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A nurse is reinforcing with a group of caregivers about the risk factors for seizures. Which of the following factors should the nurse include in her teaching? (Select 3 that apply)

A.

Febrile episode

B.

Low Blood lead levels

C.

Sodium imbalance

D.

Presence of diphtheria

E.

Hypoglycemia

Question Solution

Correct Answer : A,C,E

A. Febrile episode: Fever is a common trigger for febrile seizures in children, especially between 6 months and 5 years.

 

B. Low blood lead levels: Elevated, not low, blood lead levels can increase the risk of seizures due to neurotoxicity.

 

C. Sodium imbalance: Both hyponatremia and hypernatremia can cause seizures by disrupting neuronal function.

 

D. Presence of diphtheria: Diphtheria does not directly increase the risk of seizures. Neurological complications are rare and secondary.

 

E. Hypoglycemia: Low blood sugar levels deprive the brain of energy, which can lead to seizures.


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Correct Answer is C

Explanation

A. Integumentary: Meningitis affects the central nervous system (CNS), not the skin, though a rash can sometimes appear with meningococcal meningitis.

B. Digestive: Digestive symptoms like nausea and vomiting may occur, but the primary system affected is the CNS.

C. Central Nervous: Meningitis is an inflammation of the meninges, which are protective coverings of the brain and spinal cord in the CNS.

D. Cardiopulmonary: Cardiopulmonary symptoms are not primary features of meningitis, though severe cases may affect vital systems indirectly.

Correct Answer is A

Explanation

A. Speak slowly while facing the child: Facing the child helps them see lip movements and facial expressions, which aids communication.

B. Talk directly into the child's impaired ear: Shouting or talking directly into the ear is unhelpful and can distort sound further.

C. Stand above the child's eye level when speaking: Standing above the child can make communication difficult. The nurse should be at eye level to establish effective communication.

D. Speak loudly to the child: Speaking loudly can distort sound and is not helpful for a hearing-impaired child.

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