A nurse assesses a client with a history of epilepsy who experiences stiffening of the muscles of the arms and legs,followed by an immediate loss of consciousness and jerking of all extremities.How should the nurse document this activity?

Question

Quizplus · Accepted Answer

Seizure activity that begins with stiffening of the arms and legs,followed by loss of consciousness and jerking of all extremities,is characteristic of a tonic-clonic seizure.An atonic seizure presents as a sudden loss of muscle tone followed by postictal confusion.A myoclonic seizure presents with a brief jerking or stiffening of extremities that may occur singly or in groups.Absence seizures present with automatisms,and the client is unaware of his or her environment.

A Nurse Assesses a Client with a History of Epilepsy