The nurse is providing teaching to a patient newly diagnosed with focal seizure disorder. Which statement by the nurse is most accurate?
"Simple partial seizures may result in an alteration of consciousness."
"Your seizures will typically only affect one side of your body.
"The simple partial seizure may cause motor impairment to begin in all of your extremities.
"Simple partial seizures are not treatable."
The Correct Answer is B
A. Simple partial (focal aware) seizures do not alter consciousness; that is a characteristic of complex partial seizures.
B. Focal (partial) seizures typically affect one hemisphere of the brain and therefore one side of the body.
C. Seizures that begin with motor impairment in all extremities suggest a generalized seizure, not a simple partial seizure.
D. This is inaccurate. Simple partial seizures are treatable with antiepileptic medications and sometimes surgical interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A single seizure does not automatically indicate epilepsy. Epilepsy is typically diagnosed after two or more unprovoked seizures, and other causes (e.g., fever, head trauma, infection, drug use) must first be ruled out.
B. This implies a diagnosis without proper evaluation and is misleading.
C. Antispasmodics are not the standard treatment, and medication should not be prescribed without diagnostic evaluation.
D. Not all seizures are epilepsy—seizures can result from various acute and reversible conditions.
Correct Answer is D
Explanation
A. Delayed fine-motor development is not typically an early or defining feature of Duchenne's muscular dystrophy (DMD); gross motor delays are more characteristic.
B. In DMD, the calf muscles may appear enlarged (pseudohypertrophy)due to fat and connective tissue replacing muscle, not true atrophy in early stages.
C. Holding onto furniture is more characteristic of toddlers with normal or delayed gross motor development, not specific to DMD.
D. Frequent falls and clumsinessare hallmark early signsof DMD, reflecting progressive muscle weakness, especially in the pelvic and thigh muscles.
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