NUR 235 Test 1 – Questions And Accurate Answers (A+)
A 27-year-old patient presents after having had a seizure. The patient's
parents accompany him and confirm that there is no family history of seizures
on either side. The family asks the nurse how this could have happened. The
nurse explains that which other factors may have contributed to the patient's
seizure? (select all that apply)
Leukemia
Pneumonia
Renal Failure
Hypoglycemia
Alcohol withdrawal Right Ans - Renal Failure
Hypoglycemia
Alcohol withdrawal
How is epilepsy different from other seizure disorders?
Seizures in epilepsy are spontaneous.
Chemical exposures cause seizures in epilepsy.
Epilepsy typically does not disrupt normal function.
Epilepsy is caused by a chronic underlying condition. Right Ans - Epilepsy
is caused by a chronic underlying condition
A patient with no history of seizures presents with multiple episodes of
seizure activity and magnetic resonance imaging (MRI) is ordered. When
questioned by the patient as to why MRI is being done, what is the best
response by the nurse?
"MRI can show structural lesions."
"MRI can test contents of cerebral spinal fluid (CSF)."
"MRI can examine the vascular structures of the brain."
"MRI can assess the electrical activity in a patient's brain." Right Ans - "MRI
can show structural lesions."
A 71-year-old man presents with new onset seizures. Which information
should be included in patient teaching regarding medications? (select all that
apply)
,"Use a soft bristle toothbrush from this point forward."
"Notify the provider if you notice right upper quadrant (RUQ) pain or severe
abdominal pain."
"Take the medication daily until the provider gives other instructions."
"Poor coordination is expected when taking your seizure medication."
"You will need regular blood draws when you're taking this medicine."
Right Ans - "Use a soft bristle toothbrush from this point forward." (Some
seizure medications cause gingival hyperplasia. Patients should use soft
bristle toothbrushes and avoid actions that can lead to bleeding gums.)
"Notify the provider if you notice right upper quadrant (RUQ) pain or severe
abdominal pain." (The provider should be notified of RUQ pain because it is a
symptom of liver toxicity.)
"Take the medication daily until the provider gives other instructions."
(Seizure medication should be taken on a regular schedule to maintain
therapeutic levels.)
"You will need regular blood draws when you're taking this medicine."
(Patients taking antiseizure medications require regular blood draws to
measure the amount of drug in the blood and to assess for hepatotoxicity.
A nurse is caring for a patient with a history of seizures who has been taking
antiseizure medication. The patient says, "I haven't had a seizure in almost a
year. When can I stop taking the pills?" How should the nurse respond?
"You must be seizure free for at least 2 years."
"You must continue to take seizure medication for life."
"You should be able to stop within the next 2 weeks."
"When you stop the medication, you will go through withdrawal." Right
Ans - "You must be seizure free for at least 2 years."
While treating a patient in status epilepticus, which care actions can the nurse
delegate to the unlicensed assistive personnel (UAP)? (select all that apply)
Obtain vital signs.
Update the family.
Pad the bed rails.
Perform chest compressions.
,Evaluate respiratory sounds. Right Ans - Obtain vital signs.
Pad the bed rails.
Perform chest compressions.
The nurse is caring for a patient who has had three seizures in the past 2 days.
The patient reports headache, right upper quadrant pain, and irritability. The
nurse notes icteric sclera, abdominal distention, and elevated blood pressure.
Which additional action would the nurse take next?
Obtain STAT head computed tomography (CT) scan.
Assess liver function.
Administer pain medication.
Administer an antihypertensive agent. Right Ans - Assess liver function.
The nurse is caring for a patient who has experienced recurring seizures since
the death of her child. Which nursing interventions can be implemented to
prevent the patient from having a seizure while in the nurse's care? (select all
that apply)
Ensure adequate sleep.
Encourage use of distractors such as television, radio to distract patient from
her thoughts.
Consume a healthy diet each day.
Help the patient engage in stress reduction strategies.
Administer prophylactic anti-anxiety medication. Right Ans - Ensure
adequate sleep.
Consume a healthy diet each day.
Help the patient engage in stress reduction strategies.
An older adult has experienced atypical seizures. When taking the patient
history, which symptom would the nurse expect the patient to report?
Cyanosis
Daydreaming
Angry outbursts
, Muscle soreness Right Ans - Angry outbursts
Which information can an electroencephalogram (EEG) provide about a
patient who is having seizures?
An EEG can show the structural makeup of the brain.
An EEG can examine the vascular structures of the brain.
An EEG can show the location of abnormal brain activity.
An EEG can examine the components of cerebral spinal fluid (CSF). Right
Ans - An EEG can show the location of abnormal brain activity.
A 2-week-old infant has been hospitalized for cellulitis in the cheek and is
being discharged after receiving antibiotic treatment. For which reasons
would this patient be at increased risk for a seizure?
Facial cellulitis increases the risk for brain infection.
Antibiotics are associated with increased seizure risk.
Hospitalization increases the risk for having seizures.
The patient's young age increases the risk for seizures. Right Ans - Facial
cellulitis increases the risk for brain infection.
The nurse is caring for a patient with a history of epilepsy, and the patient
starts having a seizure. Which is the priority collaborative care action for this
patient?
Administer antiseizure medication.
Remove pillow under patient's head.
Apply bag-valve mask for respirations.
Prevent the patient from biting the tongue. Right Ans - Apply bag-valve
mask for respirations.
A 27-year-old man presents with a history of epilepsy and has started having
occasional labored breathing. The patient is taking a number of antiseizure
medications and admits he has been "very depressed." Noting that this patient
is at increased risk for sudden, unexplained death in epilepsy (SUDEP), which
nonnarcotic therapy recommendations could be given to this patient? (select
all that apply)
Try biofeedback.
A 27-year-old patient presents after having had a seizure. The patient's
parents accompany him and confirm that there is no family history of seizures
on either side. The family asks the nurse how this could have happened. The
nurse explains that which other factors may have contributed to the patient's
seizure? (select all that apply)
Leukemia
Pneumonia
Renal Failure
Hypoglycemia
Alcohol withdrawal Right Ans - Renal Failure
Hypoglycemia
Alcohol withdrawal
How is epilepsy different from other seizure disorders?
Seizures in epilepsy are spontaneous.
Chemical exposures cause seizures in epilepsy.
Epilepsy typically does not disrupt normal function.
Epilepsy is caused by a chronic underlying condition. Right Ans - Epilepsy
is caused by a chronic underlying condition
A patient with no history of seizures presents with multiple episodes of
seizure activity and magnetic resonance imaging (MRI) is ordered. When
questioned by the patient as to why MRI is being done, what is the best
response by the nurse?
"MRI can show structural lesions."
"MRI can test contents of cerebral spinal fluid (CSF)."
"MRI can examine the vascular structures of the brain."
"MRI can assess the electrical activity in a patient's brain." Right Ans - "MRI
can show structural lesions."
A 71-year-old man presents with new onset seizures. Which information
should be included in patient teaching regarding medications? (select all that
apply)
,"Use a soft bristle toothbrush from this point forward."
"Notify the provider if you notice right upper quadrant (RUQ) pain or severe
abdominal pain."
"Take the medication daily until the provider gives other instructions."
"Poor coordination is expected when taking your seizure medication."
"You will need regular blood draws when you're taking this medicine."
Right Ans - "Use a soft bristle toothbrush from this point forward." (Some
seizure medications cause gingival hyperplasia. Patients should use soft
bristle toothbrushes and avoid actions that can lead to bleeding gums.)
"Notify the provider if you notice right upper quadrant (RUQ) pain or severe
abdominal pain." (The provider should be notified of RUQ pain because it is a
symptom of liver toxicity.)
"Take the medication daily until the provider gives other instructions."
(Seizure medication should be taken on a regular schedule to maintain
therapeutic levels.)
"You will need regular blood draws when you're taking this medicine."
(Patients taking antiseizure medications require regular blood draws to
measure the amount of drug in the blood and to assess for hepatotoxicity.
A nurse is caring for a patient with a history of seizures who has been taking
antiseizure medication. The patient says, "I haven't had a seizure in almost a
year. When can I stop taking the pills?" How should the nurse respond?
"You must be seizure free for at least 2 years."
"You must continue to take seizure medication for life."
"You should be able to stop within the next 2 weeks."
"When you stop the medication, you will go through withdrawal." Right
Ans - "You must be seizure free for at least 2 years."
While treating a patient in status epilepticus, which care actions can the nurse
delegate to the unlicensed assistive personnel (UAP)? (select all that apply)
Obtain vital signs.
Update the family.
Pad the bed rails.
Perform chest compressions.
,Evaluate respiratory sounds. Right Ans - Obtain vital signs.
Pad the bed rails.
Perform chest compressions.
The nurse is caring for a patient who has had three seizures in the past 2 days.
The patient reports headache, right upper quadrant pain, and irritability. The
nurse notes icteric sclera, abdominal distention, and elevated blood pressure.
Which additional action would the nurse take next?
Obtain STAT head computed tomography (CT) scan.
Assess liver function.
Administer pain medication.
Administer an antihypertensive agent. Right Ans - Assess liver function.
The nurse is caring for a patient who has experienced recurring seizures since
the death of her child. Which nursing interventions can be implemented to
prevent the patient from having a seizure while in the nurse's care? (select all
that apply)
Ensure adequate sleep.
Encourage use of distractors such as television, radio to distract patient from
her thoughts.
Consume a healthy diet each day.
Help the patient engage in stress reduction strategies.
Administer prophylactic anti-anxiety medication. Right Ans - Ensure
adequate sleep.
Consume a healthy diet each day.
Help the patient engage in stress reduction strategies.
An older adult has experienced atypical seizures. When taking the patient
history, which symptom would the nurse expect the patient to report?
Cyanosis
Daydreaming
Angry outbursts
, Muscle soreness Right Ans - Angry outbursts
Which information can an electroencephalogram (EEG) provide about a
patient who is having seizures?
An EEG can show the structural makeup of the brain.
An EEG can examine the vascular structures of the brain.
An EEG can show the location of abnormal brain activity.
An EEG can examine the components of cerebral spinal fluid (CSF). Right
Ans - An EEG can show the location of abnormal brain activity.
A 2-week-old infant has been hospitalized for cellulitis in the cheek and is
being discharged after receiving antibiotic treatment. For which reasons
would this patient be at increased risk for a seizure?
Facial cellulitis increases the risk for brain infection.
Antibiotics are associated with increased seizure risk.
Hospitalization increases the risk for having seizures.
The patient's young age increases the risk for seizures. Right Ans - Facial
cellulitis increases the risk for brain infection.
The nurse is caring for a patient with a history of epilepsy, and the patient
starts having a seizure. Which is the priority collaborative care action for this
patient?
Administer antiseizure medication.
Remove pillow under patient's head.
Apply bag-valve mask for respirations.
Prevent the patient from biting the tongue. Right Ans - Apply bag-valve
mask for respirations.
A 27-year-old man presents with a history of epilepsy and has started having
occasional labored breathing. The patient is taking a number of antiseizure
medications and admits he has been "very depressed." Noting that this patient
is at increased risk for sudden, unexplained death in epilepsy (SUDEP), which
nonnarcotic therapy recommendations could be given to this patient? (select
all that apply)
Try biofeedback.
