A parent tells the nurse, "The doctor says my son has epilepsy, but he has never had a convulsion. How can that be?" Which response by the nurse to the parent is the most appropriate?
1. "He will probably develop convulsions as he gets older."
2. "Some epileptics do not have seizures."
3. "Convulsions are not part of all epileptic conditions."
4. "The convulsions common in young boys are usually silent."
Correct Answer: 3
Rationale 1: Most children with absence seizures (seizures without convulsions) will "outgrow" the disorder and not progress to tonic–clonic seizure activity.
Rationale 2: All epileptics have seizures, but not all seizures manifest as convulsions.
Rationale 3: Some epileptic conditions manifest seizure activity that does not include the tonic–clonic convulsion. An example of this type of seizure is the absence seizure, which is most often seen in children.
Rationale 4: Young boys may have absence seizures that are "silent" or do not manifest in convulsions, but they may also have classic tonic–clonic seizure activity.
Global Rationale: Some epileptic conditions manifest seizure activity that does not include the tonic–clonic convulsion. An example of this type of seizure is the absence seizure, which is most often seen in children. Most children with absence seizures (seizures without convulsions) will "outgrow" the disorder and not progress to tonic–clonic seizure activity. All epileptics have seizures, but not all seizures manifest as convulsions. Young boys may have absence seizures that are "silent" or do not manifest in convulsions, but they may also have classic tonic–clonic seizure activity.
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