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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Has your child had a fever? While fever can be associated with febrile seizures, it is not a question used to screen for epilepsy. Febrile seizures are typically isolated events in young children and are not considered part of chronic epilepsy.
B. Did your child have an aura prior to a seizure? This is an important question for assessing epilepsy, especially focal seizures, as many individuals with epilepsy experience an aura (a warning sign) before a seizure. The presence or absence of an aura helps in classifying the type of seizure and can be useful in diagnosis.
C. Has your child had two or more seizures, in the last 1 year? This is not a screening question for epilepsy, but it would be relevant if epilepsy has already been diagnosed. Two or more seizures within a year can indicate a seizure disorder, but asking if the child has had multiple seizures would be more appropriate once epilepsy is suspected.
D. How long did your child's seizure last? The duration of a seizure is important to note during an episode, but it is not a question used during initial screening. The nurse would focus more on whether seizures occur, how they manifest, and if there are any warning signs (like an aura) prior to the event.
Correct Answer is D
Explanation
A. Chest X-ray is not a definitive diagnostic test for leukemia. It is more commonly used to evaluate for signs of infection, lung abnormalities, or metastasis in cancer patients, but it does not confirm leukemia.
B. Urinalysis is not the definitive test for leukemia. While it may help assess kidney function or rule out other conditions, it is not used to diagnose leukemia.
C. Complete blood count (CBC) is useful for detecting abnormalities that may suggest leukemia, such as abnormal white blood cell counts, but it alone cannot definitively diagnose leukemia. It is typically part of the initial evaluation.
D. Bone marrow biopsy and aspiration is the definitive diagnostic test for leukemia. This test allows for direct examination of the bone marrow to confirm the presence of leukemia cells, making it the gold standard for diagnosis.
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