A client has a child with epilepsy and is concerned about the potential side effects of antiepileptic medications.
Which statement by the client reflects their understanding of medication management?
"I should stop the medication if my child has a single seizure.”
"I need to closely monitor for any side effects and report them to the doctor.”
"Medication compliance is not crucial for children with epilepsy.”
"Antiepileptic medications are only given during a seizure.”
The Correct Answer is B
Choice B rationale:
The statement "I need to closely monitor for any side effects and report them to the doctor" reflects an understanding of medication management for children with epilepsy.
Antiepileptic medications can have side effects, and it's important for caregivers to be vigilant in monitoring the child for any adverse reactions.
Promptly reporting any side effects to the doctor allows for adjustments to the medication regimen or other interventions as needed.
Choice A rationale:
"I should stop the medication if my child has a single seizure" is not a correct understanding of medication management for epilepsy.
Discontinuing medication after a single seizure is not recommended.
Epilepsy treatment typically involves ongoing medication to reduce the frequency and severity of seizures.
Stopping medication abruptly can lead to uncontrolled seizures.
Choice C rationale:
"Medication compliance is not crucial for children with epilepsy" is an incorrect statement.
Medication compliance is essential for managing epilepsy effectively.
Missing doses or not taking medication as prescribed can lead to uncontrolled seizures and potentially serious consequences.
Caregivers should ensure that the child takes their medication as directed by the healthcare provider.
Choice D rationale:
"Antiepileptic medications are only given during a seizure" is not accurate.
Antiepileptic medications are typically prescribed to be taken regularly, even when the child is not actively experiencing a seizure.
These medications are used to prevent seizures and maintain seizure control over time.
They are not meant to be taken solely during a seizure episode.
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Correct Answer is C
Explanation
Choice A rationale:
Epilepsy is a complex condition, and it is not solely caused by genetic factors.
While genetics can play a significant role in some cases of epilepsy, it is not the exclusive cause.
Various other factors, including brain injury, infections, and other environmental factors, can also contribute to the development of epilepsy.
Choice B rationale:
This statement is incorrect.
Epilepsy in children can be influenced by genetic predisposition in some cases, so it is not accurate to claim that genetic factors never play a role.
Choice D rationale:
This statement is also incorrect.
Genetic factors can affect individuals at any age, including infants and adolescents.
Therefore, it is not accurate to claim that genetic factors only affect adolescents and not infants.
Correct Answer is A
Explanation
Choice A rationale:
Keeping the child away from bright lights during a seizure is an accurate statement regarding seizure precautions.
Bright or flashing lights can trigger seizures in some individuals, a condition known as photosensitive epilepsy.
It's important to create an environment that minimizes potential seizure triggers, including avoiding bright or flashing lights, to reduce the risk of seizures in susceptible individuals.
Choice B rationale:
The statement "The child should avoid taking baths to prevent seizures" is not accurate.
Taking a bath is not a common trigger for seizures, and there is no need to advise against it as a general precaution.
Seizure precautions should focus on more common triggers, such as sleep deprivation, stress, or specific environmental factors.
Choice C rationale:
Wearing medical identification is necessary for children with epilepsy.
This helps inform healthcare providers, first responders, and others about the child's condition in case of a medical emergency.
Medical identification, such as a bracelet or necklace, can provide crucial information about the child's epilepsy and any specific medications or allergies they may have.
Choice D rationale:
"Creating a safe environment involves removing all potential triggers" is not entirely accurate.
While minimizing potential triggers is essential, it's not always possible to eliminate all triggers, and some triggers may be individual-specific.
Seizure management also involves ensuring the child's safety during a seizure by providing a safe space and support.
Removing all potential triggers may not always be feasible, but it's essential to take reasonable precautions.
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