Seizures NUR 114 Practice Questions and Correct Answers
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Course
NUR 114
Institution
NUR 114
Seizure a brief episode of abnormal electrical changes in activity in the nerve cells of the brain.
Epilepsy chronic, recurrent pattern of seizures.
Status Epilepticus tonic-clonic convulsions lasting longer than 30 minutes in which consciousness is not regained. High risk for brain damage. Cause...
Seizures NUR 114 Practice Questions
and Correct Answers
Seizure ✅a brief episode of abnormal electrical changes in activity in the nerve cells of
the brain.
Epilepsy ✅chronic, recurrent pattern of seizures.
Status Epilepticus ✅tonic-clonic convulsions lasting longer than 30 minutes in which
consciousness is not regained. High risk for brain damage. Caused by abruptly stopping
antiepileptic drugs. Treatment is IV benzodiazepine (Ativan)
Aura ✅a brief warning sign of seizure usually a flash of light, sound or smell.
Seizure Nursing Interventions ✅1. Maintain airway, side lying position
2. Stay with pt during seizure
3. Don't restrain or put anything in mouth
4. Record length of seizure/ Document any injuries
5. Keep side rails up (padded)
6. No tight clothing around neck
7. No sharp objects at bedside
Febrile seizure ✅seizures seen in young children (9months-toddler) caused by rapid
rise in temp (>102F)
Dilantin (phenytoin) ✅MOA: decreases NA+ influx into nerve cells.
Uses: used for all seizures except absence seizures.
Given PO or IV
Adverse effects: gingival hyperplasia (overgrowth of gum tissue)
Contraindications: renal and liver impairment, pregnancy. May increase blood sugars.
Therapeutic range: 10-20 mcg/ml (>30 is toxic)
Chronic ingestion of alcohol decrease dilantin levels.
*Don't switch between generic and trade name due to differences in absorption.*
Dilantin nursing measures ✅1. Caution when giving IV due to tissue irritant.
2. Dilute with NS and don't exceed 50 mg/min
3. Encourage good oral hygiene to prevent gingival hyperplasia
4. Don't stop taking drug abruptly
5. Dilantin decreases effects of oral contraceptives.
Cerebyx (fosphenytoin) ✅Given IV or IM
Treatment for status epilepticus or short term use.
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