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.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
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
Correct Answer: 2, 3, 5
Rationale 1: The client stumbles and falls for no apparent reason is incorrect because this 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 is incorrect because this 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. The client stumbles and falls for no apparent reason is incorrect because this describes an atonic seizure. The client experiences alternating contraction and relaxation of muscles is incorrect because this describes the clonic phase of a tonic-clonic seizure.
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