A nurse is caring for a child who is having a tonic-clonic seizure. What is the nurse's priority action during the seizure?

Call for a code blue and initiate cardiopulmonary resuscitation (CPR)

Restrain the child to prevent injury

Administer a dose of lorazepam to stop the seizure

Ensure the child's safety by removing nearby objects and padding the area

Answer and Explanation

The Correct Answer is D

A.   CPR is not typically necessary unless the child stops breathing or the heart stops during the seizure, which is rare.
B.   Restraining a child during a seizure can cause injury. The focus should be on safety and protection, not restraint.
C.   Lorazepam may be given if the seizure lasts too long, but ensuring safety is the priority action.
D.   The nurse’s priority during a seizure is to ensure the child’s safety by removing hazardous items from the area and ensuring the child does not get injured.

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Correct Answer is A

Explanation

A. The nurse should avoid manipulating the stent or dressings to prevent dislodging or introducing infection.
B. Tub baths should be avoided until healing occurs, typically after the wound has been sufficiently healed.
C. Fluid restriction is not necessary unless prescribed for another condition.
D. Anticholinergic medications are not indicated unless there is a specific need, such as managing bladder spasms.

A. Negative Prehn's sign B. Rebound abdominal tenderness C. Kernigs sign D. A round smooth non tender mass in the scrotum. E. None F. None

Correct Answer is A

Explanation

A. A negative Prehn's sign (where lifting the scrotum does not relieve pain) is a key sign of testicular torsion, indicating that the blood flow to the testicle is compromised.
B. Rebound abdominal tenderness suggests peritoneal irritation, not specifically testicular torsion.
C. Kernig's sign is a sign of meningitis, not related to testicular torsion.
D. A round, smooth, non-tender mass in the scrotum is more consistent with a hydrocele or hernia, not testicular torsion.

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A nurse is caring for a child who is having a tonic-clonic seizure. What is the nurse's priority action during the seizure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-month-old infant with epispadias post-op surgical revision with a stent placement. What interventions should the nurse expect during post op care?

Correct Answer is A

Explanation

7-year-old male with sudden scrotal pain reports to the Emergency department with his parent. Exhibits A Nurse is caring for a 7-year-old child with sudden onset of testicular pain. The nurse is aware that the pain may be a testicular torsion and assesses for what?

Correct Answer is A

Explanation

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