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 A

Explanation

A. Anticonvulsants: Anticonvulsants are the primary treatment to control and prevent seizures by stabilizing neuronal activity.

B. Anticoagulants: Anticoagulants are used to prevent blood clots, not seizures.

C. Antibiotics: Antibiotics treat infections, which may cause seizures indirectly, but they are not used to treat seizures themselves.

D. Antidepressants: Antidepressants manage mood disorders, not seizure activity.

A. Hide the medication in apple slices. B. Offer the child an ice pop prior to administering the medication. C. Tell the child the medicine tastes like candy. D. Inform the child that if he does not take the medication he will need a shot.

Correct Answer is B

Explanation

A. Hide the medication in apple slices: This is inappropriate as the child might distrust caregivers if they realize the medication was hidden.

B. Offer the child an ice pop prior to administering the medication: An ice pop numbs taste buds and can reduce the unpleasant taste of medication.

C. Tell the child the medicine tastes like candy: Providing false information undermines trust and is unethical.

D. Inform the child that if he does not take the medication he will need a shot: Threats increase anxiety and do not foster cooperation.

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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 is a common treatment for seizures?

Correct Answer is A

Explanation

A nurse is caring for a 4-year-old child who refuses to take his medication because of the bad taste. Which of the following strategies should the nurse use to elicit the child's cooperation?

Correct Answer is B

Explanation

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