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The nurse instructs a mother of a child who has seizures regarding seizure precautions. Which statement by the mother indicates a need for further teaching?

A.

"I know that my child will need to have a companion when swimming."

B.

"I will make my child wear a medical identification bracelet."

C.

"I will need to give antiseizure medications when my child has a seizure."

D.

"I will have my child wear a bike helmet when riding a bike or skateboard."

Answer and Explanation

The Correct Answer is C

A. "I know that my child will need to have a companion when swimming." This is a correct precaution to prevent drowning in case of a seizure.

 

B. "I will make my child wear a medical identification bracelet." This is correct to alert others in case of an emergency.

 

C. "I will need to give antiseizure medications when my child has a seizure." Antiseizure medications are typically administered as a preventive measure, not during a seizure. Emergency medications (e.g., rectal diazepam) may be used for prolonged seizures but are not routine for every seizure.

 

D. "I will have my child wear a bike helmet when riding a bike or skateboard." This is correct to protect the child from head injuries during activities.


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Correct Answer is D

Explanation

A. CBC: A CBC can indicate infection (elevated white blood cell count), but it is not specific for meningitis.

B. Urinalysis: Urinalysis is not relevant for diagnosing meningitis.

C. CT scan: A CT scan can detect complications like increased intracranial pressure but does not diagnose meningitis directly.

D. Lumbar puncture: A lumbar puncture allows direct analysis of CSF for glucose, protein, white blood cells, and organisms, which is definitive for diagnosing meningitis.

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.

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