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
Seeing spots is not a typical symptom of low blood sugar (hypoglycemia), which is a common concern for individuals with Type 1 diabetes. Seeing spots could be related to other health issues, such as eye conditions or neurological problems.
Choice B rationale
Profuse perspiration is a common symptom of hypoglycemia. When blood sugar levels drop, the body produces excess adrenaline, leading to sweating. Consuming a source of sugar would help to raise blood sugar levels and alleviate this symptom.
Choice C rationale
A racing pulse is not a specific symptom of hypoglycemia. It could be related to various conditions, including anxiety, dehydration, or heart conditions.
Choice D rationale
Excessive thirst is typically a symptom of high blood sugar (hyperglycemia), not low blood sugar. Consuming sugar when blood sugar levels are already high could potentially worsen the condition.
Correct Answer is D
Explanation
The correct answer is choice d. Measure the blood pressure twice more during the visit and calculate the average of the three readings.
Choice A rationale:
Referring the child to the healthcare provider and scheduling a blood pressure evaluation in two weeks is not the immediate next step. It is important to confirm the elevated blood pressure reading during the same visit before making any referrals.
Choice B rationale:
Performing a comprehensive assessment and avoiding repeated blood pressure measurements is not appropriate. Repeated measurements are necessary to confirm the initial finding of elevated blood pressure.
Choice C rationale:
Taking the child’s blood pressure three times and recording the highest reading is not the best practice. The highest reading might not be representative of the child’s true blood pressure.
Choice D rationale:
Measuring the blood pressure twice more during the visit and calculating the average of the three readings is the correct approach. This method helps to ensure that the blood pressure reading is accurate and not influenced by temporary factors such as anxiety or movement.
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