Try Magic Notes and save time.Try it free
Try Magic Notes and save timeCrush your year with the magic of personalized studying.Try it free

Hesi Case Study Seizure Disorder

2.7 (19 reviews)
Get a hint
A man sitting across from Alanna starts having a seizure. His entire body is rigid, his arms and legs are contracting and relaxing, and he is making guttural sounds. Alanna yells for the nurse, who immediately comes into the waiting room.

1. Prioritize the nursing actions:
Click the card to flip 👆
1 / 28
1 / 28
Terms in this set (28)
A man sitting across from Alanna starts having a seizure. His entire body is rigid, his arms and legs are contracting and relaxing, and he is making guttural sounds. Alanna yells for the nurse, who immediately comes into the waiting room.

1. Prioritize the nursing actions:
1st Safely move the client to the floor.
2nd Push the furniture away from the client.
3rd Remove people from the waiting room.
4th Assess the client's blood pressure.
After initial interventions are implemented, the man continues to have a tonic-clonic seizure.

2. What action should the nurse implement next?
Note the time, duration, and type of seizure
After the man's seizure activity stops he is moved to a private room. The client had a 3 minute seizure, has no apparent injuries and is oriented to name, place, and time, but is very lethargic.

3. Which intervention should the nurse implement?
Turn him to the side and allow the client to sleep
The nurse asks Alanna why she has been referred. Alanna reports that 2 weeks ago her roommate foundher passed out on the floor. Alanna states she could not remember what happened but thought it might be because she had not been eating right. Then, last week Alanna's roommate found her making unusualsounds and noticed that her arms and legs were jerking. At that time she was taken to the emergency de-partment. She has her emergency room records and her past history medical records from her family healthcare provider.

4. To help determine why the seizure activity started, which question should the nurse ask Alanna?
"Have you ever had any type of head injury?
"Do you have a history of drinking alcohol?"
Alanna responds to the nurse's questions, and then tells the nurse that someone has been talking to her about seizures and asked her if she had aura with her seizure. She asks the nurse, "What is an aura?"

5. Which response by the nurse is correct?
"It is a visual or auditory warning that the seizure is about to start."