A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?
Administer chlorothiazide.
Hold the child down.
Place the child in a prone position.
Time the episode.
The Correct Answer is D
Rationale:
A. Chlorothiazide is a diuretic and is not indicated during a seizure.
B. Holding the child down during a seizure can lead to injury and is not recommended. It's essential to ensure the child's safety by protecting the head from injury and removing any objects that could cause harm.
C. Placing the child in a prone position during a seizure can compromise their ability to breathe and is not recommended. Instead, the child should be placed in a safe position on their side to prevent aspiration.
D. Timing the duration of the seizure is crucial for medical management and documentation purposes. This action allows healthcare providers to assess the
severity of the seizure and determine the need for intervention or medication administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Tachypnea (rapid breathing) is a common clinical manifestation of heart failure due to decreased cardiac output and inadequate tissue perfusion.
B. Tremors are not typically associated with heart failure.
C. Increased appetite is not typically associated with heart failure and may even be decreased due to symptoms such as fatigue and dyspnea.
D. Bradycardia (slow heart rate) is not typically associated with heart failure; instead, tachycardia (rapid heart rate) may occur as a compensatory mechanism.
Correct Answer is C
Explanation
Rationale:
A. Placing an infant who is 5 months old in a high chair to feed is unsafe because the infant might fall or choke.
B. Positioning a 1-month-old infant supine on a soft mattress increases the risk of sudden infant death syndrome (SIDS).
C. Providing a one-piece pacifier is a safe practice since it prevents the pacifier from breaking apart and causing a choking hazard.
D. Infants should be secured in car seats that are away from airbags. Securing the infant's car seat behind an airbag is dangerous because the airbag could injure or kill the infant in a crash.
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