A school-aged child is brought to the clinic by her parents. The parents state that the child will be engaged in some activity at home and then will just stop suddenly for a few seconds and then pick up the activity again as if there had been no break in what she was doing. This child should be assessed for what neurological disorder?
Myoclonic seizures
Absence seizures
Status epilepticus
Tonic-clonic seizures
The Correct Answer is B
A. Myoclonic seizures are characterized by sudden, brief muscle jerks or twitches. These
movements are usually more pronounced and may involve multiple muscle groups compared to the described behavior, which involves a brief pause in activity without muscle jerks.
B. Absence seizures are characterized by brief episodes of staring or blanking out, often lasting for a few seconds. During an absence seizure, the child may appear to be staring into space, unaware of their surroundings. After the seizure, the child typically resumes their previous
activity without any memory of the event.
C. Status epilepticus refers to a prolonged seizure or a series of seizures without full recovery of consciousness between seizures. This condition is a medical emergency and presents with continuous or recurrent seizures without regaining consciousness.
D. Tonic-clonic seizures involve a sequence of tonic (stiffening) and clonic (jerking) phases, often accompanied by loss of consciousness and sometimes preceded by an aura. The described behavior does not fit the pattern of a tonic-clonic seizure, which typically involves more noticeable motor activity and loss of consciousness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dantrolene injection, a skeletal muscle relaxant: The patient is exhibiting signs of malignant hyperthermia, a potentially life-threatening complication of anesthesia. Dantrolene is the primary treatment for malignant hyperthermia as it acts as a skeletal muscle relaxant, reducing muscle rigidity and hypermetabolism associated with the condition.
B. Cardiopulmonary resuscitation (CPR) and intubation: While the patient is experiencing significant physiological distress, initiating CPR and intubation would be premature without first addressing the underlying cause, which appears to be malignant hyperthermia.
C. An anticholinesterase drug, such as neostigmine: Anticholinesterase drugs like neostigmine are not indicated for the treatment of malignant hyperthermia.
D. Naltrexone hydrochloride injection, an opioid reversal drug: Naltrexone is used for opioid overdose reversal and is not appropriate for the treatment of malignant hyperthermia.
Correct Answer is B
Explanation
A. Diarrhea is not typically associated with ergotamine toxicity. Gastrointestinal symptoms such as nausea and vomiting are more common adverse effects of ergotamine use.
B. Delirium is a potential sign of ergotamine toxicity. At toxic levels, ergotamine can cause central nervous system symptoms such as confusion, hallucinations, and delirium.
C. Hypotension may occur as an adverse effect of ergotamine due to its vasoconstrictive properties. However, hypotension alone may not indicate ergotamine toxicity.
D. Bradycardia is not a typical adverse effect of ergotamine. Ergotamine is more commonly associated with vasoconstriction and can lead to hypertension or tachycardia rather than bradycardia.
A. Diarrhea is not typically associated with ergotamine toxicity. Gastrointestinal symptoms such as nausea and vomiting are more common adverse effects of ergotamine use.
B. Delirium is a potential sign of ergotamine toxicity. At toxic levels, ergotamine can cause central nervous system symptoms such as confusion, hallucinations, and delirium.
C. Hypotension may occur as an adverse effect of ergotamine due to its vasoconstrictive properties. However, hypotension alone may not indicate ergotamine toxicity.
D. Bradycardia is not a typical adverse effect of ergotamine. Ergotamine is more commonly associated with vasoconstriction and can lead to hypertension or tachycardia rather than bradycardia.
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