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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Bottle-feed with diluted fruit juice:
Incorrect: Diluted fruit juice is not recommended for infants with diarrhea. Fruit juices, even when diluted, may contain sugars that can exacerbate diarrhea. It's important to focus on water or rehydration solutions.
B. Discontinue breast-feeding until the diarrhea resolves:
Incorrect: Breast milk is an essential source of nutrition for infants, and discontinuing breastfeeding is not recommended, even during episodes of mild diarrhea. Breast milk helps maintain hydration and provides essential nutrients.
C. Provide an increased intake of water.
Correct Answer: Maintaining hydration is crucial during episodes of diarrhea. Offering the infant increased water intake helps prevent dehydration. Rehydration solutions specifically designed for infants can also be recommended.
D. Avoid all solid foods:
Incorrect: While avoiding certain solid foods may be recommended in some cases, it's not necessary to completely avoid all solid foods for a 12-month-old with mild diarrhea. The emphasis should be on maintaining hydration and offering easily digestible foods.

A. Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling. B. Place a heating pad on the lower end of the cast and over the fingers if the fingers feel cold. C. Keep small toys and sharp objects away from the cast. D. Use a padded ruler or another padded object to scratch the skin under the cast if it itches. E. Use the fingertips to lift the cast while it is drying F. Contact the primary health care provider (PHCP) If the child complains of numbness or tingling in the extremity

Correct Answer is ["A","C","F"]

Explanation

A. Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling.
Explanation: Elevating the extremity can help reduce swelling, especially in the initial period after casting.
B. Place a heating pad on the lower end of the cast and over the fingers if the fingers feel cold.
Explanation: Applying heat can increase the risk of burns and is not recommended. If the fingers feel cold, it may indicate a circulation issue, and the healthcare provider should be contacted.
C. Keep small toys and sharp objects away from the cast.
Explanation: Keeping small toys and sharp objects away from the cast is important to prevent injury or damage to the cast.
D. Use a padded ruler or another padded object to scratch the skin under the cast if it itches.
Explanation: Inserting objects under the cast can lead to complications, including skin damage or infection. It is advisable not to insert anything into the cast.
E. Use the fingertips to lift the cast while it is drying.
Explanation: Lifting or manipulating the cast during the drying process can compromise its integrity and should be avoided. The cast needs to dry completely to provide proper support and immobilization.
F. Contact the primary health care provider (PHCP) if the child complains of numbness or tingling in the extremity.
Explanation: Numbness or tingling can indicate a circulation problem, and it is important to contact the healthcare provider for further assessment.

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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.

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Naxlex Comprehensive Predictor Exams

The nurse is providing home-care instructions to a mother of a 12-month-old infant with mild diarrhea. Which would the nurse instruct the mother to do?

Correct Answer is C

Explanation

The nurse prepares a list of home care instructions for the parents of a child who has a plaster cast applied to the left forearm. Which instructions would be included on the list? Select all that apply.

Correct Answer is ["A","C","F"]

Explanation

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