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Seizure Disorders and Epilepsy Management Flashcards

6 cards from real CNRN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A patient with a known seizure disorder reports an aura of a strange smell before their seizures. This type of aura localizes to which brain region?

    Answer: Temporal lobe (uncus)

    Olfactory auras (strange smells) localize to the medial temporal lobe (uncus), a common focus for temporal lobe epilepsy.

  2. Levetiracetam (Keppra) is frequently used as an antiseizure medication in neuroscience units. The nurse monitors for which MOST COMMON behavioral side effect?

    Answer: Irritability, agitation, and mood changes ('Keppra rage')

    Levetiracetam commonly causes irritability, agitation, and mood changes (colloquially called 'Keppra rage'), particularly in patients with prior psychiatric history.

  3. Which antiseizure medication requires routine monitoring of sodium levels due to its potential to cause hyponatremia?

    Answer: Carbamazepine (Tegretol)

    Carbamazepine can cause syndrome of inappropriate antidiuretic hormone (SIADH) leading to hyponatremia, requiring regular sodium monitoring.

  4. A patient with epilepsy is admitted after a breakthrough seizure. Which factor should the nurse assess FIRST as the most common cause of breakthrough seizures?

    Answer: Antiseizure medication non-compliance

    Non-compliance with antiseizure medication is the most common cause of breakthrough seizures in patients with established epilepsy.

  5. The nurse is caring for a patient in refractory status epilepticus requiring continuous EEG monitoring. The therapeutic goal of treatment is to achieve:

    Answer: Burst suppression pattern

    In refractory status epilepticus, treatment with anesthetic agents aims to achieve burst suppression on EEG, indicating adequate seizure suppression.

  6. Which vagus nerve stimulator (VNS) feature allows patients or caregivers to deliver an additional stimulation during a seizure?

    Answer: Magnet-activated stimulation

    Swiping a magnet over the VNS device delivers an on-demand stimulation that may abort or shorten a seizure.

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