A nurse is performing a neurological assessment on a child with epilepsy.
What aspects should the nurse assess during this examination?
The child's sensory responses.
The child's family history of epilepsy.
The child's blood glucose levels.
The child's cognitive abilities.
The Correct Answer is A
Choice A rationale:
During a neurological assessment of a child with epilepsy, the nurse should assess the child's sensory responses.
This includes evaluating the child's sensory perception, such as touch, pain, temperature, and proprioception.
Sensory responses are essential to determine if there are any sensory deficits or abnormalities that may be related to the child's epilepsy or its management.
Choice B rationale:
The child's family history of epilepsy is not directly relevant to the neurological assessment of the child.
While a family history of epilepsy can be significant in understanding the potential genetic component of the condition, it is not part of the immediate neurological assessment.
Choice C rationale:
The child's blood glucose levels are important but not typically assessed as part of a neurological assessment for epilepsy.
Blood glucose levels are more relevant in the evaluation of other conditions, such as diabetes.
However, if a child has diabetes and epilepsy, blood glucose levels may be monitored for overall health management.
Choice D rationale:
The child's cognitive abilities should be assessed during a neurological assessment of epilepsy.
Cognitive abilities, including memory, attention, language, and problem-solving skills, are important to assess as epilepsy can impact these functions.
Changes in cognitive abilities may be indicative of the effects of seizures or the side effects of antiepileptic medications, making this assessment relevant.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Keeping the child away from bright lights during a seizure is an accurate statement regarding seizure precautions.
Bright or flashing lights can trigger seizures in some individuals, a condition known as photosensitive epilepsy.
It's important to create an environment that minimizes potential seizure triggers, including avoiding bright or flashing lights, to reduce the risk of seizures in susceptible individuals.
Choice B rationale:
The statement "The child should avoid taking baths to prevent seizures" is not accurate.
Taking a bath is not a common trigger for seizures, and there is no need to advise against it as a general precaution.
Seizure precautions should focus on more common triggers, such as sleep deprivation, stress, or specific environmental factors.
Choice C rationale:
Wearing medical identification is necessary for children with epilepsy.
This helps inform healthcare providers, first responders, and others about the child's condition in case of a medical emergency.
Medical identification, such as a bracelet or necklace, can provide crucial information about the child's epilepsy and any specific medications or allergies they may have.
Choice D rationale:
"Creating a safe environment involves removing all potential triggers" is not entirely accurate.
While minimizing potential triggers is essential, it's not always possible to eliminate all triggers, and some triggers may be individual-specific.
Seizure management also involves ensuring the child's safety during a seizure by providing a safe space and support.
Removing all potential triggers may not always be feasible, but it's essential to take reasonable precautions.
Correct Answer is A
Explanation
Choice A rationale:
This statement accurately describes the pathophysiology of epilepsy.
Seizures result from abnormal electrical activity in the brain, and an imbalance in neurotransmitters can contribute to this.
It's a complex neurological condition.
Choice B rationale:
This statement is not accurate.
While structural abnormalities in the brain can be a contributing factor, it's not the primary cause of epilepsy in children.
Choice C rationale:
This statement is incorrect.
Seizures can originate in different areas of the brain and may spread to other regions.
They are not always confined to specific areas.
Choice D rationale:
This statement is not correct.
Abnormalities in blood vessels are not the primary cause of epilepsy in children.
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