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2.5 CE Test Hours

Epilepsy Update, Part 2

Nursing Care and Evidence-Based Treatment

Contrada, Emily

AJN The American Journal of Nursing: June 2015 - Volume 115 - Issue 6 - p 45,46
doi: 10.1097/01.NAJ.0000466319.61687.d4
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GENERAL PURPOSE:

To provide information on how to promote good health and quality of life in patients who have epilepsy.

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LEARNING OBJECTIVES:

After reading this article and taking this test, you will be able to

  • recognize current medical, surgical, neurostimulatory, and dietary approaches to epilepsy treatment.
  • identify teaching points for patients with epilepsy and their families and caregivers.
  1. In an initial interview with a patient with epilepsy, which of the following questions should nurses ask first?
    1. “How is epilepsy affecting your quality of life?”
    2. “What is your biggest concern about your epilepsy?”
    3. “Is your family able to care for you when you have seizures?”
  2. Nurses should remind patients with epilepsy to have a written seizure treatment plan that
    1. they revise frequently.
    2. includes advance directives.
    3. they carry with them at all times.
  3. In which of the following time periods do many parents feel that they can handle their child's epilepsy care issues but remain uncertain about their child's future?
    1. during the first year after diagnosis
    2. during the first 5 years following diagnosis
    3. after the first 5 years following diagnosis
  4. Which of the following antiepileptic drugs (AEDs) is a poor choice for young women because of its adverse effects, such as the risk of polycystic ovary syndrome?
    1. topiramate
    2. divalproex
    3. carbamazepine
  5. Which of these AEDs may be a poor choice for patients who have cognitive difficulties, kidney stones, or anorexia?
    1. topiramate
    2. levetiracetam
    3. carbamazepine
  6. Which of these AEDs is associated with life-threatening skin disorders in patients who have the human leukocyte antigen allele HLA-B*1502?
    1. topiramate
    2. divalproex
    3. carbamazepine
  7. According to the Neurocritical Care Society, which drug may be a good choice for treating refractory status epilepticus?
    1. valproate
    2. phenytoin
    3. lorazepam
  8. Minimally invasive, image-guided laser ablation of epileptogenic brain tissue describes which of the following types of epilepsy surgery?
    1. resective
    2. ablative
    3. disconnection
  9. According to a recent analysis of epilepsy surgery outcomes, the most common complication following surgery involving the temporal lobe is
    1. vomiting.
    2. depression.
    3. hematoma.
  10. Of the following complications, which is most common after hemispherectomy?
    1. dysphasia
    2. hydrocephalus
    3. aseptic meningitis
  11. According to a 2005 meta-analysis of long-term epilepsy surgery outcomes, after which surgery did the highest median proportion of patients attain long-term seizure freedom?
    1. temporal lobe resection
    2. multiple subpial resection
    3. frontal lobe resection
  12. A common adverse effect during vagus nerve stimulation, especially during the initial adjustment phase, is
    1. a headache.
    2. vision change.
    3. voice change.
  13. Among the most common adverse effects of responsive neurostimulation is
    1. insomnia.
    2. dizziness.
    3. palpitations.
  14. The classic epilepsy diet is high in
    1. fat.
    2. protein.
    3. carbohydrate.
  15. The length of epilepsy diet treatment is typically
    1. 6 months.
    2. about 1 year.
    3. 2 or more years.
  16. Among possible adverse effects of the epilepsy diet is
    1. hyperglycemia.
    2. loss of bone density.
    3. peripheral edema.
  17. According to the article, medical marijuana
    1. continues to be explored as a treatment option for epilepsy.
    2. has been ruled out as beneficial for the treatment of epilepsy in adults.
    3. is recommended by the American Pediatric Association for the treatment of epilepsy in children.
  18. First-aid instructions for a seizure include which of the following?
    1. Time the seizure.
    2. Restrain the person during the seizure.
    3. Turn the person on her or his back during the seizure.
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