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 ["A","B","C","D","E","F"]

Explanation

A. Administer benzodiazepine medication. – Correct. Benzodiazepines (e.g., lorazepam, diazepam) are first-line treatments for prolonged seizures.

B. Perform neurological checks. – Correct. Monitoring postictal status helps assess brain function.

C. Reorient and calm the child. – Correct. After the seizure, the child may be confused and require reassurance.

D. Position the child in a side-lying position. – Correct. This prevents aspiration and maintains a clear airway.

E. Restrict the child's movements during the seizure. – Incorrect. Restraining can cause injury. Instead, protect the child from harm by removing nearby objects.

F. Document the duration and characteristics of the seizure. – Correct. Recording seizure length, activity, and triggers is crucial for medical management.

A. Respiratory Rate B. Bowel Sounds C. Burns of the mouth D. Visual Acuity

Correct Answer is A

Explanation

A. Respiratory Rate – Correct. Hydrocarbon poisoning (such as kerosene ingestion) primarily affects the lungs and can lead to aspiration pneumonia, respiratory distress, and chemical pneumonitis.

B. Bowel Sounds – Incorrect. While gastrointestinal effects may occur, they are not the primary concern.

C. Burns of the mouth – Incorrect. Kerosene does not typically cause burns like caustic substances such as acids or alkalis.

D. Visual Acuity – Incorrect. Kerosene does not directly affect vision.

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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

A nurse is caring for a child with a seizure in the hospital. Which nursing interventions are appropriate for this child? (Select All that Apply.)

Correct Answer is ["A","B","C","D","E","F"]

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Correct Answer is A

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