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 D
Explanation
Choice A reason: Stopping antibiotics when symptoms resolve risks incomplete bacterial eradication, leading to recurrent or resistant otitis media. Antibiotics must be taken for the full course to ensure all pathogens (e.g., Streptococcus pneumoniae) are eliminated, preventing chronic infection or complications.
Choice B reason: Sharing antibiotics with siblings is dangerous, as it may lead to incorrect dosing, inappropriate treatment, or antibiotic resistance. Each child requires a specific prescription based on their condition, weight, and bacterial susceptibility, making this an unsafe practice.
Choice C reason: Giving antibiotics with milk may reduce absorption for some drugs (e.g., amoxicillin), as calcium can bind to certain antibiotics, decreasing bioavailability. This statement indicates a misunderstanding, as water is typically recommended to ensure optimal drug absorption.
Choice D reason: Administering the full course of antibiotics ensures complete eradication of bacteria causing otitis media, preventing recurrence or resistance. This reflects proper understanding, as completing the prescribed regimen targets pathogens like Haemophilus influenzae, ensuring effective treatment and reducing complication risks.
Correct Answer is A
Explanation
Choice A reason: A seizure lasting over 5 minutes is considered status epilepticus, a medical emergency requiring immediate intervention to prevent brain hypoxia or injury. Prolonged seizures increase glutamate release, causing excitotoxicity, neuronal damage, and systemic complications like respiratory failure, necessitating urgent 911 response.
Choice B reason: Postictal sleepiness and lethargy are common after generalized seizures due to neuronal exhaustion and temporary metabolic changes in the brain. This is expected and not an emergency unless prolonged or accompanied by other concerning symptoms like respiratory distress.
Choice C reason: Falling at seizure onset is typical in generalized seizures due to loss of muscle control. Unless injury (e.g., head trauma) is suspected, it does not warrant an immediate 911 call, as it is a common seizure manifestation.
Choice D reason: Postictal confusion and slurred speech are normal after a generalized seizure, reflecting temporary cortical dysfunction. These resolve within minutes to hours and do not require emergency services unless persistent or associated with other critical symptoms like unresponsiveness.
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