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","B","D","E"]
Explanation
A. Provide frequent and routine verbal updates with the parents. – Correct. Keeping parents informed can help alleviate anxiety.
B. Encourage the parents to participate in the toddler's plan of care when appropriate. – Correct. Involvement can help them feel more in control and engaged.
C. Perform more frequent health care rounds on the toddler. – Incorrect. While rounding is beneficial, it does not directly address parental distress.
D. Conduct interprofessional rounds at the child's bedside so the parents can be included. – Correct. This allows parents to hear updates directly from the care team.
E. Provide education to the parents on all nursing interventions to alleviate added anxiety about tasks they are unfamiliar with. – Correct. Education helps parents feel more comfortable with their child's care.
F. Provide the parents with the nurse's personal cell phone number to contact if they have questions while they are away from the hospital. – Incorrect. Professional communication should go through appropriate hospital channels.
Correct Answer is A
Explanation
A. Allow your child to participate in age-appropriate activities, such as riding a bike using proper protective gear. – Correct. Children with hemophilia can engage in non-contact activities with precautions.
B. Not allow your child to ride a bike or go skateboarding with their classmates. – Incorrect. Total restriction of activity is unnecessary and can negatively affect development.
C. Allow your child to play any sport they want to play. – Incorrect. Contact sports should be avoided to prevent bleeding episodes.
D. Not allow your child to play any sport due to the risk of injury. – Incorrect. Some activities like swimming, walking, and biking with protective gear are encouraged.
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.
