A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

Position the child laterally

Use a padded tongue blade.

Attempt to stop the seizure

Restrain the child's arms,

Answer and Explanation

The Correct Answer is A

A. Position the child laterally

Explanation: When a child is experiencing a seizure, it's important to ensure their safety and prevent injury. Positioning the child laterally, also known as the recovery position, helps keep the airway clear and allows any fluids to drain from the mouth, reducing the risk of aspiration. It also helps prevent the child from choking on saliva or vomit.

The other options are not appropriate actions during a seizure:

B. Using a padded tongue blade is not recommended during a seizure. Placing objects in the mouth during a seizure can lead to injury, including damage to the teeth, jaw, or airway.

C. Attempting to stop the seizure is not within the nurse's control. Seizures are caused by abnormal electrical activity in the brain and should not be interrupted forcefully. Instead, the focus should be on ensuring the child's safety and managing the situation until the seizure stops on its own.

D. Restraining the child's arms is not advisable during a seizure. Restraining can cause harm and increase the risk of injury to the child or others involved. It's important to allow the seizure to run its course while protecting the child from harm.

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Correct Answer is A

Explanation

A. You do not need to lose consciousness to suffer a concussion.

This statement is true. Concussion is a type of traumatic brain injury (TBI) that can occur without loss of consciousness. Many concussions happen without the person losing consciousness at all.

B. You will suffer permanent brain damage.

This statement is not necessarily true. While some concussions can lead to lasting effects, not all cases result in permanent brain damage. The severity and long-term effects of a concussion can vary widely.

C. We encourage fluids after a concussion.

This statement is true. Adequate hydration is important after a concussion. Staying hydrated can help support the brain's recovery process.

D. Bleeding always occurs with a concussion.

This statement is not true. Concussion is defined by the disruption of normal brain function due to a blow or jolt to the head or body, and bleeding is not always a necessary component of a concussion. However, more severe head injuries could involve bleeding and would not be classified as just a concussion.

A. “I will continue to check his blood sugar two times every day.” B. "I will report a change in her breathing or any signs of confusion.” C. “I will encourage her to drink half a cup of water or sugar-free fluid every 30 minutes” D. "I will notify the doctor if her temperature is not controlled by acetaminophen”

Correct Answer is A

Explanation

A. "I will continue to check his blood sugar two times every day."

Correct Explanation: This statement indicates a need for further instruction.

Explanation: A child with type 1 diabetes requires frequent blood sugar monitoring, especially during illness. Checking blood sugar only twice a day is not sufficient, especially when the child has an upper respiratory infection. Illness can impact blood sugar levels, so more frequent monitoring is necessary to ensure proper diabetes management.

B. "I will report a change in her breathing or any signs of confusion."

Incorrect Explanation: This statement shows awareness of potential complications and the need to monitor for them.

Explanation: Children with type 1 diabetes are at risk of diabetic ketoacidosis (DKA) when they are sick. Changes in breathing patterns and signs of confusion are symptoms of DKA. Reporting these symptoms is important, as it could indicate a serious diabetic complication.

C. "I will encourage her to drink half a cup of water or sugar-free fluid every 30 minutes."

Incorrect Explanation: This statement demonstrates proper fluid management, especially during illness.

Explanation: Encouraging the child to stay hydrated with sugar-free fluids is essential, particularly when the child has an upper respiratory infection. Proper hydration helps prevent dehydration, which can be more concerning for a child with diabetes.

D. "I will notify the doctor if her temperature is not controlled by acetaminophen."

Incorrect Explanation: This statement shows an understanding of the importance of managing fever in a child with diabetes.

Explanation: Children with diabetes can experience difficulty managing blood sugar levels when they're sick. Fever can exacerbate this issue. Using acetaminophen to control fever is appropriate, and notifying the doctor if fever persists is a responsible action.

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A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

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