The nurse has completed education to the parents of a child newly diagnosed with tonic-clonic seizures. Which comments made by the parents would the nurse evaluate as indicating need for further education?
1. "Some of the times when I thought he was ignoring me may have actually been seizure activity."
2. "He just needs to focus more to prevent these attacks."
3. "I know he will outgrow these seizures with time."
4. "I hope we can help our son identify his seizure aura."
5. "We will watch for the development of status epilepticus."
Correct Answer: 1,2,3
Rationale 1: Behavior that manifests as the child ignoring outside stimuli is most likely absence seizure, which is different from tonic-clonic seizure.
Rationale 2: The patient who suffers seizure disorder cannot prevent seizure occurrence by focusing harder.
Rationale 3: The patient with tonic-clonic seizure disorder is less likely to outgrow them than the patient with absence seizure disorder.
Rationale 4: Many patients experience an aura prior to the tonic-clonic phase. Identifying the aura can provide time for the patient to move to a safe area, notify another person of the impending seizure, and to prepare.
Rationale 5: Status epilepticus is a medical emergency that may occur in the patient who suffers tonic-clonic seizure disorder.
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