A nurse is reinforcing teaching about home care with the parents of a child who has a seizure disorder. Which of the following instructions should the nurse include?
Call EMS if a seizure lasts 5 min or more.
Restrain the child at the onset of the seizure.
Offer the child a bubble bath every evening.
Place the child in a prone position during the seizure.
The Correct Answer is A
A. This is the correct answer. Seizures lasting longer than 5 minutes can be indicative of status epilepticus, a medical emergency requiring immediate intervention.
B. Restraint during a seizure can cause injury to the child and is not recommended. Instead, it's important to ensure the child's safety by removing nearby objects and gently guiding them to the floor if possible.
C. Offering a bubble bath every evening is not relevant to seizure care and does not contribute to the child's safety or well-being.
D. Placing the child in a prone position during a seizure can obstruct the airway and increase the risk of aspiration. The child should be placed in a lateral recumbent position to maintain an open airway and prevent injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Massaging around the edge of the cast with lotion can lead to skin breakdown and should be avoided.
B. Elevating the extremity helps reduce swelling, promotes venous return, and decreases the risk of complications such as compartment syndrome.
C. Instructing the client to insert objects under the cast is unsafe and can cause skin injury or infection.
D. Numbness in the toes is not expected; it can indicate impaired circulation or nerve damage and should be reported immediately.
Correct Answer is B
Explanation
A. While severe abdominal pain in a client with a history of pancreatitis requires urgent assessment, severe dyspnea in a client with heart failure may indicate impending respiratory distress, requiring immediate intervention.
B. Severe dyspnea in a client with heart failure is a critical situation that requires immediate assessment and intervention to prevent respiratory compromise or failure.
C. While a client scheduled for surgery may need preparation and assessment, the client with severe dyspnea takes priority due to the potential for respiratory distress.
D. While a high blood glucose level in a postoperative client with diabetes mellitus requires monitoring and intervention, the client with severe dyspnea requires immediate attention due to the potential for respiratory compromise.
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