The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile seizure. The nurse knows that the parents understand the teaching when the parents make which statement(s)? (Select All that Apply.)

Most children with febrile seizures do not require seizure medicine

My child's 4-year-old sibling is also at high risk for febrile seizures

I will give my child acetaminophen when she has a fever to prevent her temperature from rising rapidly

My child will now take anticonvulsants every day to prevent seizures

My child could have another febrile seizure

Answer and Explanation

Correct Answer : A,C,E

A. Most children with febrile seizures do not require seizure medicine is correct. Febrile seizures are typically self-limiting and do not require daily anticonvulsant therapy. Most children outgrow them.
B. My child's 4-year-old sibling is also at high risk for febrile seizures is incorrect. Febrile seizures most commonly occur in children between 6 months and 5 years old, so the 4-year-old sibling is not necessarily at high risk.
C. I will give my child acetaminophen when she has a fever to prevent her temperature from rising rapidly is correct. While acetaminophen may help lower fever, it should be used cautiously and only to prevent fever from becoming very high quickly.
D. My child will now take anticonvulsants every day to prevent seizures is incorrect. Anticonvulsants are generally not needed for febrile seizures unless there is a specific medical indication, such as recurrent seizures not related to fever.
E. My child could have another febrile seizure is correct. Children who have had a febrile seizure are at an increased risk of experiencing another one, especially if they continue to have fevers.

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

Explanation

A. Neurological assessment is critical in identifying potential complications, especially in cases of head injury, infection, or brain-related conditions. A change in mental status or neurological findings (e.g., confusion, loss of consciousness) warrants immediate follow-up.

B. Basic metabolic panel provides key information on electrolyte imbalances, kidney function, and acid-base status. Imbalances or abnormalities, such as hyperkalemia or hyponatremia, can indicate life-threatening conditions.

C. Blood pressure/heart rate is crucial to monitor because abnormalities in these vital signs can indicate cardiovascular instability, shock, or autonomic dysfunction. Significant changes require immediate intervention.

D. Abdominal assessment is important but not always immediately urgent unless signs of acute abdominal issues (e.g., severe pain, distention, or bleeding) are present.

E. Complete blood count is essential for monitoring for signs of infection, anemia, or bleeding disorders. Abnormalities such as low hemoglobin or a high white blood cell count require further investigation.

F. Pain assessment is important but may not always indicate an immediate life-threatening issue. However, uncontrolled pain or new-onset severe pain can signal a complication, such as infection or tissue damage, which needs prompt attention.

A. Has your child had a fever? B. Did your child have an aura prior to a seizure? C. Has your child had two or more seizures, in the last 1 year? D. How long did your child's seizure last?

Correct Answer is B

Explanation

A. Has your child had a fever? While fever can be associated with febrile seizures, it is not a question used to screen for epilepsy. Febrile seizures are typically isolated events in young children and are not considered part of chronic epilepsy.

B. Did your child have an aura prior to a seizure? This is an important question for assessing epilepsy, especially focal seizures, as many individuals with epilepsy experience an aura (a warning sign) before a seizure. The presence or absence of an aura helps in classifying the type of seizure and can be useful in diagnosis.

C. Has your child had two or more seizures, in the last 1 year? This is not a screening question for epilepsy, but it would be relevant if epilepsy has already been diagnosed. Two or more seizures within a year can indicate a seizure disorder, but asking if the child has had multiple seizures would be more appropriate once epilepsy is suspected.

D. How long did your child's seizure last? The duration of a seizure is important to note during an episode, but it is not a question used during initial screening. The nurse would focus more on whether seizures occur, how they manifest, and if there are any warning signs (like an aura) prior to the event.

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The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile seizure. The nurse knows that the parents understand the teaching when the parents make which statement(s)? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following findings indicate a potential complication that requires immediate follow-up? (Select All that Apply.)

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

Explanation

A nurse is screening a child for epilepsy. Which of the following questions should the nurse ask the client's parent?

Correct Answer is B

Explanation

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