nur 116 - Davis Advantage / Edge - Seizures
Study online at https://quizlet.com/_96kfof
1. Automatisms are repetitive unconscious movements such as chewing or lip
smacking.: The nurse asked a family member of a client with seizures if the client
exhibited automatisms with the most recent seizure. The family member asked for
clarification on what the term automatisms meant. How should the nurse respond?
Automatisms are odors, visualizations, and/or hallucinations that occur just prior to
the beginning of the seizure.
Automatisms are symptoms such as drowsiness, confusion, and disorientation that
occur immediately after the seizure.
Automatisms are repetitive unconscious movements such as chewing or lip smack-
ing.
Automatisms are the tonic/clonic movement seen in some types of seizures.
2. Abrupt withdrawal of anticonvulsive medications
Acute drug withdrawal
Head trauma: The nurse caring for a client who is post status epilepticus is aware
that status epilepticus can be caused by which conditions? Select all that apply.
Anaphylactic reaction to medication
Abrupt withdrawal of anticonvulsive medications
Myocardial infarction
Acute drug withdrawal
Head trauma
3. "The VNS will either fire continuously or I may have to carry a magnet to
activate the stimulator when I feel the presence of an aura.": The nurse is caring
for a client who is considering the implantation of a vagal nerve stimulator (VNS) to
treat and control seizures. The nurse knows the client understands the purpose of
the VNS when she makes which statement?
"Electrodes are placed in deep brain structures and programmed to activate when
the seizure activity is sensed."
"I will be admitted to the hospital for at least a week to have the VNS implanted."
"The VNS will either fire continuously or I may have to carry a magnet to activate the
stimulator when I feel the presence of an aura."
"The connection between the right and left hemisphere of the brain will be severed."
4. "The client may not be able to protect the airway after the seizure and
suctioning may be required.": The charge nurse asks the student nurse to gather
supplies to set up suction for a seizure client who is going to be admitted to the
nursing unit. The student nurse asks why this equipment is needed. How should the
charge nurse respond?
, nur 116 - Davis Advantage / Edge - Seizures
Study online at https://quizlet.com/_96kfof
"The client may not be able to protect the airway after the seizure and suctioning
may be required."
"The healthcare provider ordered it, so we are required to do it."
"It will be available if the client wishes to use the equipment."
"The client may have aspirated before coming to the hospital and the nursing staff
may need to suction out the aspirate."
5. Setting up suction equipment at the client's bedside
Having oxygen available at the client's bedside: The nurse would expect to carry
out which actions while caring for a newly admitted seizure client? Select all that
apply.
Setting up suction equipment at the client's bedside
Having oxygen available at the client's bedside
Positioning the client on the right side to prevent aspiration
Placing a nasogastric (NG) tube
Placing the client on a ventilator
6. : Seizures are caused by abnormal electrical activity in the brain. The manifesta-
tion of a seizure depends on where in the brain this activity occurs and how long it
lasts.
Ensuring patient safety is critical when caring for someone who has had a seizure.
The patient's level of consciousness may be impacted during the seizure and
immediately after. This altered consciousness can impact the patient's airway and
cause vomiting, which can be aspirated into the lungs. To decrease the risk of
aspiration, the patient should be turned on his or her left side during a witnessed
seizure or as soon as possible during the postictal phase after the seizure ends.
Suction equipment, an oral airway, and supplemental oxygen should be available by
the patient's bedside.
In addition, general safety measures should be implemented for a patient who has
had a seizure. The patient's bed must be in the lowest position with the wheels
locked. Avoid restrictive clothing. Gently guide the patient into this left lying position
without restraining movement. Do not attempt to force any object into a patient's
mouth during a seizure.
Antiseizure medication will be initiated or adjusted to control the patient's seizure
activity. Teach the patient about the medication regimen as well as about potential
side effects he or she may experience. Stress the importance of compliance with
this regimen and the need to follow up with the healthcare provider for regularly
scheduled appointments.
Make the patient aware of the importance of wearing a medical alert bracelet, which
Study online at https://quizlet.com/_96kfof
1. Automatisms are repetitive unconscious movements such as chewing or lip
smacking.: The nurse asked a family member of a client with seizures if the client
exhibited automatisms with the most recent seizure. The family member asked for
clarification on what the term automatisms meant. How should the nurse respond?
Automatisms are odors, visualizations, and/or hallucinations that occur just prior to
the beginning of the seizure.
Automatisms are symptoms such as drowsiness, confusion, and disorientation that
occur immediately after the seizure.
Automatisms are repetitive unconscious movements such as chewing or lip smack-
ing.
Automatisms are the tonic/clonic movement seen in some types of seizures.
2. Abrupt withdrawal of anticonvulsive medications
Acute drug withdrawal
Head trauma: The nurse caring for a client who is post status epilepticus is aware
that status epilepticus can be caused by which conditions? Select all that apply.
Anaphylactic reaction to medication
Abrupt withdrawal of anticonvulsive medications
Myocardial infarction
Acute drug withdrawal
Head trauma
3. "The VNS will either fire continuously or I may have to carry a magnet to
activate the stimulator when I feel the presence of an aura.": The nurse is caring
for a client who is considering the implantation of a vagal nerve stimulator (VNS) to
treat and control seizures. The nurse knows the client understands the purpose of
the VNS when she makes which statement?
"Electrodes are placed in deep brain structures and programmed to activate when
the seizure activity is sensed."
"I will be admitted to the hospital for at least a week to have the VNS implanted."
"The VNS will either fire continuously or I may have to carry a magnet to activate the
stimulator when I feel the presence of an aura."
"The connection between the right and left hemisphere of the brain will be severed."
4. "The client may not be able to protect the airway after the seizure and
suctioning may be required.": The charge nurse asks the student nurse to gather
supplies to set up suction for a seizure client who is going to be admitted to the
nursing unit. The student nurse asks why this equipment is needed. How should the
charge nurse respond?
, nur 116 - Davis Advantage / Edge - Seizures
Study online at https://quizlet.com/_96kfof
"The client may not be able to protect the airway after the seizure and suctioning
may be required."
"The healthcare provider ordered it, so we are required to do it."
"It will be available if the client wishes to use the equipment."
"The client may have aspirated before coming to the hospital and the nursing staff
may need to suction out the aspirate."
5. Setting up suction equipment at the client's bedside
Having oxygen available at the client's bedside: The nurse would expect to carry
out which actions while caring for a newly admitted seizure client? Select all that
apply.
Setting up suction equipment at the client's bedside
Having oxygen available at the client's bedside
Positioning the client on the right side to prevent aspiration
Placing a nasogastric (NG) tube
Placing the client on a ventilator
6. : Seizures are caused by abnormal electrical activity in the brain. The manifesta-
tion of a seizure depends on where in the brain this activity occurs and how long it
lasts.
Ensuring patient safety is critical when caring for someone who has had a seizure.
The patient's level of consciousness may be impacted during the seizure and
immediately after. This altered consciousness can impact the patient's airway and
cause vomiting, which can be aspirated into the lungs. To decrease the risk of
aspiration, the patient should be turned on his or her left side during a witnessed
seizure or as soon as possible during the postictal phase after the seizure ends.
Suction equipment, an oral airway, and supplemental oxygen should be available by
the patient's bedside.
In addition, general safety measures should be implemented for a patient who has
had a seizure. The patient's bed must be in the lowest position with the wheels
locked. Avoid restrictive clothing. Gently guide the patient into this left lying position
without restraining movement. Do not attempt to force any object into a patient's
mouth during a seizure.
Antiseizure medication will be initiated or adjusted to control the patient's seizure
activity. Teach the patient about the medication regimen as well as about potential
side effects he or she may experience. Stress the importance of compliance with
this regimen and the need to follow up with the healthcare provider for regularly
scheduled appointments.
Make the patient aware of the importance of wearing a medical alert bracelet, which
