Author Question: After a tonic-clonic seizure, what symptoms should the nurse expect the child to experience? a. ... (Read 71 times)

olgavictoria · **on:** Jun 28, 2018

After a tonic-clonic seizure, what symptoms should the nurse expect the child to experience?

a. Diarrhea and abdominal discomfort
b. Irritability and hunger
c. Lethargy and confusion
d. Nervousness and excitability

Question 2

The nurse is discussing long-term care with the parents of a child who has a ventriculoperitonea l shunt. What issues should be addressed?

a. Most childhood activities must be restricted.
b. Cognitive impairment is to be expected with hydrocephalus.
c. Wearing head protection is essential until the child reaches adulthood.
d. Shunt malfunction or infection requires immediate treatment.

succesfull · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
In the postictal phase, after a tonic-clonic seizure, the child may remain semiconscious and difficult to arouse. The average duration of the postictal phase is usually 30 minutes. The child may remain confused or sleep for several hours. He or she may have mild impairment of fine motor movements. The child may have visual and speech difficulties and may vomit or complain of headache.

Answer to Question 2

ANS: D
Because of the potentially severe sequelae, symptoms of shunt malfunction or infection must be assessed and treated immediately. Limits should be appropriate to the child's developmental age. Except for contact sports, the child will have few restrictions. Cognitive impairment depends on the extent of damage before the shunt was placed.