When taking the health history on a patient with a seizure ...

[storky111]

When taking the health history on a patient with a seizure disorder, the nurse assesses whether the patient has an aura. Which of these would be the best question for obtaining this information?
 
  a. Does your muscle tone seem tense or limp?
  b. After the seizure, do you spend a lot of time sleeping?
  c. Do you have any warning sign before your seizure starts?
  d. Do you experience any color change or incontinence during the seizure?

Question 2

During the taking of the health history, a patient tells the nurse that it feels like the room is spinning around me. The nurse would document this finding as:
 
  a. Vertigo.
  b. Syncope.
  c. Dizziness.
  d. Seizure activity.

[parshano]

Answer to Question 1

ANS: C
Aura is a subjective sensation that precedes a seizure; it could be auditory, visual, or motor. The other questions do not solicit information about an aura.

Answer to Question 2

ANS: A
True vertigo is rotational spinning caused by a neurologic dysfunction or a problem in the vestibular apparatus or the vestibular nuclei in the brainstem. Syncope is a sudden loss of strength or a temporary loss of consciousness. Dizziness is a lightheaded, swimming sensation. Seizure activity is characterized by altered or loss of consciousness, involuntary muscle movements, and sensory disturbances.

[storky111]

Thank you

[parshano]

Happy to help you