The nurse is caring for a client who has been diagnosed with complex partial seizures. Which symptoms would the client be likely to experience with a complex partial seizure?(Select all that apply.)
1. The client stumbles and falls for no apparent reason.
2. A period of brief confusion following the seizure.
3. Seizure is preceded by an aura.
4. The client experiences alternating contraction and relaxation of muscles.
5. A period of brief somnolence following the seizure.
2, 3, 5
Rationale 1:The client stumbles and falls for no apparent reason describes an atonic seizure.
Rationale 2: A period of brief confusion following the seizure occurs with complex partial seizures.
Rationale 3: Complex partial seizures are often preceded by an aura.
Rationale 4: The client experiences alternating contraction and relaxation of muscles describes the clonic phase of a tonic-clonic seizure.
Rationale 5: A period of brief somnolence following the seizure occurs with complex partial seizures.
Global Rationale: Complex partial seizures are characterized by an aura before the seizure and a brief period of both confusion and somnolence following the seizure. Total loss of consciousness many not occur during a complex partial seizure.
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