A nurse is assessing a school-age child whose blood glucose level is 280 mg/dL. Which of the following findings should the nurse expect?

A. Using a suppository for bowel movement is a common approach for managing bowel function in people with paralysis and is appropriate.

B. Carrying a water bottle to stay hydrated is important, especially since individuals with paralysis may be at increased risk of urinary tract infections. Adequate hydration is beneficial.

C. Doing wheelchair exercises while watching TV is a proactive way to maintain muscle tone and overall health, which is crucial for individuals with paralysis.

D. "I only need to catheterize myself twice every day!"

Explanation: In the context of spina bifida and paralysis from the waist down, catheterization is often required for bladder management. Individuals with this condition often experience urinary retention and require intermittent catheterization to empty their bladder. However, "twice every day" is not usually sufficient for someone with paraplegia. Adequate catheterization frequency is crucial to prevent urinary retention, infections, and other complications.

A. Place a pillow under the child's head.

Explanation: While providing comfort is important, the priority in this scenario is to ensure the child's safety. Placing a pillow under the head can be considered after addressing immediate safety concerns.

B. Clear the area of hazards.

Explanation: Correct Choice. Ensuring the area is clear of hazards is the nurse's priority. During a seizure, the child can experience uncontrolled movements, and having hazards around can lead to injuries. Clearing the area helps prevent harm. But priority is to position the child side lying.

C. Position the child side-lying.

Explanation: Correct Choice. Placing the child in a side-lying position helps prevent choking and aspiration due to vomiting during the seizure. It also minimizes the risk of airway obstruction and helps manage secretions.

D. Loosen restrictive clothing.

Explanation: While loosening restrictive clothing can facilitate breathing, the priority in this situation is addressing safety concerns related to the seizure and vomiting. Ensuring a clear and safe environment takes precedence.