A parent of a child with epilepsy asks the nurse about the primary cause of seizures.
How should the nurse respond regarding the pathophysiology of epilepsy in children?
"Seizures primarily result from metabolic disorders.”
"Structural abnormalities in the brain are the main cause of seizures in children.”
"Seizures occur due to abnormal electrical activity in the brain and can involve neurotransmitter imbalances.”
"Seizures are primarily a result of hormonal imbalances in children.”
The Correct Answer is C
Choice A rationale:
Metabolic disorders can indeed lead to seizures in some cases, but they are not the primary cause of seizures in children with epilepsy.
The most common underlying mechanism for seizures in epilepsy is abnormal electrical activity in the brain.
Choice B rationale:
While structural abnormalities in the brain can be a cause of seizures, they are not the main cause of seizures in all children with epilepsy.
The primary pathophysiology of epilepsy involves abnormal electrical activity in the brain.
Choice D rationale:
Hormonal imbalances can influence seizure activity in certain cases, but they are not the primary cause of seizures in children with epilepsy.
Abnormal electrical activity in the brain is the central mechanism.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Metabolic disorders can indeed lead to seizures in some cases, but they are not the primary cause of seizures in children with epilepsy.
The most common underlying mechanism for seizures in epilepsy is abnormal electrical activity in the brain.
Choice B rationale:
While structural abnormalities in the brain can be a cause of seizures, they are not the main cause of seizures in all children with epilepsy.
The primary pathophysiology of epilepsy involves abnormal electrical activity in the brain.
Choice D rationale:
Hormonal imbalances can influence seizure activity in certain cases, but they are not the primary cause of seizures in children with epilepsy.
Abnormal electrical activity in the brain is the central mechanism.
Correct Answer is A
Explanation
Choice A rationale:
During a neurological assessment of a child with epilepsy, the nurse should assess the child's sensory responses.
This includes evaluating the child's sensory perception, such as touch, pain, temperature, and proprioception.
Sensory responses are essential to determine if there are any sensory deficits or abnormalities that may be related to the child's epilepsy or its management.
Choice B rationale:
The child's family history of epilepsy is not directly relevant to the neurological assessment of the child.
While a family history of epilepsy can be significant in understanding the potential genetic component of the condition, it is not part of the immediate neurological assessment.
Choice C rationale:
The child's blood glucose levels are important but not typically assessed as part of a neurological assessment for epilepsy.
Blood glucose levels are more relevant in the evaluation of other conditions, such as diabetes.
However, if a child has diabetes and epilepsy, blood glucose levels may be monitored for overall health management.
Choice D rationale:
The child's cognitive abilities should be assessed during a neurological assessment of epilepsy.
Cognitive abilities, including memory, attention, language, and problem-solving skills, are important to assess as epilepsy can impact these functions.
Changes in cognitive abilities may be indicative of the effects of seizures or the side effects of antiepileptic medications, making this assessment relevant.
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