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 A
Explanation
A. Before withdrawing any insulin from the vial, it's essential to ensure that the pressure within the vial is equalized. This is achieved by injecting air into the vial equal to the volume of insulin to be withdrawn. Therefore, the nurse should first inject 20 units of air into the vial of NPH insulin. This prevents the formation of a vacuum inside the vial, making it easier to withdraw the correct dose of insulin.
B. Injecting air into the vial of regular insulin should be the second step after injecting air into the vial of NPH insulin. This ensures that both insulin types are prepared correctly.
C. Withdrawing 20 units of NPH insulin from the vial should occur after injecting air into the vial, not before.
D. Withdrawing 5 units of regular insulin from the vial should occur after injecting air into the vial, not before.
Correct Answer is D
Explanation
A. Contacting the provider to prescribe more pain medication may be necessary if the client's pain is not adequately controlled; however, reevaluation of the client's response to the initial dose should be done first.
B. Teaching relaxation techniques for acute pain management may be helpful, but it is not the priority at this moment when the client's pain is not adequately controlled.
C. Documenting the client's reaction to the medication is important but should not delay immediate action to address the client's unrelieved pain.
D. Reevaluating the client's response to the medication is the priority to determine if additional interventions are needed to manage the client's pain effectively.
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