A nurse is providing education to the family of a child with epilepsy.
Which statement by the nurse is accurate regarding seizure precautions?
"It's important to keep the child away from bright lights during a seizure.”
"The child should avoid taking baths to prevent seizures.”
"Wearing medical identification is not necessary for children with epilepsy.”
"Creating a safe environment involves removing all potential triggers.”
The Correct Answer is A
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.
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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 C
Explanation
Choice A rationale:
Metabolic disorders can indeed lead to seizures in some cases, but they are not the primary cause of seizures in children with epilepsy.
The most common underlying mechanism for seizures in epilepsy is abnormal electrical activity in the brain.
Choice B rationale:
While structural abnormalities in the brain can be a cause of seizures, they are not the main cause of seizures in all children with epilepsy.
The primary pathophysiology of epilepsy involves abnormal electrical activity in the brain.
Choice D rationale:
Hormonal imbalances can influence seizure activity in certain cases, but they are not the primary cause of seizures in children with epilepsy.
Abnormal electrical activity in the brain is the central mechanism.
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