A child with epilepsy has been seizure free for 2 years. A father asks the nurse how much longer the child will need to take the anti-seizure medications. The nurse includes which of the following in the response?
A step-wise approach will be used to reduce the dosage gradually.
Your child will always suffer seizures
This is always a hereditary disorder
Only her male offspring will experience seizures
The Correct Answer is A
A) A step-wise approach will be used to reduce the dosage gradually.
Explanation:
After a certain period of seizure control, a healthcare provider may consider gradually tapering and discontinuing anti-seizure medications in consultation with the child's neurologist. This is often done in a step-wise manner to monitor the child's condition and minimize the risk of seizure recurrence. Stopping anti-seizure medications abruptly can increase the risk of seizures returning. Therefore, the response provided in option A is the most accurate and relevant to the situation.
The other options are incorrect:
B) Your child will always suffer seizures:
This statement is not accurate, as some children with epilepsy can achieve long-term seizure control with appropriate treatment. Epilepsy management varies from person to person, and many individuals can experience extended periods of seizure freedom.
C) This is always a hereditary disorder:
Epilepsy can have both genetic and non-genetic causes. While there are genetic forms of epilepsy, not all cases are hereditary. Epilepsy can be caused by a variety of factors, including brain injuries, infections, and other medical conditions.
D) Only her male offspring will experience seizures:
Epilepsy does not discriminate based on gender. Both males and females can be affected by epilepsy. This statement is not accurate and does not reflect the reality of epilepsy as a medical condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dizziness is always a sign of a concussion.
This statement is incorrect. While dizziness can be a symptom of a concussion, it is not always indicative of a concussion. There can be various causes of dizziness, and it is essential to consider other symptoms as well when assessing for a concussion.
B. Bike Helmet Safety
Explanation:
The correct answer to include as part of concussion/head injury prevention teaching to children and parents is "Bike helmet safety." This is because wearing a helmet while riding a bike or participating in other activities that involve head injury risks is crucial to prevent head injuries and concussions. Helmets provide protection to the head by absorbing impact energy and reducing the risk of skull fractures or traumatic brain injuries.
C. Normal fluid intake.
While staying hydrated is important for overall health, it is not directly related to concussion or head injury prevention teaching. This choice is unrelated to the topic.
D. Signs of autism.
Signs of autism are unrelated to concussion or head injury prevention teaching. This choice is not relevant to the topic at hand.
Correct Answer is A
Explanation
A. Spina bifida.
Explanation: Correct Choice. Spina bifida is a neural tube defect (NTD) that occurs during early fetal development when the neural tube doesn't close completely. It can result in various degrees of spinal cord and nerve damage. This is a suitable example to include when teaching about neural tube defects.
B. Hydrocephalus.
Explanation: Hydrocephalus is not a neural tube defect itself. It's a condition characterized by the accumulation of cerebrospinal fluid in the brain, leading to increased intracranial pressure. It can be caused by various factors, but it's not directly related to neural tube development.
C. Cerebral palsy.
Explanation: Cerebral palsy is a group of motor disorders caused by damage to the developing brain, usually before birth. It is not a neural tube defect. Instead, it's related to brain injury or abnormal development.
D. Muscular dystrophy.
Explanation: Muscular dystrophy is a group of genetic disorders characterized by progressive muscle weakness and degeneration. It's not related to neural tube defects. Muscular dystrophy affects muscle tissue, while neural tube defects involve improper development of the neural tube.
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