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?
Insert a tongue blade between the teeth.
Place the child in a prone position.
Clear the area of hard objects.
Minimize movement of the limbs.
The Correct Answer is C
Choice A rationale:
Inserting a tongue blade between the teeth during a seizure is not recommended. Doing so can cause injury to the child's mouth or teeth. It's essential to keep the child's mouth open to prevent choking, but using a tongue blade is not the appropriate method.
Choice B rationale:
Placing the child in a prone position (face down) during a seizure can obstruct the airway and lead to difficulty breathing. It's crucial to maintain an open airway during a seizure. The correct position is to place the child on their side (recovery position) to prevent choking and ensure proper breathing.
Choice C rationale:
Clearing the area of hard objects is the correct action during a seizure. Seizures can involve uncontrolled movements, and clearing the surrounding area of any hard or sharp objects can prevent injuries. Creating a safe environment is essential to minimize the risk of harm during a seizure.
Choice D rationale:
Minimizing movement of the limbs is not entirely accurate. While it's essential to prevent injury during a seizure, attempting to restrict the child's movements forcefully can lead to injuries or fractures. The focus should be on creating a safe environment and ensuring the child is placed in a recovery position to prevent choking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Discouraging the parents from allowing siblings to view the body can prevent healthy grieving and closure for the siblings. Allowing siblings to view the body, if they wish, can help them understand the reality of the situation and cope with their emotions in a healthy way.
Choice B rationale:
Providing a follow-up phone call 1 week following the infant's death is a good practice, but it is not the most immediate and crucial action in this situation. Acknowledging the family's feelings of guilt and providing emotional support should take precedence.
Choice C rationale:
Avoiding discussing details of the attempt to revive the infant might hinder the family's ability to process the situation. Open communication, including discussing the events leading to the infant's death, can help the family members come to terms with their loss.
Choice D rationale:
Acknowledging the family members' feelings of guilt is the correct choice. Parents and family members often experience guilt after the death of an infant from SIDS, wondering if there was something they could have done differently. The nurse should acknowledge these feelings and provide reassurance, emphasizing that SIDS is not the result of parental actions or negligence.
Correct Answer is C
Explanation
Choice A rationale:
"Consume 1,500 to 1,700 calories per day." This statement provides a specific calorie range suitable for most adolescents. It ensures they receive adequate energy to support their growth and daily activities. Adequate caloric intake is essential during adolescence to support proper physical and mental development.
Choice B rationale:
"Decrease your vitamin D intake once you start to menstruate." Menstruation does not affect the need for vitamin D intake. In fact, vitamin D is crucial for bone health, especially during adolescence when bones are still developing. Adolescents, including females, should maintain an appropriate level of vitamin D intake to support bone health and overall well-being.
Choice C rationale:
"Increase the amount of your dietary iron intake." During adolescence, especially for females, iron requirements increase due to menstrual losses. Iron is essential for the production of red blood cells and to prevent anemia. Adolescents, particularly females, should be educated about the importance of including iron-rich foods in their diet to meet their increased nutritional needs.
Choice D rationale:
"Limit your sodium intake to 3,000 milligrams per day." While limiting sodium intake is generally advisable for overall health, this statement does not specifically address the nutritional needs of adolescents. Adolescents need guidance on various aspects of nutrition, but limiting sodium intake should be part of a broader discussion about a balanced diet, rather than a singular focus during this educational session.
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