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 C

Explanation

A. "I know that my child will need to have a companion when swimming." This is a correct precaution to prevent drowning in case of a seizure.

B. "I will make my child wear a medical identification bracelet." This is correct to alert others in case of an emergency.

C. "I will need to give antiseizure medications when my child has a seizure." Antiseizure medications are typically administered as a preventive measure, not during a seizure. Emergency medications (e.g., rectal diazepam) may be used for prolonged seizures but are not routine for every seizure.

D. "I will have my child wear a bike helmet when riding a bike or skateboard." This is correct to protect the child from head injuries during activities.

A. Reduce environmental stimuli. B. Document intake and output. C. Administer antibiotics when available. D. Maintain seizure precautions.

Correct Answer is C

Explanation

A. Reduce environmental stimuli: While minimizing stimuli is important for comfort, it is not the priority in treating a life-threatening bacterial infection.

B. Document intake and output: Monitoring fluid status is essential but secondary to administering life-saving treatment.

C. Administer antibiotics when available: Bacterial meningitis is a medical emergency. Administering antibiotics promptly can reduce mortality and prevent complications such as neurological damage.

D. Maintain seizure precautions: Seizure precautions are necessary but do not take precedence over starting antibiotics.

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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

The nurse instructs a mother of a child who has seizures regarding seizure precautions. Which statement by the mother indicates a need for further teaching?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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