A nurse is caring for an adolescent who is 1 hr. postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?

Choice AReason:

Exposure to secondhand smoke is incorrect. While exposure to secondhand smoke isn't healthy for anyone, it might not be a primary trigger for seizures in most cases. However, for some individuals, exposure to certain environmental toxins or irritants might exacerbate their condition, though this varies from person to person.

Choice BReason:

Decreased temperature is incorrect. While extreme temperatures (both hot and cold) can potentially trigger seizures in some individuals, decreased temperature alone might not be a common trigger compared to other factors.

Choice C Reason:

Lack of sleep is correct. Sleep deprivation can be a significant trigger for seizures in people with epilepsy or seizure disorders. Maintaining a regular sleep schedule and ensuring adequate sleep is an important aspect of managing seizures in these individuals.

Choice D Reason:

Prolonged headache is incorrect. Headaches can sometimes be a warning sign or an aura before a seizure for some individuals, but having a headache alone might not directly trigger a seizure for most people with a seizure disorder. However, there can be a relationship between headaches and certain types of seizures in specific cases.

Choice A Reason:

Plan for a 30-minute teaching session about the procedure: While providing information about the procedure is crucial, a 30-minute teaching session might exceed the child's attention span and may overwhelm them. Short, age-appropriate explanations are generally more effective in this age group.

Choice B Reason:

Demonstrate deep-breathing and counting exercises: Teaching relaxation techniques like deep-breathing and counting exercises can help the child manage anxiety and stress during the procedure. These techniques can be beneficial for calming the child and providing a sense of control.

Choice C Reason:

Use vague language to describe the procedure: Using vague or overly simplified language might lead to confusion or increase anxiety in the child. Providing accurate, developmentally appropriate information is important for the child's understanding and preparation.

Choice D Reason:

Explain the procedure to the child when they are in the playroom: Explaining the procedure to the child in a familiar and comfortable environment like the playroom can help reduce stress and create a more relaxed atmosphere for the discussion. However, timing is crucial; the explanation should be given when the child is calm and receptive, not necessarily only in the playroom.