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?
Place a folded blanket under the child's head.
Put a tongue blade between the child's teeth.
Administer magnesium sulfate IM to the child.
Prevent movement of the child's extremities.
The Correct Answer is A
A. Placing a folded blanket or any soft object under the child's head helps to protect the head from injury during the seizure. Ensuring safety is a priority during a seizure.
B. Putting a tongue blade or any object between the child's teeth can cause injury to the child. It is no longer recommended to place anything in the mouth during a seizure.
C. Magnesium sulfate is not indicated for treating tonic-clonic seizures. The focus should be on maintaining safety and monitoring the seizure.
D. Preventing movement of the child's extremities can cause injury. Instead, the nurse should protect the child from harm and ensure the environment is safe.
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Related Questions
Correct Answer is A
Explanation
A. The varicella immunization is typically given to children after 12 months of age.
B. The first dose of the rotavirus immunization is usually given at 2 months of age, not 6 months.
C. The HPV immunization is recommended for preteens starting at age 11-12, not necessarily before starting school.
D. DTaP and polio immunizations can be administered during the same visit, not at separate visits.
Correct Answer is D
Explanation
A. While loss of family income can contribute to stress and depression, it is not the highest risk factor for suicide.
B. Parental substance use disorder can increase the risk of suicidal behaviors in adolescents, but not as significantly as mental health disorders.
C. Parental divorce can be a stressor, but it is not the highest risk factor for suicide completion.
D. Bipolar disorder significantly increases the risk of suicide in adolescents due to the severe mood swings and potential for depressive episodes.
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