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 A

Explanation

This is because infants with heart failure have difficulty feeding and may become exhausted or dyspneic during prolonged feedings. By limiting the feeding time, the nurse can reduce the energy expenditure and caloric needs of the infant.
Choice B is wrong because weighing the infant every other day is not enough to monitor the fluid status and nutritional intake of the infant. The nurse should weigh the infant daily at the same time using the same scale.
Choice C is wrong because placing the infant in a prone position can compromise respiratory function and increase the risk of sudden infant death syndrome (SIDS). The nurse should place the infant in a semi-Fowler’s position to facilitate breathing and decrease venous return.
Choice D is wrong because checking the infant’s oxygen saturation every 6 hr is not frequent enough to detect hypoxia or cyanosis. The nurse should monitor the oxygen saturation continuously or at least every 2 hr.

A. Compare new prescriptions with the list of medications the client reports. B. Encourage the client to make his own list after he returns to his home. C. Include any adverse effects of the medications the client might develop. D. Exclude nutritional supplements from the list of medications the client reports.

Correct Answer is A

Explanation

This is part of the medication reconciliation process, which is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions. It should be done at every transition of care in which new medications are ordered or existing orders are rewritten.

Choice B is wrong because the nurse should not encourage the client to make his own list after he returns to his home. The nurse should provide the client with an updated and accurate list of medications before discharge and instruct the client to keep it with him at all times.

Choice C is wrong because the nurse should not include any adverse effects of the medications the client might develop. The nurse should include any known allergies or adverse reactions the client has experienced in the past, but not potential adverse effects that have not occurred.

Choice D is wrong because the nurse should not exclude nutritional supplements from the list of medications the client reports. The nurse should include all prescription medications, herbals, vitamins, nutritional supplements, over-the-counter drugs, vaccines, diagnostic and contrast agents, radioactive medications, parenteral nutrition, blood derivatives, and intravenous solutions in the medication reconciliation process.

Some of these products may interact with prescribed medications or affect laboratory results.

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

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Naxlex Comprehensive Predictor Exams

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