When caring for a four-year-old who has been admitted to the hospital after having a febrile seizure, which of the following statements should be included when educating the parents? Select the two responses that apply:

Your child will need to take anti-seizure medications for the next couple of years.

Febrile seizures may increase the risk for later developmental delays.

Febrile seizures can usually be prevented by giving your child antipyretics when they have a fever.

Febrile seizures usually do not have any long-term effects.

Answer and Explanation

Correct Answer : A,C,D

Choice A reason: This statement is not typically accurate; anti-seizure medications are not usually required for children who have had febrile seizures.
Choice B reason: There is no strong evidence that febrile seizures increase the risk for developmental delays.
Choice C reason: This is one of the correct choices. Antipyretics can help manage fever and may reduce the likelihood of a febrile seizure.
Choice D reason: This is one of the correct choices. Most children who experience febrile seizures do not have long-term effects or develop epilepsy.

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Correct Answer is D

Explanation

Choice A reason: While noting the frequency of drooling is important, it is not the most critical assessment.
Choice B reason: Observing the appearance of oral mucosa is less critical than assessing the ability to swallow.
Choice C reason: Assessing speech patterns is important but secondary to swallowing ability in terms of immediate safety.
Choice D reason: This is the correct choice. The ability to chew and swallow is crucial for preventing aspiration and maintaining nutrition.

A. High-pitched cry. B. Decreased lower extremity movement. C. Excessive wet diapers. D. Bulging fontanel when crying.

Correct Answer is D

Explanation

Choice A reason: A high-pitched cry can be a sign of distress in an infant, but it is not a specific indicator of increased intracranial pressure. It could be due to a variety of reasons, including discomfort, hunger, or other forms of distress.
Choice B reason: Decreased lower extremity movement could be a sign of a neurological issue, but it is not a direct indicator of increased intracranial pressure. It would require further evaluation to determine the cause.
Choice C reason: Excessive wet diapers are not typically associated with increased intracranial pressure. This symptom could be related to other conditions such as diabetes insipidus or excessive fluid intake.
Choice D reason: This is the correct choice. A bulging fontanel when crying is a classic sign of increased intracranial pressure in an infant. The fontanel, or soft spot on the baby's head, can bulge when there is increased pressure within the skull. This should be promptly evaluated by a healthcare professional.

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When caring for a four-year-old who has been admitted to the hospital after having a febrile seizure, which of the following statements should be included when educating the parents? Select the two responses that apply:

Nursing Test Bank

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