A nurse is caring for a child who is having a seizure.
Which of the following actions should the nurse take? (Select all that apply.)
Restrain the client.
Assess the client’s airway patency.
Remove objects from the client’s bed.
Place the client in a side-lying position.
Place a tongue depressor in the client’s mouth.
Correct Answer : B,C,D
The correct answers are B. Assess the client’s airway patency,
C. Remove objects from the client’s bed, and D. Place the client in a side-lying position.
Choice A rationale
Restraining the client during a seizure is not recommended as it can cause injury. The focus should be on ensuring the client’s safety and preventing harm.
Choice B rationale
Assessing the client’s airway patency is crucial during a seizure to ensure that the client is breathing properly and that the airway is not obstructed.
Choice C rationale
Removing objects from the client’s bed helps prevent injury during a seizure. Objects in the bed can pose a risk of harm if the client hits them during the seizure.
Choice D rationale
Placing the client in a side-lying position helps maintain an open airway and reduces the risk of aspiration. This position allows any secretions to drain out of the mouth, preventing choking.
Choice E rationale
Placing a tongue depressor in the client’s mouth is not recommended and can cause injury. It is a common misconception that this prevents the client from swallowing their tongue, but it can actually cause more harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale
A diastolic murmur is not a typical finding in coarctation of the aorta. This condition is more commonly associated with systolic murmurs.
Choice B rationale
Hypotension is not a common finding in coarctation of the aorta. In fact, hypertension in the upper extremities is more typical due to the narrowing of the aorta.
Choice C rationale
Excessive crying is not a specific indicator of coarctation of the aorta. It can be a symptom of many different conditions and is not diagnostic.
Choice D rationale
Unequal upper and lower extremity pulses are a key finding in coarctation of the aorta. The narrowing of the aorta causes reduced blood flow to the lower extremities, resulting in weaker pulses compared to the upper extremities.
Correct Answer is ["3.6"]
Explanation
Step 1: Convert the child’s weight from pounds to kilograms. 66 lb ÷ 2.2 = 30 kg
Step 2: Calculate the total daily dose of digoxin. 12 mcg/kg/day × 30 kg = 360 mcg/day
Step 3: Divide the total daily dose by 2 to get the dose for every 12 hours. 360 mcg/day ÷ 2 = 180 mcg/dose
Step 4: Convert mcg to mg. 180 mcg = 0.18 mg Step 5: Calculate the volume to administer per dose using the concentration of the elixir. 0.18 mg ÷ 0.05 mg/mL = 3.6 mL
Final calculated answer: 3.6 mL per dose.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.