A nurse is caring for a child during a tonic-clonic seizure. Which of the following actions should the nurse take? (Select all that apply)

Loosen tight clothing around the child's neck.

Firmly hold the child's arms to one side.

Place a pillow under the child's head.

Insert a tongue blade into the child's mouth.

Clear the area of hard objects.

Answer and Explanation

Correct Answer : A,C,E

Choice A reason: Loosening tight clothing around the child's neck is important to ensure that the child can breathe easily and to prevent any additional discomfort or injury during the seizure.

Choice B reason: It is not recommended to firmly hold the child's arms to one side as this can cause injury. Instead, the nurse should ensure the child's safety by clearing the area of any hard or sharp objects.

Choice C reason: Placing a pillow under the child's head can help to protect the head from injury during the seizure. It provides a soft cushion to prevent the child from hitting their head on hard surfaces.

Choice D reason: Inserting a tongue blade into the child's mouth is not advised as it can cause injury to the child's mouth or teeth, and there is a risk of the child biting down and breaking the blade.

Choice E reason: Clearing the area of hard objects is crucial to prevent injury to the child during the seizure. Removing any potential hazards ensures a safer environment for the child to move without harm.

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Correct Answer is A

Explanation

Choice A reason: Treating everyone who came into close contact with the child is essential because scabies is highly contagious. The mites that cause scabies can easily spread to others through direct skin contact or by sharing personal items.

Choice B reason: Soaking combs and brushes in boiling water for 10 minutes is a good practice to kill any mites that may be present. However, it is not the primary method of treating scabies, which requires medication.

Choice C reason: Washing the child's hair with shampoo containing ketoconazole is not a standard treatment for scabies. Ketoconazole is an antifungal medication, and scabies is caused by mites, not fungi.

Choice D reason: Applying petroleum jelly to the affected areas is not an effective treatment for scabies. Scabies requires prescription medications, such as topical permethrin or oral ivermectin, to eliminate the mites.

A. Apply tepid water to the old dressings before removal. B. Check the wound sites for manifestations of infection. C. Perform passive range-of-motion exercises during the dressing change. D. Adjust the room temperature to 33°C (91.4°F).

Correct Answer is B

Explanation

Choice A reason: Applying tepid water to the old dressings can help with their removal and may reduce discomfort, but it does not address the greatest risk to the client, which is infection.

Choice B reason: Checking the wound sites for manifestations of infection is crucial as burn injuries compromise the skin's protective barrier, making the client highly susceptible to infections. Infections can lead to further complications and delay healing.

Choice C reason: Performing passive range-of-motion exercises is important for maintaining joint mobility and preventing contractures in burn patients, but it is not the primary intervention for addressing the greatest risk of infection.

Choice D reason: Adjusting the room temperature to 33°C (91.4°F) can create a more comfortable environment for the burn patient and prevent hypothermia, but it is not directly related to the prevention of infection, which is the greatest risk.

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A nurse is caring for a child during a tonic-clonic seizure. Which of the following actions should the nurse take? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

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Correct Answer is B

Explanation

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