VERSION 1
1. A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse
expect? (Select all that apply.) A. Loss of consciousness
B. Appearance of daydreaming
C. Dropping held objects
D. Falling to the floor
E. E. Having a piercing cry
55a
1. A. CORRECT: Loss of consciousness for 5 to 10 seconds is a manifestation of an absence seizure.
B. CORRECT: Behavior that resembles daydreaming is a manifestation of an absence seizure.
C. CORRECT: A child who is having absence seizures might drop a held object.
D. Falling to the floor is a manifestation of a tonic-clonicseizure.
E. A piercing cry is a manifestation of a tonic-clonicseizure.
55b
2. A nurse is caring for a child who just experienced a generalized seizure. Which of the following is the priority
action for the nurse to take?
A. Maintain the child in a side-lying position.
B. Loosen the child's restrictive clothing.
C. Reorient the child to the environment.
D. Note the time and characteristics of the
child's seizure. 56a
2. A. CORRECT: Following a seizure, children often experience vomiting. Using the airway, breathing, circulation priority-setting
framework, the first action the nurse should take is to place the child in a side-lying position to maintain a patent airway and prevent
aspiration of secretions. B. Loosening the child's restrictive clothing is an appropriate action. However, it is not the priority action.
C. R eorienting the child to the environment following a generalized seizure is an appropriate action. However, it is not the priority
action. D. Noting the time and characteristics of the child's seizure is an appropriate action. However, it is not the priority action.
56b
3. A nurse is providing teaching to the parent of a child who is to have an electroencephalogram (EEG).
Which of the following responses should the nurse include in the teaching?
A. "Decaffeinated beverages should be offered on the morning of the procedure.
" B. "Do not wash your child's hair the night before the procedure."
C. "Withhold all foods the morning of the procedure."
D. "Give your child an analgesic the night before the procedure."
57a
3. A. CORRECT: Caffeine can alter the results of an
EEG and should be avoided prior to the test.
B. The child's hair should be washed to remove oils that permit adherence of the EEG electrodes.
C. Foods are not withheld prior to an EEG.
D. Analgesics can alter the results of an EEG and should be avoided prior to the test.
57b
4. A nurse is teaching a group of parents about the risk factors for seizures. Which of the following factors should
the nurse include in the teaching? (Select all that apply.)
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