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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Palliative care serves to hasten death and make the process easier for the family is an incorrect statement. Palliative care is focused on providing relief from symptoms and improving the quality of life, not hastening death.
B. Palliative care provides pain and symptom management and best quality of life for the child is the correct understanding of palliative care. It focuses on managing symptoms and providing support to improve quality of life, regardless of the child’s age or stage of illness.
C. The goal of palliative care is to place the child in a hospice setting at the end of life is not entirely correct. Palliative care can be provided at any stage of a serious illness, not just at the end of life, and it does not automatically mean placement in hospice.
D. The goal of palliative care is to act as the liaison between the family, child, and other health care professionals is a supportive role, but it does not fully define the scope of palliative care, which is focused on symptom management and improving quality of life.
Correct Answer is B
Explanation
A. Brisk pupillary reaction to light is a normal finding and does not indicate increased intracranial pressure (ICP). In fact, a sluggish or non-reactive pupil response is more indicative of increased ICP.
B. Increased sleepiness or lethargy is an early sign of increased ICP in infants. The brain’s response to rising pressure can cause altered mental status, which includes drowsiness or difficulty waking.
C. Tachycardia is not typically an early sign of increased ICP. As pressure increases, the heart rate can actually slow, and bradycardia (slower heart rate) is often seen in more advanced stages.
D. Depressed fontanels are not indicative of increased ICP. In fact, in infants, increased ICP is more commonly associated with bulging fontanels, not depressed ones. Depressed fontanels could indicate dehydration or malnutrition.
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