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
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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Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. The Logan Bow or similar protective device is placed across the lip to reduce tension on the suture line and protect the surgical repair. It is essential that the nurse ensures it remains intact and secure.
B. This positioning helps prevent trauma to the surgical site, reduces the risk of aspiration, and promotes safe recovery. Side-lying positions are avoided to protect the incision.
C. Feeding after cleft lip repair requires adaptive devices (such as Haberman feeder or special cleft lip/palate nipple) to prevent trauma to the surgical site while ensuring adequate nutrition. Regular nipples or vigorous sucking should be avoided.
D. This is contraindicated because sucking motions from cups, straws, or pacifiers can stress the suture line and disrupt healing.
E. Effective pain control reduces crying, which places tension on the suture line, and supports healing. Nurses should use validated infant pain scales (such as FLACC) to guide interventions.
F. This can damage tissue and delay wound healing. Instead, the site should be gently cleansed with sterile water or prescribed diluted solutions per provider orders.
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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