Author Question: The patient has a seizure that causes rhythmic twitching of the left hand for 90 seconds with no ... (Read 32 times)

clippers! · **on:** Jul 23, 2018

The patient has a seizure that causes rhythmic twitching of the left hand for 90 seconds with no loss of consciousness and then stops.

The nurse notes this same action repeated many times throughout the day and documents this as what type of seizure? A) Myoclonic seizure
B) Jacksonian seizure
C) Psychomotor seizure
D) Simple partial seizure

Question 2

A 50-year-old female patient received atropine and meperidine (Demerol) preoperatively. After surgery, the patient complains of mouth dryness. What is the nurse's best response?

A) Preoperative medications decrease saliva production but it is temporary and will improve.
B) This is the result of all of the blood and fluid you lost during surgery.
C) You are probably dehydrated. The IV fluids you are receiving will correct the problem.
D) The preoperative medication causes an electrolyte imbalance making your mouth feel dry.

johnharpe · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
This patient is having simple partial seizures, which occur in a single area of the brain and may involve a single muscle movement or sensory alteration. Myoclonic seizures involve short, sporadic periods of muscle contractions that last for several minutes. Jacksonian seizures begin in one area of the brain and involve one part of the body and then progressively spread to other parts of the body; they can develop into generalized tonicclonic seizures. Psychomotor seizures are complex seizures that involve sensory, motor, and psychic components.

Answer to Question 2

A
Feedback:
Patients receiving anticholinergic drugs must be monitored for dry mouth, difficulty swallowing, constipation, urinary retention, tachycardia, pupil dilation and photophobia, cycloplegia and blurring of vision, and heat intolerance caused by a decrease in sweating.