The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile seizure. The nurse knows that the parents understand the teaching when the parents make which statement(s)? (Select All that Apply.)

Most children with febrile seizures do not require seizure medicine

My child's 4-year-old sibling is also at high risk for febrile seizures

I will give my child acetaminophen when she has a fever to prevent her temperature from rising rapidly

My child will now take anticonvulsants every day to prevent seizures

My child could have another febrile seizure

Answer and Explanation

Correct Answer : A,C,E

A. Most children with febrile seizures do not require seizure medicine is correct. Febrile seizures are typically self-limiting and do not require daily anticonvulsant therapy. Most children outgrow them.
B. My child's 4-year-old sibling is also at high risk for febrile seizures is incorrect. Febrile seizures most commonly occur in children between 6 months and 5 years old, so the 4-year-old sibling is not necessarily at high risk.
C. I will give my child acetaminophen when she has a fever to prevent her temperature from rising rapidly is correct. While acetaminophen may help lower fever, it should be used cautiously and only to prevent fever from becoming very high quickly.
D. My child will now take anticonvulsants every day to prevent seizures is incorrect. Anticonvulsants are generally not needed for febrile seizures unless there is a specific medical indication, such as recurrent seizures not related to fever.
E. My child could have another febrile seizure is correct. Children who have had a febrile seizure are at an increased risk of experiencing another one, especially if they continue to have fevers.

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Correct Answer is ["A","E","F"]

Explanation

A. Aplastic crisis is caused by a decrease in the production of red blood cells in the bone marrow is correct. Aplastic crisis is often triggered by an infection (such as parvovirus B19), leading to a sudden reduction in red blood cell production, which can exacerbate anemia.

B. Sequestration crisis involves the blockage of small blood vessels by sickled red blood cells is incorrect. This describes a vaso-occlusive crisis, not sequestration crisis. Sequestration crisis involves pooling of blood in the spleen or liver, leading to organ enlargement and circulatory collapse.

C. Vaso-occlusive crisis is characterized by the pooling of large amounts of blood in the spleen and liver is incorrect. Vaso-occlusive crisis is characterized by the blockage of small blood vessels by sickled cells, leading to pain, ischemia, and tissue damage.

D. Aplastic crisis is characterized by the pooling of large amounts of blood in the spleen and liver is incorrect. Aplastic crisis is primarily related to bone marrow failure and reduced red blood cell production, not blood pooling in organs.

E. Sequestration crisis is characterized by the pooling of large amounts of blood in the spleen and liver is correct. In sequestration crisis, the spleen and liver trap large amounts of blood, which can lead to hypovolemic shock and severe anemia.

F. Vaso-occlusive crisis involves the blockage of small blood vessels by sickled red blood cells is correct. Vaso-occlusive crisis occurs when sickled red blood cells obstruct blood flow in small vessels, causing pain, tissue damage, and potential organ dysfunction.

A. "We will avoid giving our child any dairy products during an exacerbation." B. "We will make sure our child eats plenty of fruits and vegetables during an exacerbation." C. "We will increase our child's intake of high-fiber foods, such as whole grains and legumes." D. "We will encourage our child to drink plenty of fluids, especially water."

Correct Answer is B

Explanation

A. "We will avoid giving our child any dairy products during an exacerbation." Avoiding dairy products during a Crohn's disease exacerbation is often recommended because many individuals with Crohn's disease are lactose intolerant, and dairy can exacerbate symptoms such as diarrhea.

B. "We will make sure our child eats plenty of fruits and vegetables during an exacerbation." During an exacerbation of Crohn's disease, a high-fiber diet (including many fruits and vegetables) can be problematic, as it may irritate the intestines and worsen symptoms. This statement indicates a need for further teaching.

C. "We will increase our child's intake of high-fiber foods, such as whole grains and legumes." High-fiber foods should generally be avoided during a Crohn's disease flare-up because they can be difficult to digest and may worsen symptoms. However, this advice might be appropriate during periods of remission.

D. "We will encourage our child to drink plenty of fluids, especially water." Hydration is important, particularly during exacerbations, when the risk of dehydration increases due to diarrhea. This is a correct statement.

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The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile seizure. The nurse knows that the parents understand the teaching when the parents make which statement(s)? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following accurately describe the differences between vaso-occlusive crisis, sequestration crisis, and aplastic crisis in sickle cell anemia? (Select All that Apply.)

Correct Answer is ["A","E","F"]

Explanation

The nurse is providing teaching to the parents of a school-aged child newly diagnosed with Crohn's disease about dietary measures to implement during an exacerbation. Which statement made by the parents indicates a need for further instruction?

Correct Answer is B

Explanation

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