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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Digoxin typically decreases heart rate by increasing vagal tone and reducing the conduction velocity through the atrioventricular node.
B. Correct. Digoxin is a positive inotrope, meaning it increases the force of myocardial contraction, leading to increased cardiac output.
C. Incorrect. Decreased urinary output is not a common effect of digoxin.
D. Incorrect. Digoxin can lead to hyperkalemia, not hypokalemia, as it competes with potassium at the cellular level.
Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B,C"},"E":{"answers":"A,C"}}
Explanation
Assessment finding |
Appendicitis |
Celiac disease |
Diverticulitis |
Elevated WBC count |
✔ |
✔ |
|
increased temperature |
✔ |
✔ |
|
Nausea and vomiting |
✔ |
✔ |
✔ |
Abdominal pain |
✔ |
✔ |
✔ |
Muscle guarding |
✔ |
✔ |
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