A nurse is monitoring a client who has a seizure disorder. The nurse observes that the client has brief episodes of staring, blinking, and lip smacking. The nurse should document this type of seizure as:

Tonic-clonic seizure

Absence seizure

Myoclonic seizure

Atonic seizure

Answer and Explanation

The Correct Answer is B

Choice A reason:

This is an incorrect answer. A tonic-clonic seizure (also known as a grand mal seizure) is characterized by alternating phases of muscle rigidity and jerking movements, along with loss of consciousness and postictal confusion.

Choice B reason:

This is a correct answer. An absence seizure (also known as a petit mal seizure) is characterized by brief episodes of staring, blinking, lip smacking, or other subtle movements, along with impaired awareness and no postictal confusion.

Choice C reason:

This is an incorrect answer. A myoclonic seizure is characterized by sudden, brief, and irregular muscle contractions, usually involving the arms, legs, or trunk.

Choice D reason:

This is an incorrect answer. An atonic seizure (also known as a drop attack) is characterized by sudden loss of muscle tone, resulting in falling or collapsing.

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Correct Answer is A

Explanation

Choice A reason:

This is a correct answer. Elevating the head of the bed to 30 degrees helps to reduce ICP by facilitating venous drainage from the brain and decreasing cerebral edema.

Choice B reason:

This is an incorrect answer. Administering morphine sulfate for pain relief can increase ICP by causing vasodilation, respiratory depression, and increased carbon dioxide levels in the blood.

Choice C reason:

This is an incorrect answer. Encouraging coughing and deep breathing exercises can increase ICP by increasing intrathoracic pressure, which impedes venous drainage from the brain.

Choice D reason:

This is an incorrect answer. Performing passive range of motion exercises can increase ICP by stimulating the sympathetic nervous system, which increases blood pressure and cerebral blood flow.

A. Loss of sensation below the waist B. Paralysis of the lower extremities C. Impaired bladder and bowel control D. Difficulty swallowing E. Decreased sweating and shivering

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the sensory nerves that innervate the lower half of the body, resulting in loss of sensation below the waist.

Choice B reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the motor nerves that innervate the lower half of the body, resulting in paralysis of the lower extremities.

Choice C reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the autonomic nerves that innervate the bladder and bowel, resulting in impaired bladder and bowel control.

Choice D reason:

This is an incorrect answer. A spinal cord injury at the level of T6 does not affect the cranial nerves that innervate the pharynx and esophagus, which are responsible for swallowing.

Choice E reason:

This is a correct answer. A spinal cord injury at the level of T6 affects the autonomic nerves that innervate the sweat glands and thermoregulatory centers, resulting in decreased sweating and shivering.

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A nurse is monitoring a client who has a seizure disorder. The nurse observes that the client has brief episodes of staring, blinking, and lip smacking. The nurse should document this type of seizure as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has increased intracranial pressure (ICP) due to a brain tumor. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is assessing a client who has a spinal cord injury at the level of T6. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

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