A nurse is collecting data from a child who recently experienced a psychomotor seizure.
Which of the following findings should the nurse expect?"
Hyperactivity
Nystagmus
Apnea
Amnesia
The Correct Answer is D
Rationale:
A) Hyperactivity is not typically associated with a postictal state after a seizure.
Instead, the child may appear lethargic or drowsy.
B) Nystagmus, or rapid, involuntary eye movements, is not typically seen in the postictal state following a seizure.
C) Apnea, or cessation of breathing, may occur during the seizure itself but is not typically a postictal finding.
D) Amnesia, or memory loss, is a common postictal finding after a seizure, particularly in complex partial seizures or psychomotor seizures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A) Insomnia is a sleep disorder and is not typically associated with head injuries unless there is a concurrent neurological complication.
B) Irritability can be a sign of increased intracranial pressure following a head injury and should be promptly reported for further evaluation.
C) Diarrhea is not a common manifestation of head injuries and would not typically be included in monitoring and reporting instructions.
D) Hypothermia is not typically associated with head injuries unless there is a severe injury with shock, and it is not a common manifestation requiring monitoring in the acute phase of head injury.
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A) Installing window guards on windows prevents falls and injuries.
B) Placing scatter rugs over hardwood floors increases the risk of tripping and falls.
C) Keeping doors locked prevents access to hazardous areas or materials.
D) Supervising at playgrounds ensures the toddler's safety during play.
E) Pot handles should be turned away from the front of the stove to prevent accidental spills and burns.
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