Fy 16 Epilepsy Monitoring Unit Competency Exam

1. Which assessment is not part of the neurological checks for the patient with a seizure disorder?

Alert & Oriented X 3

Strength Bilaterally

Sensation

Skin turgor

Pupillary response

Mosby, Neurological Assessments

Explanation

Mosby, Neurological Assessments

2. Nurse Maria walks into her patient's room and finds him actively seizing (non-convulsive). What is the first thing she should do?

Activate the event marker

Ensure patient's safety

Call for another Nurse

Begin Neurological assessment immediately

Patient's Safety is always first

Explanation

Patient's Safety is always first

3. CPR will be initiated and a Code Blue will be called if breathing does not resume after convulsions end

True

False

If breathing does not resume after convulsions end, CPR will be initiated and a Code Blue will be called. This means that if a person stops breathing after experiencing convulsions, medical professionals will perform CPR (cardiopulmonary resuscitation) to try to revive them. Additionally, a Code Blue, which is a hospital emergency code, will be called to alert the medical team and initiate a rapid response to the situation. Therefore, the statement is true.

Explanation

If breathing does not resume after convulsions end, CPR will be initiated and a Code Blue will be called. This means that if a person stops breathing after experiencing convulsions, medical professionals will perform CPR (cardiopulmonary resuscitation) to try to revive them. Additionally, a Code Blue, which is a hospital emergency code, will be called to alert the medical team and initiate a rapid response to the situation. Therefore, the statement is true.

4. If a generalized tonic-clonic seizure last longer than_____, I should call a Rapid Response.

30 seconds

60 seconds

5 minutes

10 minutes

According to Clinical Guidelines for Patients Undergoing Epilepsy Monitoring if a patient is experiencing GTC >5minutes, activate Rapid Response

Explanation

According to Clinical Guidelines for Patients Undergoing Epilepsy Monitoring if a patient is experiencing GTC >5minutes, activate Rapid Response

5. The Registered Nurse is responsible for connecting the patient to the EEG and disconnecting patient from the EEG equipment upon admission and discharge.

True

False

The EEG Technician is responsible for connecting the patient to the EEG and disconnecting patient from the EEG equipment upon admission and discharge.

Explanation

The EEG Technician is responsible for connecting the patient to the EEG and disconnecting patient from the EEG equipment upon admission and discharge.

6. In the event the death of an Epilepsy Monitoring Unit patient occurs, the nurse designated to provide care to the deceased patient will contact the attending neurologist as well as inform the family of the event.

True

False

The family should be informed of the event by the attending physician

Explanation

The family should be informed of the event by the attending physician

7. Why do we need video EEG monitoring? (Check all that apply)

Identify and characterize seizures

Helps determine how long a patient should be on medication

Localize seizure origin

Gold standard in providing a diagnosis of psychogenic non-epileptic seizure (PNES)

Video EEG monitoring is necessary for several reasons. Firstly, it helps to identify and characterize seizures, allowing healthcare professionals to accurately diagnose and treat the patient. Secondly, it assists in localizing the origin of seizures, which is important for determining the most effective treatment approach. Lastly, video EEG monitoring is considered the gold standard in providing a diagnosis of psychogenic non-epileptic seizures (PNES), which are seizures that are not caused by abnormal brain activity.

Explanation

Video EEG monitoring is necessary for several reasons. Firstly, it helps to identify and characterize seizures, allowing healthcare professionals to accurately diagnose and treat the patient. Secondly, it assists in localizing the origin of seizures, which is important for determining the most effective treatment approach. Lastly, video EEG monitoring is considered the gold standard in providing a diagnosis of psychogenic non-epileptic seizures (PNES), which are seizures that are not caused by abnormal brain activity.

Submit

8. On admission, items to ensure that are in the patient's room and functioning are (check all that apply)

Oxygen flow meter, tubing, nasal cannula

Bed in lowest position and lock

Sitter

Wall suctioning including yankauer

Call light and patient's alarm button within reach

Home Video camera

Patient is not required to have a sitter but they are encouraged to bring a family member or friend with them. The EMU room has a video recorder in place to record all events.

Explanation

Patient is not required to have a sitter but they are encouraged to bring a family member or friend with them. The EMU room has a video recorder in place to record all events.

Submit

9. The Registered Nurse assigned to patients on the Epilepsy Monitoring Unit is responsible for the following: (Check all that apply)

Maintaining competency in seizure recognition

Conducting neurological assessments on patients Q4hours and anytime there is a questionable change in the patient's condition

Directing the LPN to setup the room appropriate for an EMU admission.

Documenting on EMU monitor whenever EEG scalp electrodes are not functioning , in absence of EEG tech.

Refer to clinical guidelines page 4

Explanation

Refer to clinical guidelines page 4

Submit

10. If you walk into the room while a patient is seizing, list the following nursing interventions (1-5)

Call the Neurologist