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Which of the following is a common symptom of a seizure?

A.

Uncontrollable shaking of the body

B.

Difficulty breathing and shortness of breath

C.

Dizziness and lightheadedness

D.

Rapid heart rate and chest pain

Answer and Explanation

The Correct Answer is A

A. Uncontrollable shaking of the body: This is a hallmark sign of generalized tonic-clonic seizures, characterized by jerking movements of the body.

 

B. Difficulty breathing and shortness of breath: Respiratory difficulties are not primary symptoms of seizures but may occur in severe cases.

 

C. Dizziness and lightheadedness: These symptoms are more indicative of conditions like vertigo or syncope, not seizures.

 

D. Rapid heart rate and chest pain: These are more characteristic of cardiac issues than seizures.


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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.

Correct Answer is C

Explanation

A. Reduce environmental stimuli: While minimizing stimuli is important for comfort, it is not the priority in treating a life-threatening bacterial infection.

B. Document intake and output: Monitoring fluid status is essential but secondary to administering life-saving treatment.

C. Administer antibiotics when available: Bacterial meningitis is a medical emergency. Administering antibiotics promptly can reduce mortality and prevent complications such as neurological damage.

D. Maintain seizure precautions: Seizure precautions are necessary but do not take precedence over starting antibiotics.

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