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."
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.
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