A home health nurse is providing teaching about post seizure management to the parents of a school-age child who has epilepsy and experiences tonic-clonic seizures. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Hyperextend your child's head for 5 minutes following a seizure."
"Immediately following a seizure, give your child 6 ounces of water."
"Following a seizure, record the length and characteristics of your child's seizure."
"Administer rectal diazepam to your child following a seizure."
"Call for emergency medical services if the size of your child's pupils are unequal after a seizure."
Correct Answer : C,D,E
A. "Hyperextend your child's head for 5 minutes following a seizure."
Hyperextension can obstruct the airway. Instead, place the child in a side-lying position to maintain an open airway.
B. "Immediately following a seizure, give your child 6 ounces of water."
Do not give anything orally until the child is fully awake and the gag reflex has returned to avoid aspiration.
C. "Following a seizure, record the length and characteristics of your child's seizure."
Important for tracking seizure activity and evaluating treatment effectiveness.
D. "Administer rectal diazepam to your child following a seizure."
Rectal diazepam may be prescribed for prolonged or clustered seizures, especially at home.
E. "Call for emergency medical services if the size of your child's pupils are unequal after a seizure."
Unequal pupils post-seizure may indicate increased intracranial pressure or brain injury and warrant immediate medical attention.
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Related Questions
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"D"}
Explanation
When planning care for the infant, the nurse should prepare the infant for a rectal biopsy and frequently measure abdominal circumference.
Rationale for correct answers:
Prepare the infant for a rectal biopsy: Confirms diagnosis of Hirschsprung disease, which is suspected based on symptoms and enema findings.
Frequently measure abdominal circumference: Monitors abdominal distension, a key sign in bowel obstruction or worsening condition.
Rationale for incorrect answers:
Explain the purpose of the pyloromyotomy: This procedure is for pyloric stenosis, not Hirschsprung disease.
Transport the client for a radiologist guided gas enema: Contrast enema already performed.
Administer oral laxatives: Contraindicated in suspected bowel obstruction like Hirschsprung disease.
Correct Answer is ["C","D","E"]
Explanation
A. "Hyperextend your child's head for 5 minutes following a seizure."
Hyperextension can obstruct the airway. Instead, place the child in a side-lying position to maintain an open airway.
B. "Immediately following a seizure, give your child 6 ounces of water."
Do not give anything orally until the child is fully awake and the gag reflex has returned to avoid aspiration.
C. "Following a seizure, record the length and characteristics of your child's seizure."
Important for tracking seizure activity and evaluating treatment effectiveness.
D. "Administer rectal diazepam to your child following a seizure."
Rectal diazepam may be prescribed for prolonged or clustered seizures, especially at home.
E. "Call for emergency medical services if the size of your child's pupils are unequal after a seizure."
Unequal pupils post-seizure may indicate increased intracranial pressure or brain injury and warrant immediate medical attention.
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