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 C
Explanation
Choice A rationale:
Limiting fluids at bedtime is not a suitable instruction for a child with sickle cell disease. These patients are at risk of dehydration due to increased red blood cell destruction, and limiting fluids can exacerbate this condition, leading to vaso-occlusive crises and pain episodes.
Choice B rationale:
Applying cold compresses to painful areas might provide temporary relief for pain associated with sickle cell disease, but it does not address the overall management of the illness. Encouraging physical activity, on the other hand, is essential as it promotes overall health and can prevent complications like thrombosis.
Choice C rationale:
Encouraging physical activity as tolerated is the correct choice. Regular physical activity helps improve circulation and can reduce the risk of vaso-occlusive crises in patients with sickle cell disease. The nurse should advise the guardians to encourage the child to engage in activities that are appropriate for their age and physical condition, while also being mindful of any signs of fatigue or pain.
Choice D rationale:
Having the child wear a surgical mask to school is not relevant to the management of sickle cell disease. This measure is more appropriate for preventing the spread of contagious diseases and is not a specific intervention for sickle cell disease management.
Correct Answer is B
Explanation
Choice A rationale:
Administering acyclovir PO (by mouth) is not the appropriate treatment for impetigo. Acyclovir is an antiviral medication used to treat viral infections, such as herpes simplex virus infections. Impetigo is a bacterial skin infection and is typically treated with topical or oral antibiotics targeting the responsible bacteria.
Choice B rationale:
Applying bactericidal ointment to lesions is the correct choice. Impetigo is a bacterial skin infection caused by Staphylococcus aureus or Streptococcus pyogenes. Topical antibiotics, such as mupirocin, are effective in treating impetigo. These medications help eliminate the bacteria, promoting healing of the skin lesions.
Choice C rationale:
Soaking hairbrushes in boiling water for 10 minutes is not a relevant instruction for impetigo management. Impetigo is primarily spread through direct contact with the infected skin lesions, not through contaminated objects like hairbrushes. The focus should be on maintaining good hygiene, such as regular handwashing, to prevent the spread of the infection.
Choice D rationale:
Sealing soft toys in a plastic bag for 14 days is not a necessary measure for impetigo management. Impetigo is primarily spread through direct contact with the infected skin lesions, not through soft toys. The key prevention strategies include proper
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