A nurse is assessing an infant who has acute otitis media.
Which of the following findings should the nurse expect? (Select all that apply.)

Choice A rationale:

Lack of sleep is a common trigger that increases the risk of seizures in individuals with a seizure disorder. Sleep deprivation can lower the seizure threshold, making individuals more susceptible to seizures. Educating the guardians about the importance of maintaining a regular sleep schedule for the child can help minimize the risk of seizures.

Choice Brationale:

Decreased temperature is not a common trigger for seizures. In fact, high fever, rather than decreased temperature, is associated with febrile seizures in children. Febrile seizures are triggered by a rapid increase in body temperature.

Choice Crationale:

Exposure to secondhand smoke is a trigger for respiratory issues but is not directly linked to seizures. While it is essential to educate families about the dangers of secondhand smoke, it is not a specific trigger for seizures.

Choice D rationale:

Prolonged headache is not a trigger for seizures. However, it could be a symptom of an underlying neurological issue, and individuals experiencing persistent headaches should seek medical evaluation for proper diagnosis and management.

Choice A rationale:

The preschool-age child with muffled voice and no spontaneous cough might be experiencing a medical emergency, possibly epiglottitis. This condition can rapidly progress and compromise the airway, necessitating immediate assessment and intervention.

Choice B rationale:

The school-age child with diabetes and a blood glucose of 200 mg/dL requires attention, but it is not an immediate concern unless the child is showing signs of diabetic ketoacidosis (DKA), such as altered mental status or deep, labored breathing, which are not mentioned in the question.

Choice C rationale:

The toddler with nephrotic syndrome and facial edema needs monitoring and intervention, but it doesn't indicate an immediate life-threatening condition compared to the child with potential airway compromise (muffled voice and no spontaneous cough)

Choice D rationale:

The adolescent with Crohn's disease and recent weight loss also needs attention, but it's not as urgent as the child with potential airway obstruction. Weight loss alone, while concerning, doesn't necessitate immediate assessment in this context.