A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include?

“This type of seizure can be mistaken for daydreaming.”

“This type of seizure lasts 30 to 60 seconds.”

“This type of seizure has a gradual onset.”

“The child usually has an aura prior to onset.”

Answer and Explanation

The Correct Answer is A

Absence seizures are brief, sudden lapses of consciousness that usually last a few seconds. They are more common in children than in adults.

A person having an absence seizure may stare blankly into space and not respond to others. They may also have subtle movements such as lip smacking or eyelid fluttering.

Choice B is wrong because absence seizures typically last less than 15 seconds, not 30 to 60 seconds.

Choice C is wrong because absence seizures have a sudden onset, not a gradual one.

Choice D is wrong because absence seizures do not have an aura prior to onset. An aura is a warning sign that some people experience before a seizure, such as a strange feeling, smell, or vision.

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Correct Answer is D

Explanation

The correct answer is choice D. Positioning both hands on the grips with his elbows slightly flexed.

Choice A rationale:

Moving both crutches with the stronger leg forward first is not correct because in a three-point gait, the two crutches and the affected leg move together, followed by the stronger leg.

Choice B rationale:

Supporting body weight while leaning on the axillary crutch pads is incorrect as this can cause nerve damage under the arms. Weight should be supported by the hands while using crutches.

Choice C rationale:

Stepping with the affected leg first when going up stairs is incorrect. When ascending stairs, the unaffected (stronger) leg should be moved first, followed by the affected leg and crutches.

Choice D rationale:

Positioning both hands on the grips with elbows slightly flexed is correct as it allows for proper weight distribution through the arms and hands, which is essential for balance and safety while using crutches.

A. “Participate in range-of-motion exercises.” B. “Use an incentive spirometer every 4 hours.” C. “Remain on bed rest for 24 hours following the procedure.” D. “Place a pillow under your knees while in bed.” E. “Place a pillow under your knees while in bed.”

Correct Answer is A

Explanation

This instruction will help the client to prevent venous stasis and thrombosis, which are common postoperative complications. Range-of-motion exercises promote blood circulation and prevent muscle atrophy and contractures.

Choice B is wrong because “Use an incentive spirometer every 4 hours.” is wrong because it is not related to promoting circulation, but rather to improving lung expansion and preventing atelectasis and pneumonia. Using an incentive spirometer is also important for postoperative clients, but it does not address the question.

Choice C is wrong because “Remain on bed rest for 24 hours following the procedure.” is wrong because it is the opposite of promoting circulation.

Bed rest increases the risk of venous stasis, thrombosis, and pulmonary embolism. Postoperative clients should be encouraged to ambulate as soon as possible, unless contraindicated.

Choice D is wrong because “Place a pillow under your knees while in bed.” is wrong because it also impairs circulation and increases the risk of thrombosis.

Placing a pillow under the knees can cause pressure on the popliteal veins and reduce blood flow. Postoperative clients should avoid this position and keep their legs in a neutral or slightly elevated position.

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A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

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