Critical Care Registered Nurse (CCRN) Practice Exam

What is essential for the management of a patient with newly diagnosed epilepsy?

1. Immediate surgical intervention

2. Long-term hospitalization

3. Initiation of anti-seizure medications

4. Continual imaging studies every month

The correct answer is: Initiation of anti-seizure medications

Initiation of anti-seizure medications is essential for the management of a patient with newly diagnosed epilepsy because these medications are the cornerstone of epilepsy treatment. They work by stabilizing neuronal activity in the brain, effectively reducing the frequency and severity of seizures. Starting treatment as soon as possible after diagnosis is crucial for controlling seizures and preventing potential complications, such as injuries from seizures or progressing towards uncontrolled epilepsy. In most cases, the goal is to achieve seizure freedom with minimal side effects from the medication. The choice of specific anti-seizure medication may depend on various factors, including the type of seizures, patient's age, sex, other medical conditions, and potential interactions with other medications. The other options do not serve as immediate or essential interventions in the management of newly diagnosed epilepsy. Surgical interventions are reserved for patients who do not respond to medical therapy. Long-term hospitalization is not typically necessary unless there are complications or severe medical issues that require close monitoring. Continual imaging studies every month are not required; imaging is generally conducted at the time of diagnosis to identify any structural abnormalities, and routine monitoring depends on the clinical situation and response to treatment.