A child has had an episode of lip smacking while staring into space, but did not seem to lose consciousness. She was confused afterward but said her hands felt tingly before the other symptoms started. How should the nurse document this event?
A.
Alteration in consciousness
B.
Convulsion
C.
Focal seizure
D.
Generalized seizure
ANS: C
A focal seizure involves only one part of the brain and manifests with involuntary movements, sensory symptoms, possible staring into space, no loss of consciousness, and confusion afterward. "Alteration in consciousness" is too vague in this case to be a useful description. "Convulsion" is an outdated term. A generalized seizure involves both hemispheres of the brain and manifestations usually include loss of consciousness and tonic-clonic movements.
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