You are teaching a group of preschool teachers what to do when a child has a seizure.
Your teaching plan should include which of the following?
Insert a padded tongue blade in the child's mouth to prevent biting the tongue.
Position the child in a sitting position to help keep the airway open.
Initiate rescue breathing as soon as seizure activity begins.
Move objects that the child might strike out of the way.
The Correct Answer is D
Choice A rationale
Inserting a padded tongue blade or any object into the mouth during a seizure is strictly contraindicated as it can cause injury, such as chipping teeth, lacerating gums, or triggering severe jaw clenching, potentially causing airway obstruction or aspiration, which outweighs the risk of the child biting their tongue.
Choice B rationale
Positioning a child in a sitting position during a generalized seizure is dangerous because it provides no support and increases the risk of head injury and aspiration. The child should instead be placed on the floor in a side-lying position, known as the recovery position, to facilitate drainage of oral secretions and maintain a patent airway.
Choice C rationale
Initiating rescue breathing is inappropriate as soon as seizure activity begins, because the child is often breathing but may have irregular or shallow respirations. Interventions should focus on safety and maintaining a patent airway by positioning. Rescue breathing is only indicated if the child stops breathing after the seizure, not during the ictal phase.
Choice D rationale
Moving objects out of the way is the most important immediate safety measure during a tonic-clonic seizure. This action protects the child from striking hard, sharp, or hot objects in the immediate vicinity during uncontrolled, involuntary movements, preventing trauma such as head injury or fracture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4200"]
Explanation
Step 1 is: 70 units/kg × 60 kg.
Step 2 is: 4200 units. The final calculated answer is 4200 units.
Correct Answer is C
Explanation
Choice A rationale
Hemophilia A is a hereditary bleeding disorder caused by a deficiency in coagulation factor VIII. Administering factor X would not correct the underlying deficiency responsible for the child's impaired clot formation, as factor X is a different component of the coagulation cascade and is deficient in factor X deficiency, a distinct disorder.
Choice B rationale
Iron is a crucial component of hemoglobin, and an intravenous infusion of iron is indicated for treating severe iron deficiency anemia. While a child with repeated bleeding episodes could develop anemia, the immediate priority for an acute joint or soft tissue bleed in hemophilia is replacing the deficient clotting factor to stop the hemorrhage.
Choice C rationale
The immediate and definitive treatment for acute bleeding episodes in a child with hemophilia A is the intravenous infusion of the deficient clotting factor, which is factor VIII. Prompt administration helps to control the bleeding into the joint (hemarthrosis), preventing long-term damage and pain.
Choice D rationale
Intramuscular injections are strongly contraindicated in individuals with hemophilia because they pose a significant risk of causing a deep, painful hematoma due to uncontrolled bleeding into the muscle tissue. Iron administration, if needed, should be given orally or intravenously, but not intramuscularly.
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