The nurse is caring for a 3-year-old child who experienced a febrile seizure for the first time. What statements by the parents of the child should the nurse address further? Select all that apply.

"It is so scary to think that our child will likely develop epilepsy now."

"We have never had anyone in our family have a febrile seizure so I was so surprised when this happened."

"I am thankful that our child won't have to be on anti-seizure medication."

“I am afraid that our 10-year-old will start having febrile seizures."

"It's important to manage fevers in the future in order to decrease the risk of febrile seizures."

Answer and Explanation

Correct Answer : A,B,D

Rationale:

A. "It is so scary to think that our child will likely develop epilepsy now.": While febrile seizures can be frightening, most children who experience them do not go on to develop epilepsy. This misconception needs to be addressed to reduce parental anxiety.

B. "We have never had anyone in our family have a febrile seizure so I was so surprised when this happened.": Although family history can increase risk, febrile seizures can occur in children without a family history. Parents may benefit from education about the unpredictability and prevalence of febrile seizures.

C. "I am thankful that our child won't have to be on anti-seizure medication.": This reflects an accurate understanding, as most febrile seizures do not require ongoing anti-seizure medication, so no further teaching is necessary.

D. “I am afraid that our 10-year-old will start having febrile seizures.": Febrile seizures typically occur between 6 months and 5 years of age, so it is unlikely that a 10-year-old would develop them.

E. "It's important to manage fevers in the future in order to decrease the risk of febrile seizures.": While it is true that managing a fever does not always prevent a febrile seizure, it is a crucial and appropriate part of the management plan.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","B","E"]

Explanation

Rationale:

A. Diaphoresis while eating: Excessive sweating during feeding is a common sign of increased cardiac workload in infants. It indicates that the infant is struggling to meet oxygen demands due to a possible heart problem.

B. Small stature for age: Poor growth or failure to thrive often occurs in infants with cardiac issues because their bodies use extra energy to maintain adequate circulation, leading to inadequate weight gain and growth.

C. Poor social development: While important to assess, poor social development is generally not a direct indicator of cardiac issues in infants and may be related to other neurological or environmental factors.

D. Warm extremities: Warm extremities typically indicate good peripheral perfusion. In cardiac problems, extremities are often cool or mottled due to poor circulation.

E. Cyanosis: Cyanosis, or bluish discoloration of the skin and mucous membranes, is a classic and important sign of cardiac defects that cause decreased oxygenation of blood, especially in congenital heart disease.

A. Digoxin B. Prostaglandin C. Furosemide D. Indomethacin

Correct Answer is D

Explanation

Rationale:

A. Digoxin: Digoxin is used to improve cardiac contractility and manage heart failure symptoms, but it does not promote closure of the patent ductus arteriosus (PDA). It may be part of supportive care but is not the primary treatment for PDA.

B. Prostaglandin: Prostaglandins keep the ductus arteriosus open, which is useful in some congenital heart defects requiring ductal patency. However, in PDA, the goal is to close the ductus, so prostaglandin administration would be contraindicated.

C. Furosemide: Furosemide is a diuretic used to manage fluid overload and heart failure symptoms but does not affect ductus arteriosus closure. It may be used adjunctively if heart failure develops.

D. Indomethacin: Indomethacin is a nonsteroidal anti-inflammatory drug that inhibits prostaglandin synthesis, promoting closure of the patent ductus arteriosus. It is the first-line medication used to medically close PDA in neonates.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a 3-year-old child who experienced a febrile seizure for the first time. What statements by the parents of the child should the nurse address further? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the symptoms below would alert the nurse that an infant may have a cardiac issue? Select the 3 that apply

Correct Answer is ["A","B","E"]

Explanation

A 2 week old patient in the NICU has a 'machine like murmur, poor growth and bounding pulses. He has been diagnosed with a Patent Ductus Arteriosus. What medication would the nurse anticipate administering to this patient?

Correct Answer is D

Explanation

Which of the following is essential in the lifelong management of a child with congenital adrenal hyperplasia (CAH)?

You are caring for an 11-year-old girl with Acute Lymphoblastic Leukemia (ALL). She is inpatient receiving chemotherapy and has developed mucositis. Select which nursing interventions you would anticipate for this patient. Select THREE that apply.

The nurse is preparing to discharge an 11 year old patient newly diagnosed with type 1 diabetes. Which of the following statements by the parents indicate that they are safe for discharge? Select ALL that apply

The nurse is developing a teaching plan for the parents of a 12-year-old boy with cystic fibrosis. For which piece of equipment should the nurse prioritize education?

A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. Which of the following statements should the nurse make?

The nurse is completing a health history with the parents of a 6-month-old infant with retinoblastoma. Which symptom should the nurse expect that the parents have observed?

Which medication will the nurse anticipate to administer to the client with Hemophilia A?

Which of the following findings by the nurse are considered Major Characteristics of Rheumatic Fever as determined by the Jones Criteria? Select the FIVE that apply.