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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Just after the child falls asleep is not the correct timing. The tape test should be performed in the morning before the child toilets or bathes, not immediately after they fall asleep.

B. Before the child toilets or bathes is correct. The tape test is most effective when the tape is applied to the perianal area before the child uses the toilet or bathes in the morning, as pinworm eggs are typically laid at night and can be collected before washing.

C. After the child awakes is incorrect. The tape should be applied before the child uses the toilet or bathes in the morning to ensure the best chance of collecting pinworm eggs.

D. Before the child falls asleep is incorrect. The tape should be applied in the morning, not at night, to collect pinworm eggs effectively.

A. No venipuncture or blood pressure in left arm B. Do not palpate abdomen. C. Collect all urine. D. Contact precautions

Correct Answer is B

Explanation

A. No venipuncture or blood pressure in left arm is incorrect. This is not a standard warning for a child with Wilms' tumor. The concern for venipuncture or blood pressure typically involves conditions like a dialysis access or a limb at risk, but it is not specific to Wilms' tumor.

B. Do not palpate abdomen is correct. Wilms' tumor, a type of kidney cancer, can be palpated in the abdomen. However, palpating the tumor may increase the risk of spreading cancerous cells or causing trauma to the tumor site, so it is crucial to avoid palpation.

C. Collect all urine is incorrect. While urine collection may be necessary for diagnostic testing, it is not a specific warning related to Wilms' tumor. This would be standard for other renal conditions but not directly related to Wilms' tumor.

D. Contact precautions is incorrect. While contact precautions may be required for infections, Wilms' tumor itself does not require contact precautions unless there is an associated infection.

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During an episode of status epilepticus of a hospitalized child, what is the priority intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing the tape test to check for pinworms, when should the caregiver remove the tape from the child's anus?

Correct Answer is B

Explanation

A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?

Correct Answer is B

Explanation

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