Prescribing Safety Assessment (PSA) Practice Exam

What initial assessment should be performed when managing a seizure?

1. A-E Assessment

2. Cardiac Assessment

3. Neurological Assessment

4. Psychological Assessment

The correct answer is: A-E Assessment

The initial assessment when managing a seizure focuses on the A-E assessment, which stands for Airway, Breathing, and Circulation. This systematic approach is essential because, during or immediately after a seizure, the patient may be at risk for compromised airway patency, reduced oxygenation, and potential circulatory issues. In the context of a seizure, these parameters must be evaluated first to ensure the patient is stable. Assessing the airway is critical, as seizures can lead to loss of consciousness and may cause the patient to become unable to protect their airway, leading to the risk of aspiration or suffocation. Additionally, monitoring breathing and circulation helps to identify and manage any potential respiratory difficulties or cardiovascular concerns that could arise during or after the seizure. Other assessments, such as a cardiac or neurological assessment, while undoubtedly important, would typically follow the initial A-E assessment. A psychological assessment, although valuable in understanding the patient's overall mental health and potential stressors contributing to seizure activity, is not a priority in the acute management phase. The A-E assessment effectively establishes a foundation for further medical care, ensuring the patient’s immediate needs are addressed before proceeding with more specific evaluations.