An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse call 911?

The child is confused and cannot remember anything regarding the seizure.

The child fell at the onset of the seizure

The seizure lasts more than 5 minutes.

The child is sleepy and lethargic after the seizure

Answer and Explanation

The Correct Answer is C

A. The child is confused and cannot remember anything regarding the seizure: Postictal confusion is normal after a seizure and does not require emergency services.

B. The child fell at the onset of the seizure: Falls can occur with seizures, but unless there is a suspected injury or prolonged seizure activity, calling 911 is unnecessary.

C. The seizure lasts more than 5 minutes: A seizure lasting more than 5 minutes is considered status epilepticus and is a medical emergency requiring immediate intervention.

D. The child is sleepy and lethargic after the seizure: Postictal sleepiness is a common and expected phase after a generalized seizure.

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Correct Answer is C

Explanation

A. Integumentary: Meningitis affects the central nervous system (CNS), not the skin, though a rash can sometimes appear with meningococcal meningitis.

B. Digestive: Digestive symptoms like nausea and vomiting may occur, but the primary system affected is the CNS.

C. Central Nervous: Meningitis is an inflammation of the meninges, which are protective coverings of the brain and spinal cord in the CNS.

D. Cardiopulmonary: Cardiopulmonary symptoms are not primary features of meningitis, though severe cases may affect vital systems indirectly.

A. Haemophilus Influenza Type B (HIB) Vaccine and TDAP B. Inactivated polio vaccine (IPV) and Pneumococcal Conjugate Vaccine (PCV) C. DTAP and Varicella Vaccine D. Pneumococcal Conjugate Vaccine (PCV) and Haemophilus Type B (HIB Vaccine)

Correct Answer is D

Explanation

A. Haemophilus Influenza Type B (HIB) Vaccine and TDAP. HIB vaccine reduces the incidence of meningitis caused by Haemophilus influenzae, but TDAP does not target pathogens responsible for meningitis.

B. Inactivated polio vaccine (IPV) and Pneumococcal Conjugate Vaccine (PCV). IPV prevents polio but has no impact on meningitis incidence. PCV is correct for preventing Streptococcus pneumoniae meningitis.

C. DTAP and Varicella Vaccine. DTAP does not prevent bacterial meningitis, and varicella vaccine prevents chickenpox, not meningitis.

D. Pneumococcal Conjugate Vaccine (PCV) and Haemophilus Type B (HIB Vaccine). These vaccines directly prevent bacterial meningitis caused by Streptococcus pneumoniae and Haemophilus influenzae, which were previously leading causes of meningitis in children.

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An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse call 911?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following body systems does meningitis affect?

Correct Answer is C

Explanation

A nurse is assisting with the development of an inservice about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis?

Correct Answer is D

Explanation

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