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A nurse is caring for a toddler in the emergency department (ED).

Exhibits
The nurse is providing discharge instructions to the toddler's parent. Which of the following information should the nurse include.
Select All That Apply.

A.

The incident should have no impact on the child's intelligence, memory, or behavior.

B.

The child will need antiepileptic therapy for at least one year.

C.

They should purchase a bite block for use at home.

D.

if a seizure occurs again at home, the child should be placed on their side.

E.

There is a chance that this will recur during a febrile illness.

F.

Antipyretic therapy during febrile illnesses will prevent this from occurring again

Answer and Explanation

Correct Answer : A,D,E

A. The incident should have no impact on the child's intelligence, memory, or behavior:

Febrile seizures are benign and typically do not cause long-term neurological problems.

B. The child will need antiepileptic therapy for at least one year:

Febrile seizures are usually self-limiting and do not require long-term antiepileptic therapy unless seizures are complex or recurrent without fever.

C. They should purchase a bite block for use at home:

Bite blocks should never be used during a seizure because they can cause injury or choking.

D. If a seizure occurs again at home, the child should be placed on their side:

Placing the child on their side helps maintain an open airway and reduces the risk of aspiration.

E. There is a chance that this will recur during a febrile illness:

Febrile seizures can recur, especially if the child has another fever in the future.

F. Antipyretic therapy during febrile illnesses will prevent this from occurring again:

Antipyretics can make the child more comfortable but do not prevent febrile seizures.


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Related Questions

Correct Answer is D

Explanation

A. Ophthalmologist:

An ophthalmologist specializes in eye conditions, not musculoskeletal deformities.

B. Nutrition counselor:

While general nutrition is important, this condition specifically requires orthopedic care.

C. Speech therapist:

Speech therapy is unrelated unless the child has additional conditions affecting communication.

D. Orthopedic specialist

Clubfoot (talipes equinovarus) is a deformity of the foot and ankle that requires orthopedic management, such as casting, bracing, or surgery.

Correct Answer is D

Explanation

A. Sleep patterns:

While improved sleep is beneficial, it is not the primary marker for improvement in ADHD treatment.

B. Food intake:

Methylphenidate can reduce appetite, so although improved food intake is good, it is not the primary indicator of therapeutic response for ADHD.

C. Parental report of behavior improvements:

While valuable, parental reports can be subjective. Objective evidence like teacher reports of academic improvement are more reliable.

D. Teacher report of academic improvement:

Improvement in academic performance reflects better attention, impulse control, and focus, indicating effective management of ADHD symptoms.

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