Which type of seizure is characterized by a sudden loss of muscle tone, leading to the person collapsing or falling down?
Tonic-clonic seizure
Myoclonic seizure
Atonic seizure
Absence seizure
The Correct Answer is C
A. Tonic-clonic seizure. Tonic-clonic seizures involve both muscle stiffness (tonic phase) and jerking movements (clonic phase), but they are not characterized by a sudden loss of muscle tone.
B. Myoclonic seizure. Myoclonic seizures involve brief, sudden jerks or twitches of a muscle or group of muscles, not the sudden loss of muscle tone.
C. Atonic seizure. Atonic seizures, also known as "drop attacks," are characterized by a sudden loss of muscle tone, which causes the person to collapse or fall to the ground. This is the correct description of the type of seizure being asked about.
D. Absence seizure. Absence seizures involve brief episodes of staring and loss of awareness but do not cause loss of muscle tone or collapsing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E","F"]
Explanation
A. Neurological assessment is critical in identifying potential complications, especially in cases of head injury, infection, or brain-related conditions. A change in mental status or neurological findings (e.g., confusion, loss of consciousness) warrants immediate follow-up.
B. Basic metabolic panel provides key information on electrolyte imbalances, kidney function, and acid-base status. Imbalances or abnormalities, such as hyperkalemia or hyponatremia, can indicate life-threatening conditions.
C. Blood pressure/heart rate is crucial to monitor because abnormalities in these vital signs can indicate cardiovascular instability, shock, or autonomic dysfunction. Significant changes require immediate intervention.
D. Abdominal assessment is important but not always immediately urgent unless signs of acute abdominal issues (e.g., severe pain, distention, or bleeding) are present.
E. Complete blood count is essential for monitoring for signs of infection, anemia, or bleeding disorders. Abnormalities such as low hemoglobin or a high white blood cell count require further investigation.
F. Pain assessment is important but may not always indicate an immediate life-threatening issue. However, uncontrolled pain or new-onset severe pain can signal a complication, such as infection or tissue damage, which needs prompt attention.
Correct Answer is D
Explanation
A. Encourage active range of motion exercises is incorrect. Active range of motion exercises should be avoided during a bleeding episode, as it may exacerbate the bleeding or cause further injury. Hemophilia requires rest and stabilization during bleeding episodes.
B. Administer antibiotics as prescribed is incorrect. Antibiotics are typically not needed for bleeding episodes unless there is a risk of infection from a wound. The primary concern during a bleeding episode is managing the bleeding, not preventing infection.
C. Apply heat to the affected area is incorrect. Heat is not recommended during a bleeding episode as it can increase blood flow and worsen bleeding. Instead, ice may be applied to help control bleeding and reduce swelling.
D. Administer factor replacement therapy as prescribed is correct. The priority in managing bleeding in a child with hemophilia is to administer factor replacement therapy, which helps to replace the missing clotting factors in the blood, enabling proper clot formation and stopping the bleeding.
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