NCLEX Febrile Seizures

A 3-year-old child had a seizure two days ago when the child's temperature was 105 F. The child has had no previous seizures. Today, the parent and the child are in the physician's office. What should the nurse include when teaching the parent? 1. The child now has epilepsy and will need long-term care for this condition. 2. If the child develops a fever over 101°F, administer ibuprofen. 3. Make sure the child drinks plenty of water every day. 4. Call the physician's office immediately if the child develops a temperature over 100.4°F.

2

2. You are called to the Emergency Department to admit a 2-year-old patient who had a 2 minute generalized tonic-clonic seizure associated with fever. The patient is well-appearing and at baseline neurological status 30 minutes after the event. His neurological examination is normal. What should you do? A. Discharge the patient home after seizure education B. Admit the patient to the floor for overnight observation C. Recommend the Emergency Department obtain a head CT D. Obtain screening labs including a CBCD, chemistry panel and CRP E. Discharge the patient home with rectal diazepam.

A

After teaching the parents of a child with febrile seizures about methods to lower temperature other than medication, which of the following statements indicates successful teaching? A) We'll add extra blankets when he complains of being cold B) We'll wrap him in a blanket if he starts shivering C) We'll make the bath water cold enough to make him shiver D) We'll use a solution of half alcohol and half water when sponging him

B

Which of the following statements is true about febrile seizures? A) Febrile seizures are usually associated only with bacterial infections B) There is a genetic link to febrile seizures C) Febrile seizures are not associated with long-term complications D) A febrile seizure usually indicates that the child will develop epilepsy later on

C

The nurse explains that febrile seizures: a. occur when the body temperature exceeds 38.3 C (101 F). b. can be prevented by anticonvulsant medication. c. usually lead to the development of epilepsy. d. occur when the temperature rises quickly.

D

Which of the following statements obtained from the nursing history of a toddler would alert the nurse to suspect that the child has had a febrile seizure? A) The child has had a low-grade fever for several weeks B) The family history is negative for convulsions C) The seizure resulted in respiratory arrest D) The seizure occurred when the child had a respiratory infection

D