A nurse is caring for a school-age child who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
Prevent movement of the child's extremities.
Administer magnesium sulfate to the child.
Put a tongue blade between the child's teeth.
Place a folded blanket under the child's head.
The Correct Answer is D
A. Prevent movement of the child's extremities is incorrect. Attempting to prevent movement during a tonic-clonic seizure is unsafe. The nurse should avoid restraining the child, as this can cause injury. The focus should be on ensuring safety during the seizure.
B. Administer magnesium sulfate to the child is incorrect. Magnesium sulfate is used for certain conditions, such as preeclampsia in pregnant women or seizures due to eclampsia, but it is not typically used to manage tonic-clonic seizures in children. Anticonvulsant medications or emergency interventions are more appropriate.
C. Put a tongue blade between the child's teeth is incorrect. Inserting a tongue blade or any object into the mouth during a seizure is dangerous, as it can lead to injury to the mouth, teeth, or airway. The nurse should not attempt to put anything in the child's mouth.
D. Place a folded blanket under the child's head is correct. The priority during a tonic-clonic seizure is to protect the child from injury. Placing a folded blanket or soft padding under the head helps prevent head trauma if the child falls to the ground during the seizure. The nurse should also ensure the environment is clear of sharp objects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bloody stools. This is correct. A classic sign of intussusception in infants is the presence of "currant jelly" stools, which are stools that are bloody and mucous. This results from the ischemia and inflammation caused by the telescoping of the intestine.
B. Periorbital edema. Periorbital edema is not a typical finding of intussusception. It is more commonly seen with conditions such as nephrotic syndrome or allergic reactions.
C. Polyuria. Polyuria is not associated with intussusception. This condition typically presents with symptoms such as vomiting, abdominal pain, and bloody stools, rather than abnormal urine output.
D. Ascites. Ascites, or abdominal fluid accumulation, is not a characteristic finding of intussusception. While abdominal distension may occur due to the obstruction, ascites would be more suggestive of a different condition, such as liver disease or heart failure.
Correct Answer is ["B","C","D","E"]
Explanation
A. Polyuria is incorrect. Celiac disease primarily affects the gastrointestinal system, leading to malabsorption and diarrhea rather than excessive urination (polyuria).
B. Abdominal distension is correct. Children with celiac disease often experience bloating and abdominal distension due to inflammation and malabsorption in the intestines.
C. Large pale-colored stools is correct. Malabsorption of fats in celiac disease can cause steatorrhea, leading to bulky, foul-smelling, pale-colored stools.
D. Irritability is correct. Children with celiac disease may become irritable due to discomfort, nutrient deficiencies, and the impact of the disease on overall well-being.
E. Anorexia is correct. A lack of appetite (anorexiA. is common in celiac disease due to gastrointestinal discomfort and malabsorption.
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