A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder.
The nurse should teach the parents to take which of the following actions during a seizure?
Insert a tongue blade between the teeth.
Place the child in a prone position.
Clear the area of hard objects.
Minimize movement of the limbs.
The Correct Answer is C
Choice A rationale:
Inserting a tongue blade between the teeth during a seizure is not recommended. Doing so can cause injury to the child's mouth or teeth. It's essential to keep the child's mouth open to prevent choking, but using a tongue blade is not the appropriate method.
Choice B rationale:
Placing the child in a prone position (face down) during a seizure can obstruct the airway and lead to difficulty breathing. It's crucial to maintain an open airway during a seizure. The correct position is to place the child on their side (recovery position) to prevent choking and ensure proper breathing.
Choice C rationale:
Clearing the area of hard objects is the correct action during a seizure. Seizures can involve uncontrolled movements, and clearing the surrounding area of any hard or sharp objects can prevent injuries. Creating a safe environment is essential to minimize the risk of harm during a seizure.
Choice D rationale:
Minimizing movement of the limbs is not entirely accurate. While it's essential to prevent injury during a seizure, attempting to restrict the child's movements forcefully can lead to injuries or fractures. The focus should be on creating a safe environment and ensuring the child is placed in a recovery position to prevent choking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Providing a high-calorie, low-protein diet is not directly related to the management of osteomyelitis. However, proper nutrition is essential for overall healing and immune function.
Choice B rationale:
Encouraging frequent physical activity to increase bone mass is not appropriate for a child with osteomyelitis. Physical activity can worsen the condition and cause further damage to the affected bone.
Choice C rationale:
Maintaining a patent intravenous catheter is important for administering intravenous antibiotics, which are the mainstay of treatment for osteomyelitis. Ensuring that the catheter is functional and infection-free is crucial for the delivery of appropriate antibiotics to combat the infection.
Choice D rationale:
Initiating contact precautions is not necessary for osteomyelitis. Osteomyelitis is not typically spread through direct contact but results from the spread of bacteria through the bloodstream to the affected bone.
Correct Answer is D
Explanation
Choice A rationale:
Checking oxygen saturation every 4 hours is a monitoring parameter for patients with respiratory issues but is not the priority in a child with acute epiglottitis. Airway management and infection control are more critical in this situation.
Choice B rationale:
Obtaining a throat culture is important to confirm the diagnosis of epiglottitis. However, initiating isolation precautions and ensuring the child's airway is secure take precedence in the immediate care of a child with acute epiglottitis.
Choice C rationale:
Assisting the child into a supine position is contraindicated in acute epiglottitis. This position can further compromise the airway by obstructing it. The child should be allowed to sit in a position of comfort, usually sitting upright and leaning slightly forward.
Choice D rationale:
Initiating droplet isolation precautions is crucial when dealing with a suspected or confirmed case of epiglottitis. Epiglottitis is highly contagious and is transmitted via respiratory droplets. Isolation precautions help prevent the spread of the infection to others.
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