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.

Answer and Explanation

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.

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Correct Answer is ["1.3"]

Explanation

Step 1: First, convert the child’s weight from pounds to kilograms. Since 1 pound is approximately 0.45 kilograms, an 18-pound child weighs about 8.16 kilograms (18 pounds × 0.45 kg/pound).

Step 2: Next, calculate the total daily dosage of amoxicillin. The prescribed dosage is 25 mg/kg/day. Therefore, the total daily dosage is 204 mg/day (8.16 kg × 25 mg/kg).

Step 3: Since the medication is to be administered in two divided doses every 12 hours, each dose should be half of the total daily dosage. Therefore, each dose is 102 mg (204 mg/day ÷ 2).

Step 4: Finally, calculate the volume of the suspension to be administered for each dose. The label on the bottle reads, “Amoxicillin for Oral Suspension, USP 400 mg per 5 mL.”. Therefore, each milliliter of the suspension contains 80 mg of amoxicillin (400 mg/5 mL). To administer a dose of 102 mg, the nurse should administer approximately 1.275 mL (102 mg ÷ 80 mg/mL). If rounding is required, round to the nearest tenth.

Therefore, the nurse should administer 1.3 mL for each dose.

A. Fever 101.0° F (38.3°C) B. Barking cough, worse at night C. Frequent crying during nursing D. Difficulty swallowing secretions .

Correct Answer is D

Explanation

Choice A rationale
While a fever could indicate an infection or other illness, it is not the most concerning symptom in a child with croup. Croup is primarily a respiratory condition, and symptoms related to breathing difficulties are generally of greater concern.
Choice B rationale
A barking cough is a common symptom of croup, but it is not typically the primary concern for a telephone triage nurse. While it can be distressing, it is not usually a sign of a severe or life-threatening condition.
Choice C rationale
Frequent crying during nursing could indicate discomfort or distress, but it is not the most concerning symptom in a child with croup. Croup primarily affects the respiratory system, and symptoms related to breathing difficulties are generally of greater concern.
Choice D rationale
Difficulty swallowing secretions is the most concerning symptom in a child with croup. This could indicate severe swelling of the airway, which could potentially lead to breathing difficulties and require immediate medical attention.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.3"]

Explanation

When advising a new mother on caring for a child with croup, which symptom should be a priority concern for the telephone triage nurse?

Correct Answer is D

Explanation

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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?