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Exam (elaborations)

NUR4445 Neurologic System Exam Latest Update

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NUR4445 Neurologic System Exam Latest Update ...

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  • September 24, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • what are seizures
  • NUR4445
  • NUR4445
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Zayla
NUR4445 Neurologic System
Exam Latest Update

What are seizures? What is epilepsy and what can cause it (8)? - Answer - abnormal
electrical discharge in the brain

- Epilepsy is a chronic condition.

- Causes:

1. CNS insult

2. fever

3. infection

4. cardiac anomalies

5. trauma

6. hypoxia

7. ingestion of toxic substances

8. brain tumor

How do you intervene when a child is having a seizure (4)? - Answer - Nothing in the
mouth!

- Possible jaw thrust for patent airway

- Place on side (number one priority is airway so move them to prevent aspiration)

- suction, O2, ventilate prn

What do we do if a seizure doesn't spontaneously resolve (2)? What safety measures do
we implement and what do we monitor? - Answer - cardiac monitor

- IV/ IM meds (benzo, diazepam (valium) or lorazepam (ativan)(available in suppository).

- Safe environment with padded rails on bed/ keep side rails up

- Periodic drug serum levels to monitor.

What safety measures should we teach parents of children with seizures (6)? - Answer -
Water safety

, - helmet

- caution around fires

- fall risk/ precaution

- medical alert bracelet

- education on medication adherence.

What is a partial (focal) seizure? What do S/S look like? - Answer - Abnormal electrical
impulse in one area of the brain

- Symptoms depend on where in the brain the activity occurs

What is a simple partial seizure? What does it look like? - Answer - single area of the
brain with single muscle movement or sensory alteration.

- No LOC. (fade out then fade in)

What is a complex partial seizure? What are the S/S (9)? - Answer - psychomotor

- LOC occurs

- hallucinations (aura)

- mental distortions

- personality changes

- loss of social inhibition

- involuntary bladder/bowel

- chewing motions

- explosive emotions then seizure.

What is a generalized seizure? What are the different types (3)? - Answer - throughout
the brain, bilateral and symmetrical symptoms, consciousness impaired.

- Tonic-clonic

- Absence

- Myoclonic

Tonic-clonic seizure - Answer dramatic muscle contraction and LOC followed by
recovery period with confusion and exhaustion

Absence seizure - Answer brief (5-10 sec) period of LOC, can be up to 45 sec.

Myoclonic seizure - Answer short period of muscle contractions. Rare, usually a

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