A nurse is collecting data from a child who recently experienced a psychomotor seizure.
Which of the following findings should the nurse expect?"
Hyperactivity
Nystagmus
Apnea
Amnesia
The Correct Answer is D
Rationale:
A) Hyperactivity is not typically associated with a postictal state after a seizure.
Instead, the child may appear lethargic or drowsy.
B) Nystagmus, or rapid, involuntary eye movements, is not typically seen in the postictal state following a seizure.
C) Apnea, or cessation of breathing, may occur during the seizure itself but is not typically a postictal finding.
D) Amnesia, or memory loss, is a common postictal finding after a seizure, particularly in complex partial seizures or psychomotor seizures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The FLACC pain rating scale is appropriate for infants and young children, assessing pain based on Face, Legs, Activity, Cry, and Consolability, making it suitable for a 5-month-old infant.
B. The COMFORT pain rating scale is generally used for children who are unable to communicate their pain, typically in older children or adolescents, and is less suitable for this age group.
C. The FACES pain rating scale is designed for children aged 3 and older who can identify facial expressions but is not appropriate for a 5-month-old infant.
D. The CRIES pain rating scale is also used for infants but is more specific to neonates (0-6 months) and measures crying, oxygen requirement, increased vital signs, and facial expressions, making it less applicable than the FLACC scale for this specific postoperative context.
Correct Answer is B
Explanation
Rationale:
A) Using the index finger is a common site for blood glucose monitoring, but it does not specifically address minimizing pain.
B) Holding the finger under warm water can increase blood flow and make blood glucose monitoring less painful.
C) Puncturing the center of the finger pad is a common technique for obtaining a blood sample, but it does not specifically address minimizing pain.
D) Holding the finger against a table is not a recommended method for minimizing pain during blood glucose monitoring and may increase discomfort.
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