36. A nurse is assessing a child who has experienced a febrile seizure. Which of the following factors should the nurse identify as the cause of the seizure?

Trauma to the head or neck area causing a concussion.

Structural brain lobe defect since birth.

Sudden rise in body temperature due to inflammation or infection.

Pooling of blood in a cerebral space.

Answer and Explanation

The Correct Answer is C

A. Trauma to the head or neck area causing a concussion. – Incorrect. Febrile seizures are not caused by trauma.

B. Structural brain lobe defect since birth. – Incorrect. Febrile seizures are not related to congenital brain defects.

C. Sudden rise in body temperature due to inflammation or infection. – Correct. Febrile seizures occur when a child’s temperature rises rapidly, often due to a viral or bacterial infection.

D. Pooling of blood in a cerebral space. – Incorrect. This refers to intracranial hemorrhage, not febrile seizures.

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Correct Answer is B

Explanation

A. Influenza vaccine – Incorrect. The inactivated influenza vaccine is safe and recommended.

B. MMR vaccine and Varicella vaccine – Correct. Live vaccines should be avoided for 11 months after receiving IV immunoglobulin therapy for Kawasaki disease, as it can interfere with vaccine efficacy.

C. Polio vaccine – Incorrect. The inactivated polio vaccine (IPV) is safe; however, the oral live polio vaccine (OPV) is not recommended in some cases.

D. Hepatitis vaccine – Incorrect. The hepatitis B vaccine is not a live vaccine and can be safely given.

A. Presence of dance sign B. Always seems full C. Projectile vomiting D. Excessive weight gain

Correct Answer is C

Explanation

A. Presence of Dance sign. – Incorrect. Dance sign (absence of bowel sounds in the right lower quadrant) is associated with intussusception, not pyloric stenosis.

B. Always seems full. – Incorrect. Babies with pyloric stenosis initially feed well but develop progressive vomiting and hunger after feeds.

C. Projectile vomiting. – Correct. Pyloric stenosis causes forceful, non-bilious projectile vomiting due to gastric outlet obstruction.

D. Excessive weight gain. – Incorrect. Infants with pyloric stenosis typically experience weight loss or poor weight gain due to vomiting.

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36. A nurse is assessing a child who has experienced a febrile seizure. Which of the following factors should the nurse identify as the cause of the seizure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which live vaccines should be avoided for 11 months in a child diagnosed with Kawasaki disease?

Correct Answer is B

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Correct Answer is C

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