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.