A nurse is providing teaching to the guardian of a school-age child who has seizure disorder.
Which of the following factors should the nurse include as a common trigger that increases the risk of seizure?
Prolonged headache
decrease temperature
lack of sleep
exposure to second-hand smoke
The Correct Answer is C
Choice A rationale
Prolonged headache is not typically identified as a common trigger for seizures. While headaches can be associated with certain types of seizures, they are not generally considered a trigger for seizure activity.
Choice B rationale
Decreased temperature, or hypothermia, is not typically identified as a common trigger for seizures. In fact, fever or increased body temperature is more commonly associated with triggering seizures, particularly in children.
Choice C rationale
Lack of sleep is a well-recognized trigger for seizures. Sleep deprivation can lead to increased seizure frequency in individuals with epilepsy. Ensuring adequate sleep is an important part of managing seizure disorders.
Choice D rationale
Exposure to second-hand smoke is not typically identified as a common trigger for seizures. While it is generally harmful to health, it is not specifically associated with an increased risk of seizures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A child’s weight being in the 45th percentile is within the normal range and is not in itself an indicator of physical abuse.
Choice B rationale
Bruising around the wrists can be a potential indicator of physical abuse. Unexplained bruises, particularly in unusual locations or in specific patterns, can be a sign of physical abuse.
Choice C rationale
Abrasions on the knees are common in children due to normal play and activity and are not typically an indicator of physical abuse.
Choice D rationale
Missing front deciduous teeth in a 7-year-old student is not typically an indicator of physical abuse. It is normal for children to begin losing their deciduous (baby) teeth around this age.
Correct Answer is B
Explanation
Choice A rationale
A rectal body temperature of 37.3 C (99.1 F) in a school-age child is within the normal range, so it does not need to be reported.
Choice B rationale
A heart rate of 68/min in an 18-month-old toddler is below the normal range (80-130 beats per minute). This could indicate a serious condition such as heart block or hypothermia and should be reported to the provider.
Choice C rationale
A blood pressure of 132/82 mm Hg in an adolescent is slightly elevated but within acceptable limits for a teenager, especially if the teenager was nervous or anxious during the measurement.
Choice D rationale
A respiratory rate of 36/min in a 3-month-old infant is within the normal range (30-60 breaths per minute), so it does not need to be reported.
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