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 B

Explanation

Choice A rationale
Providing a urinal for urinary hesitancy may be helpful in some cases, but it does not address the immediate concern of severe testicular pain, redness, and swelling. These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.
Choice B rationale
Severe testicular pain accompanied by redness and swelling of the scrotum could indicate a serious condition such as testicular torsion. Testicular torsion is a medical emergency that requires immediate intervention to restore blood flow and prevent loss of the testicle.
Therefore, the nurse should immediately report these findings to the healthcare provider.
Choice C rationale
While collecting a sterile urine sample for culture and sensitivity could be useful in diagnosing a urinary tract infection, it does not address the immediate concern of severe testicular pain.
These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.
Choice D rationale
Obtaining a swab of secretions from the penis and urethra could be useful in diagnosing a sexually transmitted infection, but it does not address the immediate concern of severe testicular pain. These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.

A. Propose food even if the child shows no interest. B. Integrate play activities during meal times. C. Establish regular meal times. D. Permit a variety of food options.

Correct Answer is C

Explanation

Choice A rationale
Proposing food even if the child shows no interest might not be effective. Children with autism spectrum disorder often have specific food preferences and may resist trying new foods.
Choice B rationale
While integrating play activities during meal times can make the experience more enjoyable for some children, it might be distracting for a child with autism spectrum disorder. These children often benefit from a calm, structured environment.
Choice C rationale
Establishing regular meal times can provide a sense of structure and predictability, which can be comforting for children with autism spectrum disorder. Regular meal times can also help ensure that the child is receiving adequate nutrition.
Choice D rationale
Permitting a variety of food options can be beneficial for some children, but children with autism spectrum disorder often have specific food preferences and may resist trying new foods.

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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

A male adolescent comes to the clinic reporting severe testicular pain that started during a high school football practice. The nurse notes significant redness and swelling of the scrotum. What should the nurse do next?

Correct Answer is B

Explanation

A nurse is providing care for a toddler diagnosed with autism spectrum disorder and failure to thrive. What strategy should the nurse employ?

Correct Answer is C

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?