What does the nurse explain to parents of a child with febrile seizures?

They occur when the body temperature exceeds 38.3°C (101°F).

They can be prevented by anticonvulsant medication.

They usually lead to the development of epilepsy.

They occur when the temperature rises quickly.

Answer and Explanation

The Correct Answer is D

Choice A reason: Febrile seizures are not strictly tied to a specific temperature like 38.3°C (101°F) but rather to rapid temperature changes. A fixed threshold oversimplifies the trigger, as the rate of temperature rise is more critical than a single value.
Choice B reason: Anticonvulsants are not routinely used to prevent febrile seizures, as most are benign and self-limiting. Prophylactic medications like phenobarbital are reserved for complex cases, as they carry risks like sedation and do not address the fever’s cause.
Choice C reason: Febrile seizures, especially simple ones, rarely lead to epilepsy (risk <5%). They are typically benign, occurring in neurologically normal children aged 6 months to 5 years, triggered by fever, not indicative of chronic seizure disorders.
Choice D reason: Febrile seizures are triggered by a rapid rise in body temperature, often during the early phase of a fever. This rapid change lowers the seizure threshold in young children, causing neuronal hyperexcitability, leading to seizures, making this the correct explanation.

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Correct Answer is C

Explanation

Choice A reason: Celecoxib, a COX-2 inhibitor, can increase bleeding risk by inhibiting platelet aggregation. Reporting signs of bleeding or bruising is critical, as it may indicate gastrointestinal or systemic bleeding, a known adverse effect. This statement shows appropriate understanding of monitoring for serious side effects.
Choice B reason: Taking celecoxib only as prescribed ensures adherence to the recommended dose and schedule, minimizing risks like gastrointestinal irritation or cardiovascular events. This statement reflects correct understanding of the importance of following medical guidance to optimize safety and efficacy.
Choice C reason: Celecoxib is typically taken once or twice daily, and it can be taken with or without food. Taking it three times daily on an empty stomach is incorrect and may increase gastrointestinal irritation, indicating a need for further education on proper dosing and administration.
Choice D reason: Monitoring urine output is relevant, as celecoxib can cause renal toxicity, leading to decreased urine output or acute kidney injury. This statement shows appropriate awareness of the need to monitor for renal side effects, which is critical for safe use.

A. Obtain IV access. B. Keep the lights on when the client is sleeping. C. Place the client’s bed in the high position. D. Keep a padded tongue blade available at the client’s bedside.

Correct Answer is A

Explanation

Choice A reason: Obtaining IV access is critical for seizure precautions, allowing rapid administration of antiepileptic drugs (e.g., lorazepam) in case of prolonged seizures. IV access ensures prompt treatment to prevent status epilepticus, which can cause neuronal damage or hypoxia.
Choice B reason: Keeping lights on during sleep is not a seizure precaution. It may disrupt sleep, increasing seizure risk by lowering the seizure threshold due to fatigue, and does not directly contribute to safety during a seizure event.
Choice C reason: Placing the bed in a high position increases the risk of falls during a seizure, as uncontrolled movements may cause the client to fall from a greater height, leading to injury. A low bed is safer.
Choice D reason: Keeping a padded tongue blade is outdated and unsafe, as inserting objects during a seizure risks dental injury or airway obstruction. Current guidelines prioritize airway protection and environmental safety, not tongue blades.

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What does the nurse explain to parents of a child with febrile seizures?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed celecoxib for joint pain. What statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. Which of the following interventions should the nurse include in the client’s plan of care?

Correct Answer is A

Explanation

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