. An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse call 911?
The child is confused and cannot remember anything regarding the seizure.
The child fell at the onset of the seizure
The seizure lasts more than 5 minutes.
The child is sleepy and lethargic after the seizure
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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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 A
Explanation
A. 2 to 3 weeks: The incubation period for varicella is typically 10 to 21 days, or 2 to 3 weeks.
B. 7 to 10 days: This is shorter than the actual incubation period for varicella.
C. 3 to 4 weeks: This exceeds the typical maximum incubation period of 21 days.
D. 2 to 5 days: This is significantly shorter than the typical incubation period for varicella.