A child is experiencing a tonic-clonic seizure. Which of the following interventions would be appropriate for the nurse to perform?
a. Insert a padded tongue blade in the mouth
b. Perform rescue breathing during the seizure
c. Pad the side rails
d. Sit the child upright at the beginning of the seizure
C
Nothing should be inserted inside the mouth. Rescue breathing is only needed if the child is not breathing when the seizure is finished. The side rails should be padded. The child should be turned on the side to maintain the airway.
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What will the nurse teach the parents of a child with a low platelet count to avoid?
a. Ibuprofen b. Aspirin c. Caffeine d. Prednisone
When a functional family is faced with a crisis or unexpected situation, which of the following behaviors do they exhibit to overcome it?
a. Avoid the conflict and focus on positive aspects of their lives. b. Isolate the family and attempt to reach resolution without outside interference. c. Maintain clear and supportive communication to address the crisis. d. Look to the head of the family to resolve based on role.
During an assessment, the nurse determines that a patient with Cushing syndrome requires interventions to support an alteration in carbohydrate metabolism. What manifestations did the patient demonstrate for the nurse to determine this need?
Select all that apply. 1. striae over the abdomen 2. fat pads on the upper back 3. urine output in one hour 250 mL 4. 2 L of water ingested in 90 minutes 5. fasting blood glucose level 185 mg/dL