What is the most appropriate nursing action when a child is in the tonic phase of a generalized tonic-clonic seizure?
a. Guide the child to the floor if standing and go for help.
b. Turn the child's body on the side.
c. Place a padded tongue blade between the teeth.
d. Quickly slip soft restraints on the child's wrists.
B
Feedback
A The child should be placed on a soft surface if he is not in bed; however, it is
inappropriate to leave the child during the seizure.
B Positioning the child on his side will prevent aspiration.
C Nothing should be inserted into the child's mouth during a seizure to prevent
injury to the mouth, gums, or teeth.
D Restraints could cause injury. Sharp objects and furniture should be moved out
of the way to prevent injury.
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A) The loss of memory and intelligence is progressive and sometime in the future your son will most likely begin to win more games. B) Crossword puzzles are a great way to spend time with your son; he must care about you. C) That seems normal; we seem to lose short-term memory as we age but our problem-solving skills remain unchanged. D) We often lose short-term memory when we have a stroke; do you think you have had a stroke?
What is the priority nursing diagnosis for the client with aplastic anemia who is being treated with a combination of prednisone and cyclophosphamide
A. Risk for Activity Intolerance B. Risk for Infection C. Risk for Injury D. Constipation
Which type of diagnosis is defined as physiological complications monitored by nurses to assess changes in client status?
a. risk nursing diagnosis c. collaborative problem b. wellness nursing diagnosis d. actual diagnosis
What is a common side effect for which the nurse must monitor during administration of both phenothiazine and non-phenothiazine medications?
a. Hypertension b. Renal failure c. Increase in number of white blood cells d. Extrapyramidal symptoms