The parents of a 14-month-old child, hospitalized due to febrile seizures, express their concern to the nurse about their child having seizures for life.
What information should the nurse share with these parents?
Avoid overstimulation as it can trigger seizure activity.
Assure the parents that the frequency of febrile seizures decreases as the child ages.
Suggest giving the child a sponge bath when the temperature exceeds 100.6°F (38.1°C).
Advise the prophylactic use of Ibuprofen to prevent febrile seizures.
The Correct Answer is B
Choice A rationale
While it’s true that overstimulation can sometimes trigger seizures in children with certain neurological conditions, it’s not typically a trigger for febrile seizures. Febrile seizures are caused by a rapid increase in body temperature, often due to an infection.
Choice B rationale
Febrile seizures are most common in young children between the ages of 6 months and 5 years. As children grow older, they are less likely to have febrile seizures. Most children outgrow febrile seizures by the time they are 5 years old.
Choice C rationale
While it’s important to try to reduce a child’s fever, a sponge bath is not likely to prevent a febrile seizure. Febrile seizures are triggered by a rapid increase in body temperature, not the absolute value of the temperature.
Choice D rationale
The use of ibuprofen or other fever-reducing medications is not typically recommended as a way to prevent febrile seizures. These medications can help make the child more comfortable by reducing fever, but they do not prevent febrile seizures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Sodium levels are not typically affected by hypoparathyroidism. Hypoparathyroidism primarily affects calcium and phosphorus levels in the body.
Choice B rationale
Hypoparathyroidism leads to abnormally low levels of parathyroid hormone, which results in low calcium levels in the blood. A carpal spasm when pressure is applied to the upper arm, also known as Trousseau’s sign, is a common symptom of hypocalcemia.
Choice C rationale
Potassium levels are not typically affected by hypoparathyroidism. Hypoparathyroidism primarily affects calcium and phosphorus levels in the body.
Choice D rationale
Chloride levels are not typically affected by hypoparathyroidism. Hypoparathyroidism primarily affects calcium and phosphorus levels in the body.
Correct Answer is A
Explanation
Choice A rationale
In evaluating a preschool-aged child presenting with symptoms of flank pain, dysuria, and a low-grade fever for a possible urinary tract infection (UTI), the nurse should obtain additional information from the parent about the frequency of urination. Increased frequency of urination is a common symptom of UTI in children.
Choice B rationale
While dietary changes can affect the color and odor of urine, they are not typically associated with the symptoms of a UTI.
Choice C rationale
Unusual odors in the urine can be a sign of a UTI. However, this symptom alone is not definitive for a UTI and should be considered in conjunction with other symptoms and findings.
Choice D rationale
Changes in the color of the urine can be a sign of a UTI, as the urine may appear cloudy or have a pink or red color due to the presence of blood. However, this symptom alone is not definitive for a UTI and should be considered in conjunction with other symptoms and findings.
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