A nurse is caring for a child with a seizure in the hospital. Which nursing interventions are appropriate for this child? (Select All that Apply.)
Administer benzodiazepine medication
Perform neurological checks
Reorient and calm the child
Position the child in a side-lying position
Restrict the child's movements during the seizure
Document the duration and characteristics of the seizure
Correct Answer : A,B,C,D,E,F
A. Administer benzodiazepine medication. – Correct. Benzodiazepines (e.g., lorazepam, diazepam) are first-line treatments for prolonged seizures.
B. Perform neurological checks. – Correct. Monitoring postictal status helps assess brain function.
C. Reorient and calm the child. – Correct. After the seizure, the child may be confused and require reassurance.
D. Position the child in a side-lying position. – Correct. This prevents aspiration and maintains a clear airway.
E. Restrict the child's movements during the seizure. – Incorrect. Restraining can cause injury. Instead, protect the child from harm by removing nearby objects.
F. Document the duration and characteristics of the seizure. – Correct. Recording seizure length, activity, and triggers is crucial for medical management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Amblyopia – Correct. Strabismus can lead to amblyopia (lazy eye) if left untreated.
B. Hypotropia – Incorrect. Hypotropia is a type of strabismus, not a complication.
C. Otorrhea – Incorrect. Otorrhea (ear drainage) is unrelated to strabismus.
D. Exotropia – Incorrect. Exotropia is another form of strabismus rather than a complication.
Correct Answer is ["B","C","D"]
Explanation
A. Orthopedic surgeon – Incorrect. Retinoblastoma does not require orthopedic intervention.
B. Radiation oncologist – Correct. Radiation therapy is a common treatment for retinoblastoma.
C. Nutritionist – Correct. Proper nutrition is important during cancer treatment to maintain the child's strength and immune function.
D. Play therapist – Correct. A play therapist helps young children cope with medical procedures and emotional distress.
E. Audiologist – Incorrect. Retinoblastoma does not typically affect hearing unless chemotherapy causes ototoxicity, which is less common.
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