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
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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
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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
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