A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?

Administer chlorothiazide.

Hold the child down.

Place the child in a prone position.

Time the episode.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Chlorothiazide is a diuretic and is not indicated during a seizure.

B. Holding the child down during a seizure can lead to injury and is not recommended. It's essential to ensure the child's safety by protecting the head from injury and removing any objects that could cause harm.

C. Placing the child in a prone position during a seizure can compromise their ability to breathe and is not recommended. Instead, the child should be placed in a safe position on their side to prevent aspiration.

D. Timing the duration of the seizure is crucial for medical management and documentation purposes. This action allows healthcare providers to assess the

severity of the seizure and determine the need for intervention or medication administration.

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Correct Answer is A

Explanation

Rationale:

A. This is a positive reinforcement strategy that can motivate the child to take the medication and reduce the unpleasant taste.

B. Giving milk with the medication may not be suitable for all medications, and some medications may interact with dairy products.

C. Mixing the medication with the child's favorite food is not advised because it can alter the taste and texture of the food and make the child dislike it in the future.

D. Diluting the medication with water may not be appropriate for all medications, and it could alter the effectiveness or stability of the medication.

A. Minimize movement of the limbs. B. Clear the area of hard objects. C. Place the child in a prone position. D. Insert a tongue blade between the teeth.

Correct Answer is B

Explanation

Rationale:

A. Minimizing movement of the limbs is not necessary during a seizure and can be harmful.

B. Clearing the area of hard objects helps prevent injury to the child during a seizure by reducing the risk of hitting or bumping into objects.

C. Placing the child in a prone position is not recommended during a seizure as it can obstruct the airway.

D. Inserting a tongue blade between the teeth is contraindicated and can lead to injury. It's important not to put anything in the child's mouth during a seizure.

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