NURS 6501: Week 7 Quiz:
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Question 10
Which one of the following symptoms is typically associated with generalized tonic-clonic seizures?
- Awareness/consciousness is maintained
- Automatisms, like lip-smacking
- Postictal confusion
- Tingling sensations in the extremities
Correct answer: Postictal confusion
Explanation:
Generalized tonic-clonic seizures (also known as grand mal seizures) involve:
- Loss of consciousness at onset
- A tonic phase (sustained muscle contraction)
- Followed by a clonic phase (rhythmic jerking)
After the seizure ends, patients typically enter a postictal state, which may include:
- Confusion
- Fatigue
- Headache
- Sometimes amnesia for the event
Why the other options are incorrect:
- Awareness/consciousness is maintained
→ This is not true for generalized tonic-clonic seizures. Consciousness is lost. - Automatisms, like lip-smacking
→ Seen in focal seizures with impaired awareness (formerly complex partial seizures), not tonic-clonic. - Tingling sensations in the extremities
→ These are sensory auras, often seen in focal seizures, particularly from the parietal lobe.
Remember:
The hallmark of generalized tonic-clonic seizures is a loss of consciousness and postictal confusion.