A nurse is caring for a child in the hospital who has seizures. Which of the following nursing interventions is a priority in the child's plan of care?

Providing a safe environment and removing any potential hazards

Administering antipyretic medication to reduce fever

Encouraging physical activity to promote muscle coordination

Restricting fluid intake to prevent electrolyte imbalances

Answer and Explanation

The Correct Answer is A

A. Providing a safe environment and removing any potential hazards is the priority nursing intervention for a hospitalized child with seizures. During a seizure, the child is at greatest risk for injury from falls, hitting nearby objects, or airway obstruction. The nurse should ensure padded side rails, suction and oxygen at the bedside, and close monitoring to maintain safety.
B. Administering antipyretic medication may help in cases of febrile seizures but is not the priority intervention for overall seizure management. Seizures can occur without fever, so this is not universally appropriate.
C. Encouraging physical activity is important for overall health but is not safe during an acute seizure episode. Activity should be supervised and tailored to the child’s condition.
D. Restricting fluid intake is not a standard intervention for seizures unless there is another comorbidity (such as SIADH). Fluid restriction does not prevent seizures

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Correct Answer is C

Explanation

A. Living in a warm climate is not a recognized risk factor for otitis media. Seasonal variations (cold/flu season) may play a role, but climate alone is not a cause.
B. Being breastfed actually protects against otitis media because breast milk provides maternal antibodies and helps strengthen the immune system.
C. Exposure to secondhand smoke is one of the most common and well-documented risk factors for otitis media. Smoke irritates the respiratory tract and Eustachian tubes, leading to inflammation, fluid retention, and increased susceptibility to infection.
D. Drinking too much milk does not directly cause otitis media, though bottle-feeding (especially when lying flat) can increase the risk by allowing fluid to enter the middle ear.

A. Avoiding skin-to-skin contact with the infant B. Keeping the infant in a dry environment C. Use of a cool mist humidifier in the infant's room D. Feeding the infant with high-sugar formula

Correct Answer is C

Explanation

A. Skin-to-skin contact promotes bonding and thermoregulation; it does not increase respiratory infection risk.
B. A dry environment can dry mucous membranes, making the infant more susceptible to infection.
C. A cool mist humidifier keeps the airway moist, reduces mucus thickening, and helps prevent respiratory infections, which infants with Down syndrome are at increased risk for due to hypotonia and airway abnormalities.
D. High-sugar formula has no role in infection prevention and could contribute to other health issues.

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A nurse is caring for a child in the hospital who has seizures. Which of the following nursing interventions is a priority in the child's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

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