A nurse is caring for a child with a seizure in the hospital. Which nursing interventions are appropriate for this child? (Select All that Apply.)

Administer benzodiazepine medication

Perform neurological checks

Reorient and calm the child

Position the child in a side-lying position

Restrict the child's movements during the seizure

Document the duration and characteristics of the seizure

Answer and Explanation

Correct Answer : A,B,C,D,E,F

A. Administer benzodiazepine medication. – Correct. Benzodiazepines (e.g., lorazepam, diazepam) are first-line treatments for prolonged seizures.

B. Perform neurological checks. – Correct. Monitoring postictal status helps assess brain function.

C. Reorient and calm the child. – Correct. After the seizure, the child may be confused and require reassurance.

D. Position the child in a side-lying position. – Correct. This prevents aspiration and maintains a clear airway.

E. Restrict the child's movements during the seizure. – Incorrect. Restraining can cause injury. Instead, protect the child from harm by removing nearby objects.

F. Document the duration and characteristics of the seizure. – Correct. Recording seizure length, activity, and triggers is crucial for medical management.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. "Use lotion or powder inside the cast to prevent itching." – Incorrect. Lotions and powders can increase moisture, leading to skin irritation or infection.

B. "Ensure the cast remains dry and clean at all times." – Correct. Moisture can weaken the cast and cause skin breakdown.

C. "Massage the baby’s foot to improve circulation while the cast is on." – Incorrect. Massage is not recommended as it may interfere with alignment.

D. "Remove the cast daily to allow the baby’s skin to breathe." – Incorrect. The cast must remain on continuously and is only removed by a healthcare provider.

A. Orthopedic surgeon B. Radiation oncologist C. Nutritionist D. Play therapist E. Audiologist

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

Explanation

A. Orthopedic surgeon – Incorrect. Retinoblastoma does not require orthopedic intervention.

B. Radiation oncologist – Correct. Radiation therapy is a common treatment for retinoblastoma.

C. Nutritionist – Correct. Proper nutrition is important during cancer treatment to maintain the child's strength and immune function.

D. Play therapist – Correct. A play therapist helps young children cope with medical procedures and emotional distress.

E. Audiologist – Incorrect. Retinoblastoma does not typically affect hearing unless chemotherapy causes ototoxicity, which is less common.

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A nurse is caring for a child with a seizure in the hospital. Which nursing interventions are appropriate for this child? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is an important aspect of parent teaching for the care of a baby undergoing serial casting for clubfoot?

Correct Answer is B

Explanation

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

Explanation

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