Maryland Next Gen NCLEX Test Bank Project

Maryland Next Gen NCLEX Test Bank Project September 1, 2022

Case Study Topic:

(& Stand-alone trend)

Febrile Seizures Author:Mary Tiso RN, MS, CNL

Community College of Baltimore County Case Summary A parent of a 4-year-old pediatric client calls the telehealth nurse because the client has a temp of 104F and looks like she had a seizure. The telehealth RN provides triage and communicates with provider to offer in home management. Ultimately the child regains an acceptable level of consciousness and triage RN provides education for ongoing and future management.Objectives

• Apply knowledge of pathophysiology related to febrile seizures
• Provide care for client who has had a seizure
• Educate client about managing illness
• Maintain optimal client temperature

Case Study LinkCase Study QR Code

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SV_6S8rbUFblzN2zOu Case References 1.Leung, A. K., Hon, K. L., & Leung, T. N. (2018). Febrile seizures: an overview. Drugs in context,

7, 212536. https://doi.org/10.7573/dic.212536

CJCST Version 2.2 designed by Desirée Hensel, 2022. Permission granted to use and modify template for educational purposes. 1 / 2

Case Study Question 1 of 6 The telehealth nurse in an outpatient clinic receives a call from the parent of a 4- year- old child who may have had a seizure.Click to highlight the findings that are most significant Triage Nurses’ Notes 1230: Received phone call from parent of 4-year-old child who is concerned that the child may have experienced a seizure. Parent reports the child had a 12- hour history of runny nose, cough and fever.Temperature this morning was 104F/40C. She witnessed the child become unresponsive while sitting in a chair. Child then had rigidity and shaking of arms and legs. Parent is unclear on exact length of seizure but estimates 4-5 minutes in length.Key Triage Nurses’ Notes 1230: Received phone call from parent of 4-year-old child who is concerned that the child may have experienced a seizure. Parent reports the child had a 12- hour history of runny nose, cough and fever.Temperature this morning was 104F/40C. She witnessed the child become unresponsive while sitting in a chair. Child then had rigidity and shaking of arms and legs. Parent is unclear on exact length of seizure but estimates 4-5 minutes in length.

Scoring Rule: +/-

Rationale: It is important to note that the child has what appears to be a typical illness, and not other more serious symptoms. The seizure symptoms including unresponsiveness, rigidity and shaking of limbs are typical for tonic clonic febrile seizure. Seizure length is important to note, seizures longer than 15 minutes are typically recommended for ER transfer.CJCST Version 2.2 designed by Desirée Hensel, 2022. Permission granted to use and modify template for educational purposes.

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