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    Health And Wellness (Paediatrics 2) mcp Proctored Exam

    An 8 year old child arrives to the emergency department with a history of malaise, rhinorrhea, and fever of 40 degrees Celsius. The parent reports the child was not responsive, shaking and then the episode resolved on its own. Complete the diagram by dragging from the potential condition area to specify which condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

    Explanation & Rationale

    Rationale for Correct Choices Febrile seizure: The child experienced a sudden, self-limited seizure in the setting of a high fever (40°C), which is characteristic of febrile seizures in children. Document episode details: Recording the onset, duration, movements, and recovery is essential for diagnosis, management, and future care planning. Administer acetaminophen: Reduces fever, decreasing the risk of recurrent febrile seizures and improving comfort. Level of consciousness: Monitoring ensures the child is recovering normally and helps detect complications. Temperature: Persistent high fever can trigger additional seizures; monitoring guides antipyretic therapy. Rationale for Incorrect Choices Start IV antibiotics: Febrile seizures are usually triggered by viral infections; antibiotics are not indicated unless there is evidence of bacterial infection. Traumatic head injury: No history of trauma or signs of head injury are present. Blood glucose: Hypoglycemia is not suggested in this scenario; routine glucose monitoring is unnecessary.

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