A nurse is screening a child for epilepsy. Which of the following questions should the nurse ask the client's parent?
Has your child had a fever?
Did your child have an aura prior to a seizure?
Has your child had two or more seizures, in the last 1 year?
How long did your child's seizure last?
The Correct Answer is B
A. Has your child had a fever? While fever can be associated with febrile seizures, it is not a question used to screen for epilepsy. Febrile seizures are typically isolated events in young children and are not considered part of chronic epilepsy.
B. Did your child have an aura prior to a seizure? This is an important question for assessing epilepsy, especially focal seizures, as many individuals with epilepsy experience an aura (a warning sign) before a seizure. The presence or absence of an aura helps in classifying the type of seizure and can be useful in diagnosis.
C. Has your child had two or more seizures, in the last 1 year? This is not a screening question for epilepsy, but it would be relevant if epilepsy has already been diagnosed. Two or more seizures within a year can indicate a seizure disorder, but asking if the child has had multiple seizures would be more appropriate once epilepsy is suspected.
D. How long did your child's seizure last? The duration of a seizure is important to note during an episode, but it is not a question used during initial screening. The nurse would focus more on whether seizures occur, how they manifest, and if there are any warning signs (like an aura) prior to the event.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Age of the child is important in determining the approach to treatment and potential outcomes, but the priority in planning treatment is addressing the extent of the disease, particularly whether it has spread. Age may influence treatment choices but is secondary to assessing metastasis.
B. Range of motion in the affected area is important in managing functional outcomes, especially for tumors that affect muscles or joints, but the highest priority when planning care is understanding the extent of the disease, specifically metastasis, before focusing on rehabilitation.
C. Health complications from the tumor are significant for symptom management and treatment planning, but the critical first step in treatment is determining the stage of the cancer and whether the tumor has spread. This information guides treatment decisions.
D. Whether or not the tumor has metastasized is the highest priority. The spread of the tumor (metastasis) directly impacts the treatment plan and prognosis, influencing decisions such as the need for systemic therapies (chemotherapy) in addition to local treatments like surgery or radiation.
Correct Answer is ["A","B","C","D"]
Explanation
A. Nausea is a common side effect of both chemotherapy and radiation therapy. Antiemetics are often used to manage this adverse effect.
B. Hair loss is a well-known side effect of chemotherapy, as it affects rapidly dividing cells, including those in hair follicles. Radiation therapy to the head or neck area can also cause localized hair loss.
C. Diarrhea is a potential side effect of chemotherapy and radiation, particularly when the digestive tract is affected. Some chemotherapies and radiation treatments irritate the gastrointestinal system, leading to diarrhea.
D. Skin Sensitivity can result from radiation therapy, especially in the treated area. The skin may become red, irritated, and sensitive.
E. Weight gain is not typically associated with chemotherapy or radiation therapy. In fact, many children experience weight loss due to nausea, decreased appetite, or other side effects.
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