During an episode of status epilepticus of a hospitalized child, what is the priority intervention?
Administering anti-seizure medication
Restraining the child to prevent injury
Providing emotional support to the child's family
Documenting the seizure activity
The Correct Answer is A
A. Administering anti-seizure medication is the priority. In a child experiencing status epilepticus, immediate administration of anti-seizure medication is essential to stop the seizure activity and prevent further neurological damage. The primary goal is to terminate the seizure as quickly as possible.
B. Restraining the child to prevent injury is not the priority. Restraining a child during a seizure can increase the risk of injury and is not recommended. Instead, protecting the child from harm by placing them in a safe position is more appropriate.
C. Providing emotional support to the child's family is important, but it is not the immediate priority during the acute phase of status epilepticus. The child's immediate safety and health take precedence.
D. Documenting the seizure activity should be done after ensuring that the seizure has been controlled. Accurate documentation is important, but it is secondary to the intervention needed to stop the seizure.
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Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Ensure the child is placed on droplet precautions is the priority because bacterial meningitis is highly contagious. Droplet precautions help prevent the spread of the infection to others in the hospital.
B. Encouraging the child to drink plenty of fluids is not the priority in the acute phase of meningitis, as increased fluid intake may not be appropriate, especially if there is elevated intracranial pressure or vomiting. Fluid management should be carefully monitored by the healthcare team.
C. Administering intravenous antibiotics is crucial because bacterial meningitis requires prompt treatment with antibiotics to prevent complications and reduce mortality.
D. Providing comfort measures such as dimming the lights is important because the child may be sensitive to light, noise, and stimuli. A calm, quiet environment can help reduce discomfort and manage symptoms like headache and photophobia.
E. Preparing the child for a CT scan of the head might be indicated if there are signs of increased intracranial pressure, but it is not the immediate priority. Initial treatment with antibiotics and managing the environment are higher priorities.
Correct Answer is C
Explanation
A. Respiratory rate can be influenced by many factors, including fever or anxiety, and is not the most reliable indicator of fluid loss.
B. Blood pressure may change with severe dehydration, but it can be a late sign, and other factors (like shock) can also affect blood pressure, so it's not the most reliable early indicator.
C. Body weight is the most reliable and sensitive indicator of fluid loss, as even small changes in weight reflect changes in hydration status. Monitoring weight helps assess fluid loss accurately.
D. Skin integrity can be affected by dehydration, but it's not the most reliable indicator of fluid loss. It may take longer to show visible signs such as dry skin or poor turgor.
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