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. An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse call 911?

A.

The child is confused and cannot remember anything regarding the seizure.

B.

The child fell at the onset of the seizure

C.

The seizure lasts more than 5 minutes.

D.

The child is sleepy and lethargic after the seizure

Answer and Explanation

The Correct Answer is C

A. The child is confused and cannot remember anything regarding the seizure: Postictal confusion is normal after a seizure and does not require emergency services.

 

B. The child fell at the onset of the seizure: Falls can occur with seizures, but unless there is a suspected injury or prolonged seizure activity, calling 911 is unnecessary.

 

C. The seizure lasts more than 5 minutes: A seizure lasting more than 5 minutes is considered status epilepticus and is a medical emergency requiring immediate intervention.

 

D. The child is sleepy and lethargic after the seizure: Postictal sleepiness is a common and expected phase after a generalized seizure.

 


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View Related questions

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. Whooping cough. Pertussis is commonly called "whooping cough" due to the characteristic "whooping" sound heard during coughing fits.

B. Fifth disease. Fifth disease is caused by parvovirus B19, not Bordetella pertussis, the bacteria causing pertussis.

C. Chickenpox. Chickenpox is caused by the varicella-zoster virus and has no relation to pertussis.

D. Mumps. Mumps is caused by the mumps virus, unrelated to pertussis.

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