A mother reports that her school-age child has been reprimanded for daydreaming during class. This is a new behavior, and the child's grades are dropping. The nurse should suspect which problem?
The child may have a learning disability and needs referral to the special education department.
The child may be having absence seizures and needs to see his primary health care provider for evaluation.
The child may have attention deficit hyperactivity disorder (ADHD) and needs medication
The child may have a hearing problem and needs to have his ears checked.
The Correct Answer is B
A. While learning disabilities can contribute to declining academic performance, they typically present as ongoing challenges rather than sudden behavioral changes like "daydreaming" spells.
B. Absence seizures are characterized by sudden, brief periods of staring or unresponsiveness. These can be mistaken for daydreaming, especially in school-aged children, and often lead to academic difficulties if left untreated. A healthcare evaluation is necessary.
C. ADHD usually involves consistent patterns of inattention, hyperactivity, and impulsivity, rather than short, repetitive lapses in awareness seen with absence seizures.
D. Hearing loss might explain inattentiveness or poor academic performance, but it does not typically present as sudden, repeated staring episodes without awareness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. The ability to flex and stretch the distal limb indicates intact motor function, not altered circulation.
B. A capillary refill time greater than 5 seconds suggests poor peripheral perfusion and possible vascular compromise.
C. A pulse equal to the unaffected limb indicates normal circulation.
D. A limb that is cool to touch suggests decreased blood flow and impaired circulation.
E. Patient awareness of touch and temperature indicates intact sensory function, not circulation issues.
Correct Answer is C
Explanation
A. Levodopa-carbidopa does not improve cognitive function or memory; it is used for motor symptom controlin Parkinson’s disease.
B. Visual acuity is not affectedby this medication.
C. Levodopa-carbidopa works by increasing dopamine levels in the brain, which helps reduce rigidity, bradykinesia, and tremors, improving mobility in clients with Parkinson’s disease.
D. Increased dyskinesiais a potential adverse effectof long-term levodopa use, not a sign of effectiveness.
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