A nurse is performing a home assessment for a preschooler who has a new diagnosis of epilepsy with tonic-clonic seizures. For which of the following findings should the nurse recommend modifications?
The preschooler wears a medical identification bracelet
The preschooler takes tub baths independently
The preschooler sleeps in a bed with side rails.
The preschooler's mattress is waterproof
The Correct Answer is B
A. The preschooler wears a medical identification bracelet: Wearing a medical ID bracelet is a safety measure that allows caregivers and healthcare professionals to respond appropriately during a seizure. No modification is needed for this practice.
B. The preschooler takes tub baths independently: Independent tub bathing poses a significant risk of injury or drowning if a seizure occurs during bathing. The nurse should recommend modifications, such as supervised showers or sponge baths, to ensure the child’s safety.
C. The preschooler sleeps in a bed with side rails: Using side rails can prevent falls from bed during a seizure. This is an appropriate safety measure and does not require modification.
D. The preschooler's mattress is waterproof: A waterproof mattress protects against injury from incontinence or vomiting during a seizure and is a suitable precaution that does not require modification
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Serum albumin: Albumin levels reflect nutritional status and liver function, not the effectiveness of allopurinol. Monitoring albumin is not relevant for assessing the drug’s impact on uric acid.
B. Magnesium level: Magnesium levels are not affected by allopurinol and do not indicate therapeutic effectiveness. Routine monitoring of magnesium is not necessary for clients taking this medication.
C. Serum chloride: Chloride is an electrolyte involved in acid-base balance and does not reflect allopurinol efficacy. Changes in chloride levels are unrelated to uric acid management.
D. Uric acid level: Allopurinol is a xanthine oxidase inhibitor that reduces uric acid production. Monitoring serum uric acid levels allows the nurse to determine whether the medication effectively lowers uric acid and helps prevent gout flares or uric acid nephropathy.
Correct Answer is A
Explanation
A. Tetany: Calcium is essential for proper neuromuscular function. A deficiency can lead to increased neuromuscular excitability, resulting in muscle spasms, cramps, and tetany, which are hallmark signs of hypocalcemia.
B. Anemia: Anemia is typically related to deficiencies in iron, vitamin B12, or folate, not calcium. While calcium plays roles in other body functions, it is not a direct factor in hemoglobin synthesis or red blood cell production.
C. Kidney stones: Kidney stones are more commonly associated with hypercalcemia or high calcium excretion rather than calcium deficiency. Low calcium intake may actually increase oxalate absorption, but it is not a direct cause of stones.
D. Osteoarthritis: Osteoarthritis is a degenerative joint disease influenced by age, joint stress, and cartilage wear. Calcium deficiency affects bone density (leading to osteoporosis) rather than the cartilage degeneration seen in osteoarthritis.
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