Review Practice Exercise 6

Exam Review

Practice Exercise 6

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Total Questions : 2

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Question 1:

A patient's seizure has lasted for 6 minutes without stopping. The nurse recognizes that this is a medical emergency requiring immediate intervention to prevent brain damage. This condition is known as:

A. Atony B. Focal impaired awareness seizure C. Status epilepticus D. Post-ictal amnesia

Answer and Explanation

Choice A:

Atony refers to loss of muscle tone, not a prolonged seizure state.

Choice B:

Focal impaired awareness seizures typically last 30 seconds to 2 minutes and do not meet the duration criteria for status epilepticus.

Choice C:

Status epilepticus is defined as a seizure lasting longer than 5 minutes or recurrent seizures without full recovery of consciousness in between. It is a neurological emergency because prolonged seizure activity can lead to permanent brain injury, systemic complications, and even death if not treated promptly.

Choice D:

Post-ictal amnesia is a period of confusion or memory loss following a seizure, not a continuous seizure condition.

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Question 2:

The nurse is providing education to a patient with a new diagnosis of epilepsy about the potential complications. Which of the following psychosocial issues should the nurse discuss? Select all that apply

A. Risk of depression and anxiety B. Importance of joining a support group C. Social isolation and stigma D. Potential for Sudden Unexpected Death in Epilepsy (SUDEP) E. Difficulty with employment and driving restrictions

Answer and Explanation

Choice A:

Depression and anxiety are common in people with epilepsy due to neurological changes, medication effects, and psychosocial stressors, and should be regularly assessed and addressed.

Choice B:

While joining a support group is a helpful strategy, it is an intervention, not a psychosocial complication of epilepsy.

Choice C:

Social isolation and stigma often result from misunderstanding of epilepsy and fear of seizures occurring in public, which can negatively impact self-esteem and relationships.

Choice D:

SUDEP is a rare but serious complication that patients and families should be informed about, especially if seizures are uncontrolled or frequent.

Choice E:

Employment challenges and driving restrictions due to safety concerns can significantly affect quality of life and independence in people with epilepsy.

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Practice Exercise 6

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