A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? (select all that apply.)
Dropping held object
Loss of consciousness
Falling to the floor
Appearance of daydreaming
Correct Answer : A,B,D
A. Dropping held object: Loss of motor activity during absence seizures may result in dropping objects.
B. Loss of consciousness: Absence seizures involve brief, sudden loss of consciousness without convulsions.
C. Falling to the floor: This is associated with atonic or tonic-clonic seizures, not absence seizures.
D. Appearance of daydreaming: A hallmark of absence seizures is the "staring spell" or daydream-like appearance.
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Correct Answer is A
Explanation
A. Anticonvulsants: Anticonvulsants are the primary treatment to control and prevent seizures by stabilizing neuronal activity.
B. Anticoagulants: Anticoagulants are used to prevent blood clots, not seizures.
C. Antibiotics: Antibiotics treat infections, which may cause seizures indirectly, but they are not used to treat seizures themselves.
D. Antidepressants: Antidepressants manage mood disorders, not seizure activity.
Correct Answer is C
Explanation
A. Insomnia: Infants with increased ICP are more likely to be lethargic than to have insomnia.
B. Positive Babinski reflex: A positive Babinski reflex is normal in infants under 2 years and does not indicate ICP.
C. Bulging fontanel: A bulging fontanel is a classic sign of increased ICP due to the accumulation of fluid or swelling inside the skull.
D. Low-pitched cry: Infants with ICP typically have a high-pitched cry, not a low-pitched one.