A nurse assesses a client who is experiencing an absence seizure. For which clinical manifestations should the nurse assess? (Select all that apply.)
a. Intermittent rigidity
b. Lip smacking
c. Sudden loss of muscle tone
d. Brief jerking of the extremities
e. Picking at clothing
f.
Patting of the hand on the leg
ANS: B, E, F
Automatisms are characteristic of absence seizures. These behaviors consist of lip smacking, picking at clothing, and patting. Rigidity of muscles is associated with the tonic phase of a seizure, and jerking of the extremities is associated with the clonic phase of a seizure. Loss of muscle tone occurs with atonic seizures.
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