The nurse observes increased eye blinking and lip smacking in a client who has a history of absence seizures.
The nurse is aware these symptoms indicate:
Automatisms associated with this type of seizure.
The client may have been exposed to a neurotoxin.
An electrolyte imbalance, likely hyponatremia.
A reversible adverse effect of anticonvulsant drugs.
The Correct Answer is A
Choice A rationale
Automatisms, such as eye blinking and lip smacking, are repetitive, involuntary movements commonly associated with absence seizures. They occur due to brief interruptions in consciousness during seizure activity without major motor involvement.
Choice B rationale
Neurotoxin exposure typically presents with symptoms like weakness, ataxia, and autonomic dysfunction. Increased eye blinking and lip smacking are not specific to neurotoxin-related neurological damage or poisoning.
Choice C rationale
Hyponatremia causes confusion, lethargy, and muscle cramps due to electrolyte disturbance affecting cellular function, but it does not cause specific automatisms like eye blinking or lip smacking in seizure-related conditions.
Choice D rationale
Reversible adverse effects of anticonvulsants often include sedation or cognitive slowing. Automatisms such as blinking and smacking are not typically linked to the pharmacological effects of anticonvulsants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2525"]
Explanation
Step 1 is calculate intake from lactated Ringer’s: 150 mL/hr × 9 hrs = 1350 mL.
Step 2 is calculate cefazolin intake: 100 mL × 1 dose = 100 mL.
Step 3 is calculate intake from two units of packed RBCs: 275 mL + 250 mL = 525 mL.
Step 4 is calculate intake from two IV boluses: 250 mL × 2 = 500 mL.
Step 5 is calculate intake from ranitidine infusion: 50 mL × 1 dose = 50 mL.
Step 6 is calculate total intake: 1350 mL + 100 mL + 525 mL + 500 mL + 50 mL = 2525 mL. Final calculated intake is 2525 mL.
Correct Answer is ["56"]
Explanation
Step 1 is (250 mL ÷ 90 min) × 20 gtt/mL.
Step 2 is (2.777 mL/min × 20 gtt/mL).
Step 3 is 55.55 gtts/min. The final calculated answer is 56 gtts/min.
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