Know What To Do When Someone Has A Convulsion Seizure - Safety Quiz
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A convulsion is a type of seizure. Seizures involve bursts of electrical activity in the brain. There are many different types of seizures, and the symptoms of a seizure depend on where in the brain the seizure is happening. Know What To Do When Someone Has A Convulsion Seizure
- 1.Seizures occur in approximately what percentage of children
- A.
1-3%
- B.
3-5%
- C.
5-8%
- D.
8-12%
- 2.Seizures may be caused by but not limited to
- A.
Colds, strep throat, flu
- B.
Infection, injury, lack of sleep
- C.
Fever, trauma, infections, unknown
- D.
Allergies, ear infections, enuresis
- E.
All of the above
- 3.Seizures may be identified by
- A.
Jerking movements over entire body
- B.
Staring
- C.
Loss of awareness
- D.
Arm or leg jerking
- E.
All of the above
- 4.Treatment plan for seizures includes
- A.
Clear area around child
- B.
Restrain jerking movements to prevent injury
- C.
Observe and document activity call 911 if seizure activity lasts longer than 5 minutes
- D.
A&C
- E.
B&C
- 5.The emergency room nurse admits a child who experienced a seizure at school. The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse?
- A.
"Do not worry. Epilepsy can be treated with medications."
- B.
"The seizure may or may not mean your child has epilepsy."
- C.
"Since this was the first convulsion, it may not happen again."
- D.
"Long term treatment will prevent future seizures."
- 6.The patient with migraine headaches has a seizure. After the seizure, which action can you delegate to the nursing assistant?
- A.
Document the seizure.
- B.
Perform neurologic checks.
- C.
Take the patient’s vital signs.
- D.
Restrain the patient for protection.
- 7.You are preparing to admit a patient with a seizure disorder. Which of the following actions can you delegate to LPN/LVN?
- A.
Complete admission assessment.
- B.
Set up oxygen and suction equipment.
- C.
Place a padded tongue blade at bedside.
- D.
Pad the side rails before patient arrives.
- 8.A nursing student is teaching a patient and family about epilepsy prior to the patient’s discharge. For which statement should you intervene?
- A.
“You should avoid consumption of all forms of alcohol.”
- B.
“Wear you medical alert bracelet at all times.”
- C.
“Protect your loved one’s airway during a seizure.”
- D.
“It’s OK to take over-the-counter medications.”
- 9.A 23-year-old patient with a recent history of encephalitis is admitted to the medical unit with new onset generalized tonic-clonic seizures. Which nursing activities included in the patient’s care will be best to delegate to an LPN/LVN whom you are supervising? (Choose all that apply).
- A.
Document the onset time, nature of seizure activity, and postictal behaviors for all seizures.
- B.
Administer phenytoin (Dilantin) 200 mg PO daily.
- C.
Teach patient about the need for good oral hygiene.
- D.
Develop a discharge plan, including physician visits and referral to the Epilepsy Foundation.
- 10.While working in the ICU, you are assigned to care for a patient with a seizure disorder. Which of these nursing actions will you implement first if the patient has a seizure?
- A.
Place the patient on a non-rebreather mask will the oxygen at 15 L/minute.
- B.
Administer lorazepam (Ativan) 1 mg IV.
- C.
Turn the patient to the side and protect airway.
- D.
Assess level of consciousness during and immediately after the seizure.
- 11.A patient recently started on phenytoin (Dilantin) to control simple complex seizures is seen in the outpatient clinic. Which information obtained during his chart review and assessment will be of greatest concern?
- A.
The gums appear enlarged and inflamed.
- B.
The white blood cell count is 2300/mm3.
- C.
Patient occasionally forgets to take the phenytoin until after lunch.
- D.
Patient wants to renew his driver’s license in the next month.
- 12.A male client is having a tonic-clonic seizures. What should the nurse do first?
- A.
Elevate the head of the bed.
- B.
Restrain the client’s arms and legs.
- C.
Place a tongue blade in the client’s mouth.
- D.
Take measures to prevent injury.
- 13.The nurse is caring for the male client who begins to experience seizure activity while in bed. Which of the following actions by the nurse would be contraindicated?
- A.
Loosening restrictive clothing
- B.
Restraining the client’s limbs
- C.
Removing the pillow and raising padded side rails
- D.
Positioning the client to side, if possible, with the head flexed forward
- 14.The nurse answers a call bell and finds a frightened mother whose child, the patient, is having a seizure. Which of these actions should the nurse take?
- A.
The nurse should insert a padded tongue blade in the patient’s mouth to prevent the child from swallowing or choking on his tongue.
- B.
The nurse should help the mother restrain the child to prevent him from injuring himself.
- C.
The nurse should call the operator to page for seizure assistance.
- D.
The nurse should clear the area and position the client safely.
- 15.A 4 year-old hospitalized child begins to have a seizure while playing with hard plastic toys in the hallway. Of the following nursing actions, which one should the nurse do first?
- A.
Place the child in the nearest bed
- B.
Administer IV medication to slow down the seizure
- C.
Place a padded tongue blade in the child's mouth
- D.
Remove the child's toys from the immediate area
- 16.A client with eclampsia begins to experience a seizure. Which of the following would the nurse in charge do first?
- A.
Pad the side rails
- B.
Place a pillow under the left buttock
- C.
Insert a padded tongue blade into the mouth
- D.
Maintain a patent airway
- 17.Mr. Jessie Ray, a newly admitted patient, has a seizure disorder which is being treated with medication. Which of the following drugs would the nurse question if ordered for him?
- A.
Phenobarbitol, 150 mg hs
- B.
Amitriptylene (Elavil), 10 mg QID.
- C.
Valproic acid (Depakote), 150 mg BID
- D.
Phenytoin (Dilantin), 100 mg TID
- 18.A client taking Dilantin (phenytoin) for grand mal seizures is preparing for discharge. Which information should be included in the client’s discharge care plan?
- A.
The medication can cause dental staining.
- B.
The client will need to avoid a high-carbohydrate diet.
- C.
The client will need a regularly scheduled CBC.
- D.
The medication can cause problems with drowsiness.
- 19.A neurological consult has been ordered for a pediatric client with suspected petit mal seizures. The client with petit mal seizures can be expected to have:
- A.
Short, abrupt muscle contraction
- B.
Quick, bilateral severe jerking movements
- C.
Abrupt loss of muscle tone
- D.
A brief lapse in consciousness
- 20.John suddenly experiences a seizure, and Nurse Gina notice that John exhibits uncontrollable jerking movements. Nurse Gina documents that John experienced which type of seizure?
- A.
Tonic seizure
- B.
Absence seizure
- C.
Myoclonic seizure
- D.
Clonic seizure
- 21.A 2 year old is to be admitted in the pediatric unit. He is diagnosed with febrile seizures. In preparing for his admission, which of the following is the most important nursing action?
- A.
Order a stat admission CBC.
- B.
Place a urine collection bag and specimen cup at the bedside.
- C.
Place a cooling mattress on his bed
- D.
Pad the side rails of his bed.
- 22.A 22 year old client suffered from his first tonic-clonic seizure. Upon awakening the client asks the nurse, “What caused me to have a seizure? Which of the following would the nurse include in the primary cause of tonic clonic seizures in adults more the 20 years?
- A.
Electrolyte imbalance
- B.
Head trauma
- C.
Epilepsy
- D.
Congenital defect
- 23.A hospitalized client had a tonic-clonic seizure while walking in the hall. During the seizure the nurse priority should be:
- A.
Hold the clients arms and leg firmly
- B.
Place the client immediately to soft surface
- C.
Protects the client’s head from injury
- D.
Attempt to insert a tongue depressor between the client’s teeth
- 24.Nurse Becky is caring for client who begins to experience seizure while in bed. Which action should the nurse implement to prevent aspiration?
- A.
Position the client on the side with head flexed forward
- B.
Elevate the head
- C.
Use tongue depressor between teeth
- D.
Loosen restrictive clothing
- 25.Following a generalized seizure, the nurse can expect the client to:
- A.
Be unable to move the extremities
- B.
Be drowsy and prone to sleep
- C.
Remember events before the seizure
- D.
Have a drop in blood pressure
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