The nurse is creating a plan of care for a child who is at risk for seizures. Which interventions apply if the child has a seizure? Select all that apply.
Move furniture away from the child.
Place the child in a prone position.
Restrain the child.
Time the seizure
Insert a padded tongue blade in the child's mouth.
Stay with the child
Correct Answer : A,D,F
A.Move furniture away from the child.
Explanation: Creating a safe environment is important during a seizure. Moving furniture away from the child helps prevent injury.
B.Place the child in a prone position.
Explanation: Placing the child in a prone position (face down) is not recommended. The child should be placed on their side to allow for drainage of oral secretions and to prevent aspiration.
C. Restrain the child.
Explanation: Restraint is generally not recommended during a seizure, as it may cause injury to the child or the person providing care. Allow the seizure to run its course, and focus on keeping the environment safe.
D.Time the seizure.
Explanation: Timing the duration of the seizure is important for medical evaluation and management. Note the start and end times of the seizure.
E. Insert a padded tongue blade in the child's mouth.
Explanation: Inserting any object, including a padded tongue blade, into the child's mouth during a seizure is not recommended. This can lead to oral and dental injuries. Maintaining a clear airway and protecting the child from injury are priorities.
F. Stay with the child.
Explanation: Staying with the child provides support and ensures the child's safety during the seizure. It also allows the caregiver to observe and provide information to healthcare professionals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Need for increased caloric intake:
Incorrect: While toddlers may have specific nutritional needs, it is important to focus on a balanced diet rather than emphasizing increased caloric intake. The emphasis should be on providing nutritious and age-appropriate foods.
B. How to encourage cooperative play:
Correct Answer: Encouraging cooperative play is important for a toddler's social development. It involves teaching sharing, taking turns, and interacting with other children.
C. Management of tantrums:
Incorrect: While guidance on managing tantrums can be part of parenting education, it may not be the primary focus in health promotion teaching. The emphasis is typically on positive guidance, effective communication, and setting age-appropriate limits.
D. Dental care:
Correct Answer: Dental care is crucial for toddlers to promote oral health. The nurse should provide information on proper oral hygiene practices, including tooth brushing, and discuss the importance of regular dental check-ups.
E. How to establish trust:
Correct Answer: Establishing trust is a vital aspect of toddler development. The nurse can provide guidance on building a secure and trusting relationship between the child and parents.
Correct Answer is D
Explanation
A. Administer 0.9% sodium chloride IV solution: Although IV fluids might be necessary to maintain hydration and circulation, this is not the priority over preventing the spread of infection.
B. Assist with obtaining an x-ray of the child's neck.Imaging can help confirm the diagnosis but should be done after ensuring infection control measures.
C. Initiate IV antibiotics.Antibiotics are crucial for treatment but should follow the implementation of droplet precautions to prevent the spread of infection.
D. Place the child on droplet precautions.
Epiglottitis is a medical emergency primarily caused by bacterial infections, such as Haemophilus influenzae type B (Hib). The first priority is to ensure the safety of both the patient and others by preventing the spread of infection.Placing the child on droplet precautions helps to contain the bacteria and protect healthcare workers and other patients.

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