What are the defining characteristics the nurse assesses for in status epilepticus? (Select all that apply):

Rationale: A. Full tonic-clonic seizure activity is correct because status epilepticus often involves generalized tonic-clonic seizures, which are the most recognizable and severe form of seizure activity. Continuous or repeated tonic-clonic activity can cause hypoxia, hypotension, and metabolic disturbances, making rapid intervention critical. B. Seizure activity that lasts for 2 minutes or longer is incorrect because a seizure lasting 2 minutes is prolonged but does not meet the definition of status epilepticus, which typically requires a longer duration or repeated seizures without recovery. C. Two or more sequential seizures occur without full recovery of consciousness between seizures is correct because status epilepticus can occur as repeated seizures without regaining consciousness, which is a defining characteristic. This pattern leads to cumulative neuronal injury and systemic complications. D. Seizure activity that lasts for greater than 60 minutes is incorrect because the formal definition of status epilepticus does not require 60 minutes of continuous seizure activity. Intervention is indicated much earlier, usually after 5 minutes of continuous seizure activity, to prevent long-term neurological damage. E. Seizure activity that lasts for 30 minutes or longer is correct because prolonged seizures ≥30 minutes are consistent with status epilepticus and pose significant risk for permanent brain injury. Modern definitions often use ≥5 minutes for initiation of treatment, but 30 minutes represents severe ongoing status epilepticus.