A nurse is caring for a child who is 2 hours postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?

Choice A: Restraining the child's arms is not an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can cause injury to the child or the nurse. Restraining the child's arms can also increase the child's anxiety and agitation, which can worsen the seizure.

Choice B: Using a padded tongue blade is not an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can cause injury to the child's mouth, teeth, or tongue. Using a padded tongue blade can also increase the risk of choking or aspiration, which can compromise the child's airway.

Choice C: Attempting to stop the seizure is not an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can be ineffective or harmful. Attempting to stop the seizure can also interfere with the natural course of the seizure, which may be necessary for the brain to recover.

Choice D: Positioning the child laterally is an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can help maintain the child's airway and prevent aspiration. Positioning the child laterally means placing the child on their side with their head tilted slightly forward and their mouth open.

Choice A:In actual practice, log rolling is typically done every 2 hoursto align with standard nursing protocols for preventing complications such as pressure injuries, maintaining skin integrity, and ensuring patient comfort. Repositioning every 2 hours also helps promote better circulation and reduces the risk of complications like pneumonia and deep vein thrombosis (DVT).
as a unit without twisting or bending the spine. The nurse should use a draw sheet and at least two other staff
members to assist with log rolling.

Choice B: This intervention is incorrect, as keeping the head of the bed at a 30-degree angle can cause flexion of the spine and compromise spinal alignment. The head of the bed should be kept flat or slightly elevated, depending on the provider's orders and the client's comfort. The nurse should avoid raising or lowering the head of the bed without checking with the provider first.

Choice C: This intervention is unnecessary, as placing the client in protective isolation is not indicated for a client who is postoperative following scoliosis repair with Harrington rod instrumentation. Protective isolation is used for clients who have compromised immune systems and are at high risk of acquiring infections from others, such as transplant recipients, cancer patients, or patients receiving immunosuppressive therapy. The nurse should follow standard precautions and surgical site care to prevent infection in this client.

Choice D: This intervention is optional, as initiating the use of a PCA pump for pain control may or may not be appropriate for a client who is postoperative following scoliosis repair with Harrington rod instrumentation. A PCA pump is a device that allows the client to self-administer a preset dose of analgesic medication by pressing a button. A PCA pump can provide effective and individualized pain relief, but it requires careful monitoring and education. The nurse should assess the client's pain level, preference, and ability to use a PCA pump and consult with the provider before initiating it.