A nurse is reinforcing teaching about home care with the parents of a child who has a seizure disorder. Which of the following instructions should the nurse include?

Call EMS if a seizure lasts 5 min or more.

Restrain the child at the onset of the seizure.

Offer the child a bubble bath every evening.

Place the child in a prone position during the seizure.

Answer and Explanation

The Correct Answer is A

A.   This is the correct answer. Seizures lasting longer than 5 minutes can be indicative of status epilepticus, a medical emergency requiring immediate intervention.
B.   Restraint during a seizure can cause injury to the child and is not recommended. Instead, it's important to ensure the child's safety by removing nearby objects and gently guiding them to the floor if possible.
C.   Offering a bubble bath every evening is not relevant to seizure care and does not contribute to the child's safety or well-being.
D.   Placing the child in a prone position during a seizure can obstruct the airway and increase the risk of aspiration. The child should be placed in a lateral recumbent position to maintain an open airway and prevent injury.

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Correct Answer is B

Explanation

A. Incorrect. While clients have rights to access their medical records, ownership of the actual record typically remains with the healthcare provider or facility.
B. Correct. The HIPAA Privacy Rule mandates that a client's medical information remains confidential and protected, even during emergencies or when disclosed to other healthcare providers for treatment purposes.
C. Incorrect. In most cases, access to a deceased client's medical records is restricted to authorized individuals, such as next of kin or legal representatives, and is subject to privacy laws. D. Incorrect. While clients have the right to view their medical records under HIPAA, this statement does not specifically address the confidentiality aspect of the Privacy Rule.

A. "I will position the crib in front of the window." B. "I will hang some toys across the crib rails." C. "I will keep the door to the bathroom closed." D. "I will set my hot water heater at 140 degrees Fahrenheit."

Correct Answer is C

Explanation

A. Placing the crib in front of the window can pose a risk of injury if the infant gains access to the window blinds or falls out of the window.
B. Hanging toys across the crib rails can pose a risk of strangulation or choking if the infant becomes entangled in them.
C. Keeping the door to the bathroom closed prevents the infant from accessing potentially hazardous items such as medications, cleaning products, or small objects that may pose a choking hazard.
D. Setting the hot water heater at 140 degrees Fahrenheit increases the risk of scald burns for the infant. The water temperature should be set at or below 120 degrees Fahrenheit to prevent burns.

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A nurse is reinforcing teaching about home care with the parents of a child who has a seizure disorder. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

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