What subjective data can a child tell the nurse following a seizure that could indicate the origin of the seizure in the brain?
Aura
Blood Pressure 90/60
Oxygenation on room air 97%
Temperature 38 degrees Celsius
The Correct Answer is A
A. Aura: An aura is a subjective sensation experienced before a seizure, such as a strange smell, taste, or visual change. It can provide clues about the seizure's origin in the brain, often linked to the temporal lobe.
B. Blood Pressure 90/60: Blood pressure is an objective, measurable sign, not subjective data reported by the child.
C. Oxygenation on room air 97%: Oxygenation levels are objective and do not provide information about seizure origin.
D. Temperature 38 degrees Celsius: Temperature is objective and does not help localize the seizure's origin in the brain.
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Correct Answer is D
Explanation
A. Preschool children experience fear related to the disease process. While preschool children may fear pain or separation, this statement does not directly address their perception of death.
B. Preschool children understand death completely. Preschool children do not fully understand the permanence of death; this comprehension develops later.
C. Preschool children have no concept of death. Preschoolers have some concept of death but often see it as temporary or reversible.
D. Preschool children perceive death as temporary. Preschool-aged children often view death as temporary, like sleeping, due to their limited understanding of its finality.
Correct Answer is C
Explanation
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.