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","B","E"]

Explanation

A. Bisphosphonates help increase bone density and reduce the frequency of fractures in children with osteogenesis imperfecta.
B. Assistive devices like crutches or wheelchairs help reduce the risk of fractures by providing support and reducing the load on fragile bones.
C. Heat is not a standard intervention for osteogenesis imperfecta. The child’s bones are fragile, and
applying heat may not be beneficial and could cause further injury.
D. Resistance exercises are not recommended for osteogenesis imperfecta, as they could lead to fractures due to the fragile nature of the bones.
E. Ensuring a safe environment to prevent falls and fractures is essential in managing osteogenesis imperfecta.

A. "I will encourage my child to participate in non-contact sports like swimming." B. "I will make sure my child wears helmets and protective gear when riding a bike or engaging in physical activities." C. "I will teach my child to avoid activities that may result in cuts or injuries." D. "I will give my child a non-steroid anti-inflammatory drug (NSAID) for pain relief if needed."

Correct Answer is D

Explanation

A. Non-contact sports like swimming are generally safe for children with hemophilia as they carry a lower risk of injury.
B. Wearing helmets and protective gear is an important safety measure for children with hemophilia to prevent trauma.
C. While it is important to avoid excessive risk of injury, children with hemophilia can still participate in many activities with precautions.
D. NSAIDs should not be used in children with hemophilia as they can increase the risk of bleeding. Acetaminophen (Tylenol) is a safer option for pain relief.

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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 child with Osteogenesis Imperfecta type 3. Which of the following interventions should the nurse implement for this child? SELECT ALL THAT APPLY

Correct Answer is ["A","B","E"]

Explanation

A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent Indicates a need for further teaching?

Correct Answer is D

Explanation

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