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. Applying bactericidal ointment to lesions helps treat impetigo by killing the bacteria causing the infection.
B. Acyclovir is used to treat viral infections such as herpes simplex virus, not bacterial infections like impetigo.
C. Soaking hairbrushes in boiling water is not necessary for treating impetigo.
D. Soft toys do not need to be sealed in a plastic bag for treating impetigo.
Correct Answer is ["A","B","D","F","G"]
Explanation
Rationale:
A. Cutting and filing the child's fingernails frequently can help prevent further damage from scratching and reduce the risk of infection.
B. Using a mild detergent for the child's laundry can help minimize irritation to the skin.
C. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.
D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence.
E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate.
F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.
G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.
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