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","C","E"]
Explanation
A. Murmur – Correct. Aortic stenosis typically causes a systolic murmur.
B. Bradycardia – Incorrect. Aortic stenosis usually leads to tachycardia due to decreased cardiac output.
C. Hypotension – Correct. Decreased blood flow from the heart can result in low blood pressure.
D. Clubbing of the nail beds – Incorrect. Clubbing is more commonly associated with chronic hypoxia, as seen in cyanotic heart defects.
E. Weak pulses – Correct. Reduced cardiac output can lead to weak or thready peripheral pulses.
Correct Answer is B
Explanation
A. Increase the production of urine. – Incorrect. The goal of desmopressin (DDAVP) therapy is to reduce urine production, not increase it.
B. Decrease the production of urine at night. – Correct. Desmopressin is a synthetic antidiuretic hormone that reduces nocturnal urine production, helping children with nocturnal enuresis (bedwetting).
C. Treat urinary tract infections in children. – Incorrect. Desmopressin does not have antibacterial properties and is not used for UTIs.
D. Promote bladder control during the day. – Incorrect. Desmopressin is specifically used for nocturnal enuresis, not daytime bladder control issues.
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.