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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Cover the defect with a dry gauze dressing – Incorrect. Dry dressings can adhere to the sac and cause damage.

B. Position the newborn supine for initial resuscitation – Incorrect. The newborn should be positioned prone (on the stomach) to prevent pressure on the sac.

C. Cover with a sterile moist saline dressing – Correct. This keeps the sac moist, prevents drying and cracking, and reduces the risk of infection before surgery.

D. Perform frequent skin assessments and apply skin barrier – Incorrect. While skin assessments are important, applying a barrier is not appropriate for protecting the sac.

A. Encouraging the child to be more physically active to increase calorie expenditure. B. Provide education on growth and development. and parenting skills. C. Restricting fluids to prevent excessive weight gain. D. Encouraging the child to eat less to promote weight loss.

Correct Answer is B

Explanation

A. Encouraging the child to be more physically active to increase calorie expenditure. – Incorrect. A child with failure to thrive (FTT) requires adequate caloric intake, and excessive activity could further contribute to weight loss.

B. Provide education on growth and development and parenting skills. – Correct. Many cases of FTT result from inadequate nutrition due to parental knowledge deficits. Educating parents on feeding techniques and child development helps promote growth.

C. Restricting fluids to prevent excessive weight gain. – Incorrect. FTT is characterized by inadequate weight gain, not excessive weight. Hydration is essential for overall health.

D. Encouraging the child to eat less to promote weight loss. – Incorrect. The goal of FTT management is to increase caloric intake to support proper growth and development.

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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.)

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