A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?

Place the child in a prone position.

Clear the area of hard objects.

Insert a tongue blade between the teeth.

Minimize movement of the limbs.

Answer and Explanation

The Correct Answer is B

Rationale:
A)   Placing the child in a prone position can obstruct the airway and increase the risk of aspiration.
B)   Clearing the area of hard objects helps prevent injury during a seizure.
C)   Inserting a tongue blade between the teeth can cause oral trauma and should be avoided.
D)   Minimizing movement of the limbs is not necessary during a seizure; the focus should be on ensuring safety and preventing injury.

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Correct Answer is D

Explanation

A. Stevens-Johnson syndrome is a severe, rare, and potentially life-threatening reaction that can occur as a hypersensitivity reaction to certain medications. However, it is not typically associated with morphine use.
B. Morphine is more commonly associated with hypotension rather than hypertension. Therefore, while monitoring for changes in blood pressure is important, hypertension is not a primary concern with morphine administration.
C. Morphine use is not typically associated with prolonged wound healing. However, it can cause respiratory depression, which can indirectly affect wound healing by reducing tissue oxygenation.
D. Morphine is a potent opioid analgesic that can cause respiratory depression, leading to bradypnea (slow breathing) or even respiratory arrest. Monitoring respiratory rate is crucial when administering morphine to detect signs of respiratory depression early and intervene promptly.

A. Apply pressure just above the insertion site. B. Monitor the pulse distal to the insertion site. C. Obtain vital signs. D. Reinforce the dressing.

Correct Answer is A

Explanation

A. This is the first step to control bleeding and prevent further blood loss.
B. Monitoring the distal pulse is important, but controlling bleeding takes precedence.
C. Vital signs can wait momentarily until the bleeding is under control.
D. Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority.

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A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?

Correct Answer is D

Explanation

A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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