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A nurse is assessing a child who has experienced a febrile seizure. Which of the following factors should the nurse identify as the cause of the seizure?

Sudden rise in body temperature due to infection

Pooling of blood in a cerebral space

Structural brain lobe defect since birth

Trauma to the head or neck area causing a concussion

Answer and Explanation

The Correct Answer is A

A. Febrile seizures are most commonly triggered by a rapid increase in body temperature, typically due to an infection.

B. Pooling of blood in a cerebral space is associated with hemorrhagic conditions, not febrile seizures.

C. Structural brain defects are associated with epilepsy, not febrile seizures.

D. Trauma causing a concussion may lead to seizures but is not the cause of febrile seizures.

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Correct Answer is A

Explanation

A. Administering a bronchodilator like albuterol before CPT helps open the airways, making it easier to mobilize secretions.

B. CPT should be performed before meals or 1 to 2 hours after eating to prevent vomiting.

C. Vibration should be performed during exhalation, not inspiration, to help loosen secretions.

D. Percussing each lung segment for 15 minutes is excessive; typically, each segment is percussed for 3-5 minutes.

A. An 18-month-old admitted for dehydration 2 days ago who has had six wet diapers in the last 24 hr and ate 90% of their meals B. A 15-year-old adolescent who had a laparoscopic appendectomy 30 hr ago, rates their pain a 3 on a scale of 1 to 10, and is preparing for discharge this morning C. A 3-year-old toddler who aspirated several sunflower seeds and continues to cough with an O. saturation of 91% D. A 6-year-old child admitted with asthma exacerbation who used a rescue inhaler 16 hr ago E. Child's statements with parent input

Correct Answer is C

Explanation

A. The 18-month-old shows signs of improving hydration status, evidenced by adequate wet diapers and food intake. This client is stable.

B. The adolescent with mild postoperative pain and preparing for discharge is stable and does not require immediate attention.

C. The toddler's low oxygen saturation (91%) and continued coughing indicate potential airway obstruction or impaired gas exchange, which requires immediate assessment and intervention to prevent respiratory failure.

D. Although the 6-year-old with asthma should be monitored, their last use of a rescue inhaler 16 hours ago suggests they are not in acute distress.

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A nurse is assessing a child who has experienced a febrile seizure. Which of the following factors should the nurse identify as the cause of the seizure?

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