A nurse is caring for a school-age child who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
Place a folded blanket under the child's head.
Put a tongue blade between the child's teeth.
Administer magnesium sulfate IM to the child.
Prevent movement of the child's extremities.
The Correct Answer is A
A. Placing a folded blanket or any soft object under the child's head helps to protect the head from injury during the seizure. Ensuring safety is a priority during a seizure.
B. Putting a tongue blade or any object between the child's teeth can cause injury to the child. It is no longer recommended to place anything in the mouth during a seizure.
C. Magnesium sulfate is not indicated for treating tonic-clonic seizures. The focus should be on maintaining safety and monitoring the seizure.
D. Preventing movement of the child's extremities can cause injury. Instead, the nurse should protect the child from harm and ensure the environment is safe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"E"}
Explanation
Medication (Ceftriaxone): Given the infant's history of amoxicillin allergy, there is a potential cross-reactivity concern with cephalosporins like ceftriaxone. It's crucial to clarify the allergy details and assess for any potential allergic reactions before administering.
Finding (Allergy): The infant has a documented allergy to amoxicillin, which raises concerns about potential cross-reactivity with cephalosporins, including ceftriaxone. Clarifying the allergy details ensures safe administration and prevents adverse reactions.
Correct Answer is B
Explanation
A. Occasional incontinence in a 24-month-old toddler is developmentally appropriate and does not indicate abuse.
B. A spiral fracture in a 6-month-old infant is concerning for potential abuse and should be reported to authorities for further investigation.
C. Exposure to bedbugs and cellulitis, while requiring medical attention, does not necessarily indicate abuse.
D. Sibling rivalry is a common developmental occurrence and does not indicate abuse.
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.