A nurse is reinforcing with a group of caregivers about the risk factors for seizures. Which of the following factors should the nurse include in her teaching? (Select 3 that apply)

Febrile episode

Low Blood lead levels

Sodium imbalance

Presence of diphtheria

Hypoglycemia

Answer and Explanation

Correct Answer : A,C,E

A. Febrile episode: Fever is a common trigger for febrile seizures in children, especially between 6 months and 5 years.

B. Low blood lead levels: Elevated, not low, blood lead levels can increase the risk of seizures due to neurotoxicity.

C. Sodium imbalance: Both hyponatremia and hypernatremia can cause seizures by disrupting neuronal function.

D. Presence of diphtheria: Diphtheria does not directly increase the risk of seizures. Neurological complications are rare and secondary.

E. Hypoglycemia: Low blood sugar levels deprive the brain of energy, which can lead to seizures.

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Correct Answer is A

Explanation

A. Speak slowly while facing the child: Facing the child helps them see lip movements and facial expressions, which aids communication.

B. Talk directly into the child's impaired ear: Shouting or talking directly into the ear is unhelpful and can distort sound further.

C. Stand above the child's eye level when speaking: Standing above the child can make communication difficult. The nurse should be at eye level to establish effective communication.

D. Speak loudly to the child: Speaking loudly can distort sound and is not helpful for a hearing-impaired child.

A. "I should place a cool mist humidifier in his room." B. "I should expect him to have frequent diarrhea." C. "I should expect him to grow faster in length than other infants." D. "I should avoid the use of lotion on his skin."

Correct Answer is A

Explanation

A. "I should place a cool mist humidifier in his room.": Children with Down Syndrome often have narrow nasal passages and a tendency toward respiratory infections. A cool mist humidifier helps keep the airways moist, reducing irritation and easing breathing.

B. "I should expect him to have frequent diarrhea.": Diarrhea is not a common symptom associated with Down Syndrome; constipation is more frequent due to low muscle tone.

C. "I should expect him to grow faster in length than other infants.": Infants with Down Syndrome tend to have slower growth rates and may not reach the same length or weight milestones as peers.

D. "I should avoid the use of lotion on his skin.": Infants with Down Syndrome often have dry, sensitive skin, and the use of lotion is encouraged to prevent dryness and cracking.

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A nurse is reinforcing with a group of caregivers about the risk factors for seizures. Which of the following factors should the nurse include in her teaching? (Select 3 that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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