If you are walking with a child who begins to have a seizure, you ...

[saliriagwu]

If you are walking with a child who begins to have a seizure, you will ease the child to the floor to prevent injury. Which of the following additional actions will you most need to take?
 
  a. Get the child onto a stretcher. c. Obtain a set of baseline vital signs.
  b. Place the child on his or her side. d. Put a pillow under the child's head.

Question 2

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.

[nhea]

Answer to Question 1

B

Feedback
A Incorrect. Getting the child onto a stretcher would not be the safest action.
B Correct. When ambulating a child who begins to have a seizure, it is necessary to ease the child to the floor and to turn the child onto his or her side. Turning the head to the side prevents secretions from pooling in the mouth.
C Incorrect. While obtaining a set of baseline vitals should be initiated once the child is stabilized, it would be most important to protect the child's airway.
D Incorrect. Putting a pillow under the child's head would not prevent the pooling of secretions in the mouth and, therefore, is not recommended.

Answer to Question 2

B

Feedback
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.

[saliriagwu]

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