A nurse is caring for a child who is having a tonic-clonic seizure. What is the nurse's priority action during the seizure?

Call for a code blue and initiate cardiopulmonary resuscitation (CPR)

Restrain the child to prevent injury

Administer a dose of lorazepam to stop the seizure

Ensure the child's safety by removing nearby objects and padding the area

Answer and Explanation

The Correct Answer is D

A.   CPR is not typically necessary unless the child stops breathing or the heart stops during the seizure, which is rare.
B.   Restraining a child during a seizure can cause injury. The focus should be on safety and protection, not restraint.
C.   Lorazepam may be given if the seizure lasts too long, but ensuring safety is the priority action.
D.   The nurse’s priority during a seizure is to ensure the child’s safety by removing hazardous items from the area and ensuring the child does not get injured.

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Correct Answer is D

Explanation

A. A child with a fever due to a viral infection may pose an infection risk to the immunocompromised leukemia patient.
B. A child recovering from surgery may have a wound or infection risk, which could also be a concern for a child receiving chemotherapy.
C. A child with chickenpox is highly contagious and should not be in the same room as an immunocompromised child.
D. A child with asthma is not immunocompromised and is less likely to pose an infection risk to a child undergoing chemotherapy.

A. Swelling in all extremities. B. Frequent lung infections. C. Standard weight and growth percentile. D. Dyspnea. E. Heart murmur.

Correct Answer is ["B","D","E"]

Explanation

A. Swelling in all extremities is not typically a symptom of VSD; it may indicate a different cardiac or renal issue.
B. Frequent lung infections are common in children with VSD due to pulmonary congestion.
C. Standard weight and growth percentile is not typical for VSD, as the child may experience failure to thrive.
D. Dyspnea occurs due to increased blood flow to the lungs and pulmonary congestion.
E. A heart murmur is a hallmark of VSD, heard due to the abnormal flow of blood through the septal defect.

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A nurse is caring for a child who is having a tonic-clonic seizure. What is the nurse's priority action during the seizure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a child diagnosed with leukemia and is scheduled to receive chemotherapy for the Intensification stage of treatment. Which of the following clients should the nurse place in the same room with this child?

Correct Answer is D

Explanation

The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)

Correct Answer is ["B","D","E"]

Explanation

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