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 D
Explanation
A. Timing the seizureis important for documentation and determining severity, but it is not the first priorityin this situation.
B. Removing eyeglassescan help prevent injury, but it is not the most urgent actionduring active vomiting.
C. Placing a pillowmay prevent head injury, but during a seizure, this may not be safe or effective, especially if vomiting is present.
D. The priorityduring a seizure with vomitingis to turn the child to a side-lying positionto maintain an open airway and prevent aspiration. This is the most immediate and critical intervention.
Correct Answer is ["167"]
Explanation
Use the formula to calculate flow rate in drops per minute:
Flow rate (gtt/min) = (Volume to be infused × Drop factor) ÷ Time (in minutes)
Substitute the values:
Flow rate = (250 mL × 20 gtt/mL) ÷ 30 min
Flow rate = 5000 ÷ 30
Flow rate ≈ 166.67
Round to the nearest whole number: 167 gtt/min
Final Answer:167 gtt/min
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