A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic?
Absence.
Akinetic.
Myoclonic.
Complex partial.
The Correct Answer is A
Choice A reason: Absence seizures involve brief episodes of staring into space, often with subtle blinking or lip smacking, lasting 5–20 seconds. Common in children, they impair attention, leading to poor school performance, as the brain’s electrical activity briefly disrupts consciousness without motor convulsions.
Choice B reason: Akinetic seizures involve sudden loss of muscle tone, causing falls or head drops, not staring spells. They do not typically affect school performance through inattention, as they are brief and motor-focused, not cognitive disruptions.
Choice C reason: Myoclonic seizures cause sudden, brief muscle jerks, often in the arms or legs, without loss of consciousness. They differ from staring spells and are less likely to directly impact school performance through inattention or cognitive lapses.
Choice D reason: Complex partial seizures involve altered consciousness with automatisms (e.g., lip smacking, picking at clothes), not just staring. They are less common in children and typically cause more
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Controlled hypertension, when managed with medications, poses minimal risk to postoperative healing. Stable blood pressure ensures adequate tissue perfusion, supporting wound healing and recovery. It is not a significant risk factor compared to other conditions that directly impair tissue repair.
Choice B reason: Obesity significantly increases the risk of impaired postoperative healing due to increased mechanical stress on the surgical site, reduced tissue oxygenation, and higher rates of infection. Adipose tissue has poor vascularity, delaying wound healing, and obesity is associated with comorbidities like diabetes, further complicating recovery.
Choice C reason: Osteoarthritis, the primary indication for knee arthroplasty, does not directly impair postoperative healing. It affects joint cartilage but not the body’s wound healing mechanisms, such as collagen synthesis or immune response, making it a less significant risk factor.
Choice D reason: Mild osteopenia, a precursor to osteoporosis, indicates slightly reduced bone density but does not significantly affect soft tissue healing or surgical outcomes. It may influence implant stability long-term but is less critical for immediate postoperative healing compared to obesity.
Correct Answer is D
Explanation
Choice A reason: Stating that phantom limb pain “does not actually exist” dismisses the client’s experience. Phantom pain is a real neurological phenomenon where the brain perceives pain from the absent limb due to nerve endings at the stump sending signals to the cortex.
Choice B reason: While phantom limb pain is common post-amputation, stating it will “eventually go away” oversimplifies management. Pain may persist due to neuroplastic changes in the sensory cortex, requiring interventions like medications or therapy, and this response does not address immediate needs.
Choice C reason: Offering imagery is a valid pain management strategy, as it can modulate pain perception via cognitive distraction. However, it assumes the pain’s nature without assessing its characteristics, which is critical for tailoring interventions like medications or nerve blocks.
Choice D reason: Asking the client to describe phantom limb pain allows the nurse to assess its quality, intensity, and triggers. This informs targeted interventions, as phantom pain results from nerve sensitization and cortical reorganization, requiring a combination of pharmacological (e.g., gabapentin) and non-pharmacological approaches.
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