Care for a child during status epilepticus should include all of ...

[nautica902]

Care for a child during status epilepticus should include all of the following except:
 
  1. Turn the patient to the right side.
   2. Loosen tight clothes.
   3. Move toys out of the area to prevent injury.
   4. Stay with the patient until the seizure has stopped.

Question 2

When discussing pain management with a child and the parents, the nurse needs to:
 
  a. assure the child and parents that the child can be kept pain free with good communication
  b. tell them that pain medication and management will improve or relieve the pain, but it has its limitations
  c. teach the child and parents about the possibility of addiction to pain medication
  d. let them know that they need to talk to the physician if the pain medication does not help

[SamMuagrove]

Answer to Question 1

1
Feedback
1. Turning the patient to the right side increases the risk for aspiration because of the positioning of the bronchioles.
2. Loosening clothes helps the person move freely and reduces the chance of injury.
3. Moving objects out of the area decreases the chance for injury as the patient moves during the seizure.
4. It is important to make sure the patient stays safe.

Answer to Question 2

B

Feedback
A Incorrect: Assuring the child and parents that the child can be kept pain free with good communication is misleading, and inaccurate.
B Correct: It may not be practical or possible to relieve all the pain unless the child is unconscious. Children and their families need to understand the limitations of effective pain management.
C Incorrect: Teaching the child and parents about the possibility of addiction to pain medication is not an ideal starting point, since pain management is essential to the best outcome.
D Incorrect: When discussing pain management with a child and the parents, the nurse does not need to tell them that they need to talk to the physician if the pain medication does not help; first tell the nurse and the nursing staff.