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.
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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Related Questions
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.
Correct Answer is C
Explanation
A. Applying a topical corticosteroid ointment to the scalp is not indicated for treating Pediculosis humanus capitis. Corticosteroids are used to reduce inflammation and itching associated with certain skin conditions but are not effective against lice.
B. Soaking hair brushes and combs in soapy water may help to remove any lice or nits attached to them, but it is not sufficient as the sole treatment for Pediculosis humanus capitis.
C. Washing the bed linens in hot water is crucial for killing any lice or nits that may be present on them. Heat is effective in killing lice and their eggs, thus reducing the risk of reinfestation.
D. Cleaning the child's toys with a 1:10 bleach solution may disinfect them, but it is not a primary treatment for Pediculosis humanus capitis. The focus should be on eliminating lice and nits from the environment where the child sleeps and spends time.
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