Which of the following clients may be experiencing a sensory focal seizure that has sent an abnormal cortical discharge to the autonomic nervous system (ANS)?
A)
A 44-year old patient complaining of constant movement and pain in the legs that gets worse when he tries to sleep
B)
An 85-year-old patient experiencing drooping of the right side of the face and numbness in the right arm and leg
C)
A 56-year-old complaining of tingling sensations and has both an elevated pulse and BP
D)
A 22-year-old complaining of a stiff neck and achiness, along with some nausea and vomiting
Ans:
C
Feedback:
Sensory symptoms correlate with the location of seizure activity on the contralateral side of the brain and may involve somatic sensory disturbance (tingling). With abnormal cortical discharge stimulating ANS, tachycardia, diaphoresis, hypo- or hypertension, or papillary changes may be evident. Distracter A is associated with restless legs syndrome (RLS). Distracter B is associated with stroke (CVA). Distracter D is associated with meningitis.
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