Author Question: A parent expresses concern that a 5-year-old child may develop epilepsy because the child ... (Read 23 times)

RODY.ELKHALIL · **on:** Jul 23, 2018

A parent expresses concern that a 5-year-old child may develop epilepsy because the child experienced a febrile seizure at age 18 months. What will the nurse tell this parent?

a. A child who has had a febrile seizure is considered to have epilepsy.
b. A small percentage of children who have febrile seizures develop epilepsy.
c. I recommend discussing prophylactic anticonvulsant drugs with the provider.
d. Treat fevers aggressively with aspirin and NSAIDs to prevent seizures.

Question 2

A woman who is pregnant is taking an anticonvulsant medication to treat a seizure disorder. The nurse will ensure that the patient takes which dietary supplement toward the end of her pregnancy?

a. Folate (folic acid)
b. Iron
c. Vitamin C
d. Vitamin K

Harbringer · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Epilepsy develops in 2.5 of children who have one or more febrile seizures. One febrile seizure does not cause a diagnosis of epilepsy. Prophylactic anticonvulsants are given to high-risk patients. Children should not receive aspirin for fever because of the risk of Reye's syndrome.

Answer to Question 2

ANS: D
Anticonvulsants act as inhibitors of vitamin K and can contribute to hemorrhage in infants shortly after birth. Women taking these drugs should receive vitamin K within the last week to 10 days of their pregnancies.