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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lethargy is a common symptom of hypothyroidism due to decreased metabolism.
B. Hirsutism is not associated with hypothyroidism; it is more commonly seen in conditions like polycystic ovary syndrome (PCOS).
C. Tachycardia is typically associated with hyperthyroidism, not hypothyroidism.
D. Diarrhea is also associated with hyperthyroidism, while hypothyroidism usually causes constipation.
Correct Answer is A
Explanation
A. This statement reassures the child that they are not to blame for the maltreatment and supports their emotional well-being.
B. This statement could make the child feel guilty and is not supportive.
C. The nurse cannot promise confidentiality in cases of suspected abuse, as reporting is mandatory.
D. While this statement is supportive, it does not directly address the child's potential feelings of guilt or self-blame.
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