Which of the following will the nurse teach the family of a child who has tonic/clonic seizures to do then their child begins to have a seizure?
a. Put a padded tongue blade between the child's teeth.
b. Perform a jaw thrust and, if available, administer oxygen.
c. Hold the child down in the bed or restrain the child.
d. Administer a benzodiazepine by intramuscular (IM) method.
B
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A Incorrect. A padded tongue blade should not be inserted between the child's teeth.
B Correct. For the child with tonic/clonic seizures, it is necessary to ensure a patent airway. This is best accomplished by performing the jaw thrust. If available, oxygen should be administered because of the impaired gas exchange associated with diaphragmatic muscle rigidity.
C Incorrect. It would not be indicated to restrain or hold the child down.
D Incorrect. The benzodiazepines should be administered by intravenous method.
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