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?

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Brisk pupillary reaction to light is a normal finding and does not indicate increased intracranial pressure (ICP). In fact, a sluggish or non-reactive pupil response is more indicative of increased ICP.

B. Increased sleepiness or lethargy is an early sign of increased ICP in infants. The brain’s response to rising pressure can cause altered mental status, which includes drowsiness or difficulty waking.

C. Tachycardia is not typically an early sign of increased ICP. As pressure increases, the heart rate can actually slow, and bradycardia (slower heart rate) is often seen in more advanced stages.

D. Depressed fontanels are not indicative of increased ICP. In fact, in infants, increased ICP is more commonly associated with bulging fontanels, not depressed ones. Depressed fontanels could indicate dehydration or malnutrition.

A. "We will avoid giving our child any dairy products during an exacerbation." B. "We will make sure our child eats plenty of fruits and vegetables during an exacerbation." C. "We will increase our child's intake of high-fiber foods, such as whole grains and legumes." D. "We will encourage our child to drink plenty of fluids, especially water."

Correct Answer is B

Explanation

A. "We will avoid giving our child any dairy products during an exacerbation." Avoiding dairy products during a Crohn's disease exacerbation is often recommended because many individuals with Crohn's disease are lactose intolerant, and dairy can exacerbate symptoms such as diarrhea.

B. "We will make sure our child eats plenty of fruits and vegetables during an exacerbation." During an exacerbation of Crohn's disease, a high-fiber diet (including many fruits and vegetables) can be problematic, as it may irritate the intestines and worsen symptoms. This statement indicates a need for further teaching.

C. "We will increase our child's intake of high-fiber foods, such as whole grains and legumes." High-fiber foods should generally be avoided during a Crohn's disease flare-up because they can be difficult to digest and may worsen symptoms. However, this advice might be appropriate during periods of remission.

D. "We will encourage our child to drink plenty of fluids, especially water." Hydration is important, particularly during exacerbations, when the risk of dehydration increases due to diarrhea. This is a correct statement.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is screening a child for epilepsy. Which of the following questions should the nurse ask the client's parent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased intracranial pressure?

Correct Answer is B

Explanation

The nurse is providing teaching to the parents of a school-aged child newly diagnosed with Crohn's disease about dietary measures to implement during an exacerbation. Which statement made by the parents indicates a need for further instruction?

Correct Answer is B

Explanation

A 6-year-old child is admitted to the hospital with suspected bacterial meningitis. What is the nursing priority in the care of this child? Select all that apply.

A 5-year-old child is experiencing diarrhea and the nurse is providing education to the parent about dietary changes. Which of the following foods should the parent avoid giving to the child during this time?

Which assessment finding would the nurse expect in an infant with Hirschsprung's disease?

Which of the following is a risk factor for iron deficiency anemia in toddlers?

A nurse is caring for an 8-year-old during a well-child exam. The parent states that the child's cousin has intussusception and asks if their child is at risk. Which of the following responses should the nurse make?

The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile seizure. The nurse knows that the parents understand the teaching when the parents make which statement(s)? (Select All that Apply.)

A nurse is assisting with the plan of care for a 6-month-old infant who has a cleft palate. Which area should the nurse consider when addressing the child's overall development?

Which of the following accurately describe the differences between vaso-occlusive crisis, sequestration crisis, and aplastic crisis in sickle cell anemia? (Select All that Apply.)