - Correct Ans-age, SGA, brain tumors, infection, ischemic stroke, drugs, withdrawal, family history What are the prevention measures for seizures? - Correct Ans-Avoid triggers, medication compliance, and lifestyle choices What are some possible tiggers for seizures? - Correct Ans-stress, fatigue, hypoglycemia, hyperventilation, menstrual cycle (hormone flux) What are the clinical manifestations of an active seizure? - Correct Ans-Decreased LOC, jerking, twitching, Staring, pallor, cyanosis, hypo/hypertension What usually occurs before a seizure begins? - Correct Ans-staring What is the postictal period? - Correct Ans-period after a seizure What are the clinical manifestations of the postictal period of a seizure? - Correct Ans-confusion, headache, fatigue, muscle aches, amnesia What lab tests do you want to run for when a patient has a seizure? - Correct Ans-CBC, chemistry panel, lumbar puncture, EEG, CT/MRI, serum drug levels, toxicology Medication that patients take daily to prevent seizures from occurring - Correct Ans-anticonvulsant What are the types of anticonvulsants? - Correct Ans-keppra, phenobarbital, dilantin Medication administered to interrupt and stop an active seizure - Correct Ans-Anxiolytic What are examples of anxiolytic drugs? - Correct Ans-Ativan, xanax, clonopin, valium How do anticonvulsant drugs work? - Correct Ans-They act by increasing the threshold of neuron firing Is medication usually prescribed for febrile seizures? - Correct Ans-no What is the preferred treatment for febrile seizures? - Correct Ans-monotherapy (decrease fever or whatever lead to seizure) How long does the postictal period last? - Correct Ans-30 minutes to 2 hours Pediatric clients with seizures should develop what? - Correct Ans-seizure action plan How should you discontinue anticonvulsant therapy? - Correct Ans-slowly What are the assessment considerations for seizures? - Correct Ans-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 Ans-padded side rails, suction and oxygen at bedside, side lying if safe, head protection How should you administer medication to someone who is having a seizure? - Correct Ans-slowly Should you perform vitals during an active seizure? - Correct Ans-no Should you restrain a patient during an active seizure? - Correct Ans-no What should you teach a patient regarding anticonvulsant medication? - Correct Ans-needs to be taken at the same time everyday Should you put anything into the mouth of a patient having a seizure? - Correct Ans-no Inflammation of the liver - Correct Ans-hepatitis What is general hepatitis caused by - Correct Ans-genetic diseases, medications, alcohol What are the different types of hepatitis? - Correct Ans-A, B, C, D, E Hepatitis A is what type of virus? - Correct Ans-RNA How is hepatitis A spread? - Correct Ans-fecal oral route How do people present with hepatitis A? - Correct Ans-flu like symptoms What are som ways you can contract hepatitis A? - Correct Ans-shellfish in contaminated water, food contamination, day care, nursing homes Can hepatitis survive on hands? - Correct Ans-yes What is hepatitis A resistant to? - Correct Ans-

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NURSING



NUR 2038 Final EXAM
Abnormal electrical activity in the brain that typically manifest with involuntary
movement - Correct Ans-seizures

Where do seizures stem from? - Correct Ans-cortical neuronal network

Do all seizures have involuntary movement? - Correct Ans-no (pediatric patients may
stare off or have a tongue thrust)

What are the two categories of seizures? - Correct Ans-generalized and focal

seizure that originates from one hemisphere of the brain and is seen on one side of the
body - Correct Ans-focal seizure

Seizure that originates from both hemispheres of the brain and is seen bilaterally -
Correct Ans-generalized seizure

What occurs during a seizure internally? - Correct Ans-metabolic rate, glucose, and
oxygen use increase

Seizure caused by an unknown stimulus? - Correct Ans-idiopathic seizure

Seizure caused by underlying disease such as trauma, infection, hypoglycemia, tumors
- Correct Ans-acquired seizure

Seizure resulting from a rapid increase OR decrease in body temperature - Correct Ans-
febrile seizure

Febrile seizures are most common in who? - Correct Ans-babies and pediatrics (3-5
years old)

Seizure caused by a sudden cessation of activity in the brain - Correct Ans-Absence
seizure

How would a patient present with a absence seizure? - Correct Ans-blank stare, no
movement, no one is home

Absence seizures can occur hundreds to thousands times a day. This can affect what? -
Correct Ans-brain development

Seizure characterized by rigidity followed by alternating muscle contraction and
relaxation - Correct Ans-tonic-clonic seizure

What should you expect with a tonic-clonic seizure? - Correct Ans-loud moan or cry



NURSING

,NURSING



What does the tonic part of the seizure look like? - Correct Ans-pulling arms in and
tensing up

What does the clonic part of a tonic-clonic seizure look like? - Correct Ans-involuntary
movement of the extremity

Seizure or cluster of seizures where the patient does not regain consciousness and
lasts more than 5 minutes - Correct Ans-status epilepticus

Recurrent seizures induced by underlying CNS disorder such as autism or
developmental delays - Correct Ans-Epilepsy

What are the risk factors for seizures? - Correct Ans-age, SGA, brain tumors, infection,
ischemic stroke, drugs, withdrawal, family history

What are the prevention measures for seizures? - Correct Ans-Avoid triggers,
medication compliance, and lifestyle choices

What are some possible tiggers for seizures? - Correct Ans-stress, fatigue,
hypoglycemia, hyperventilation, menstrual cycle (hormone flux)

What are the clinical manifestations of an active seizure? - Correct Ans-Decreased
LOC, jerking, twitching, Staring, pallor, cyanosis, hypo/hypertension

What usually occurs before a seizure begins? - Correct Ans-staring

What is the postictal period? - Correct Ans-period after a seizure

What are the clinical manifestations of the postictal period of a seizure? - Correct Ans-
confusion, headache, fatigue, muscle aches, amnesia

What lab tests do you want to run for when a patient has a seizure? - Correct Ans-CBC,
chemistry panel, lumbar puncture, EEG, CT/MRI, serum drug levels, toxicology

Medication that patients take daily to prevent seizures from occurring - Correct Ans-
anticonvulsant

What are the types of anticonvulsants? - Correct Ans-keppra, phenobarbital, dilantin

Medication administered to interrupt and stop an active seizure - Correct Ans-Anxiolytic

What are examples of anxiolytic drugs? - Correct Ans-Ativan, xanax, clonopin, valium

How do anticonvulsant drugs work? - Correct Ans-They act by increasing the threshold
of neuron firing



NURSING

, NURSING



Is medication usually prescribed for febrile seizures? - Correct Ans-no

What is the preferred treatment for febrile seizures? - Correct Ans-monotherapy
(decrease fever or whatever lead to seizure)

How long does the postictal period last? - Correct Ans-30 minutes to 2 hours

Pediatric clients with seizures should develop what? - Correct Ans-seizure action plan

How should you discontinue anticonvulsant therapy? - Correct Ans-slowly

What are the assessment considerations for seizures? - Correct Ans-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 Ans-
padded side rails, suction and oxygen at bedside, side lying if safe, head protection

How should you administer medication to someone who is having a seizure? - Correct
Ans-slowly

Should you perform vitals during an active seizure? - Correct Ans-no

Should you restrain a patient during an active seizure? - Correct Ans-no

What should you teach a patient regarding anticonvulsant medication? - Correct Ans-
needs to be taken at the same time everyday

Should you put anything into the mouth of a patient having a seizure? - Correct Ans-no

Inflammation of the liver - Correct Ans-hepatitis

What is general hepatitis caused by - Correct Ans-genetic diseases, medications,
alcohol

What are the different types of hepatitis? - Correct Ans-A, B, C, D, E

Hepatitis A is what type of virus? - Correct Ans-RNA

How is hepatitis A spread? - Correct Ans-fecal oral route

How do people present with hepatitis A? - Correct Ans-flu like symptoms

What are som ways you can contract hepatitis A? - Correct Ans-shellfish in
contaminated water, food contamination, day care, nursing homes




NURSING

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