A mother reports that her child has episodes where he appears to be staring into space. This behaviour is characteristic of which type of seizure?
Atonic
Absence
Simple partial
Tonic-clonic
The Correct Answer is B
The behaviour described, where the child appears to be staring into space, is characteristic of
B. Absence seizures.
Absence seizures, also known as petit mal seizures, are a type of generalized seizure that primarily affects children. These seizures are brief and usually last for a few seconds. During an absence seizure, the child may appear to be staring blankly into space, unaware of their surroundings. They may not respond to stimuli or engage in any purposeful activity.After the seizure ends, the child typically resumes their previous activity without any memory of the seizure.
Atonic seizures in (option A) is incorrect because it involves a sudden loss of muscle tone, leading to a limp or "drop"in the person.
Simple partial seizures in (option C) are focal seizures that affect a specific region of the brain, causing localizedsymptoms such as twitching or tingling in a particular body part.
Tonic-clonic seizures in (option D) also known as grand mal seizures, is incorrect because it involves a combination of muscle rigidity (tonic phase) and jerking movements (clonic phase).
Therefore, based on the description provided, the behaviour of staring into space is characteristic of B. Absence seizures. It is important for the child to be evaluated by a healthcare professional for an accurate diagnosis and appropriate management of their seizures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
When caring for a neonate with a suspected tracheoesophageal fistula (TEF), nursing care should include elevating the head but giving nothing by mouth. Tracheoesophageal fistula is a condition where an abnormal connection exists between the trachea and oesophagus, leading to the passage of air and secretions between these structures. Feeding the infant orally can result in aspiration of feedings into the lungs, which can cause respiratory distress and complications. Therefore, it is important to keep the neonate in an upright position to reduce the risk of aspiration until a definitive diagnosis and treatment plan are established.
elevating the head for feedings in (option B), is not appropriate in this case as oral feedings should be avoided until the tracheoesophageal fistula is addressed.
avoiding suction unless the infant is cyanotic in (option C), is not correct. Suctioning may be necessary in neonates with suspected tracheoesophageal fistula to clear secretions and maintain a patent airway.
feeding glucose water only in (option D), is not an appropriate intervention for a neonate with a suspected tracheoesophageal fistula. In this situation, all oral feedings should be withheld until further evaluation and management.
Correct Answer is C
Explanation
When caring for a child with an open fracture, the nurse should carefully assess for signs and symptoms of infection. An open fracture refers to a fracture where the bone is exposed through the skin, creating a direct pathway for microorganisms to enter and cause infection. Infection is a significant concern in open fractures and can lead to serious complications if not identified and treated promptly. Signs of infection may include increased pain, swelling, redness, warmth, purulent drainage, fever, or systemic signs of infection such as elevated white blood cell count.
Osteoarthritis in (option A) is incorrect because it, is not an immediate concern in the care of a child with an open fracture. Osteoarthritis refers to degenerative joint disease that typically develops over time and is not directly related to the acute management of an open fracture.
epiphyseal disruption in (option B) is incorrect because it, refers to an injury involving the growth plate (epiphyseal plate) that can affect bone growth and development. While it is a potential concern in fractures that involve the growth plate, it is not specific to open fractures and may not be an immediate priority in the initial assessment of an open fracture.
periosteum thickening in (option D) is incorrect because it, may occur in response to injury and fracture healing, but it is not specifically associated with open fractures and is not a primary focus in the initial assessment of an open fracture.
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