A nurse is reinforcing teaching with an adolescent client who has oral candidiasis and a new prescription for clotrimazole troche. Which of the following instructions should the nurse include in the teaching?

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.

Rationale:

A) Watching cartoons with peers may increase the risk of transmitting varicella- zoster virus to other children who may not be immune, as well as expose the child to potential infections from other sick children.

B) Pulling a wagon of stuffed animals in the hallway is too strenuous for a child with pneumonia.

C) Writing a letter to send to a friend may be an appropriate activity for a child with pneumonia, but it involves sitting still for an extended period, which may not be as beneficial as a more physically engaging activity.

D) Playing an alphabet flashcard game with the parent is appropriate for a 4-year-old child's cognitive development and does not require physical exertion or exposure to other children who might be susceptible to varicella zoster infection.