A nurse in an urgent care clinic is collecting data for a school-age child who had a seizure. The nurse should identify that which of the following are factors that could have caused the event? (Select all that apply.)
Explanation & Rationale
A. Fever: Febrile seizures are common in children, especially under age 5, and can be triggered by a sudden spike in body temperature. Fever is a frequent cause of seizures in otherwise healthy children. B. Brain tumor: A brain tumor can disrupt normal brain activity and increase intracranial pressure, leading to seizures. Tumors are a serious neurological cause and must be investigated in new-onset seizures. C. Hypoglycemia: Low blood glucose levels deprive the brain of its primary energy source, leading to altered electrical activity and possible seizure episodes. This is a reversible metabolic trigger. D. Intracranial hemorrhage: Bleeding in the brain can cause irritation and pressure on brain tissue, leading to seizures. It is a critical cause requiring immediate medical intervention. E. Hypercalcemia: High calcium levels are not typically associated with seizure activity. Hypocalcemia, not hypercalcemia, is more commonly linked to neuromuscular irritability and seizures.