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. This is also correct, but the focus of the question is on the treatment of the child's hair itself.
B. Non-washable toys should be bagged for 2 weeks, not thrown out.
C. While treating all family members is common, only those with active infestations need treatment.
D. This is the correct action after using a medicated shampoo for lice treatment. A fine-toothed comb should be used to remove lice and nits (eggs) from the child's hair.

A. Tricuspid atresia B. Pulmonic stenosis C. Ventricular Septal Defect D. Transposition of the great arteries

Correct Answer is C

Explanation

A. Tricuspid atresia causes underdevelopment of the right side of the heart and does not result in increased pulmonary blood flow.
B. Pulmonic stenosis causes obstruction of blood flow to the lungs, not an increase in blood flow.
C. A ventricular septal defect (VSD) is a congenital heart defect that allows blood to flow from the left ventricle to the right ventricle, increasing blood flow to the lungs and causing pulmonary congestion.
D. Transposition of the great arteries results in two separate circulations, one for oxygenated and one for deoxygenated blood, and does not increase pulmonary blood flow

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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

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Explanation

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