A 2-year-old starts to have a tonicclonic seizure while in a crib ...

[colton]

A 2-year-old starts to have a tonicclonic seizure while in a crib in the hospital. The child's jaws are clamped. The most important nursing action at this time is to
 
  1. place a padded tongue bladebetween the child's jaws.
  2. stay with the child and observe therespiratory status.
  3. prepare the suction equipment.
  4. restrain the child to prevent injury.

Question 2

A lumbar puncture is being done on an infant suspected of having meningitis.If the infant has bacterial meningitis,the nurse would expect the cerebral spinal fluid to show
 
  1. elevated white-blood-cell count.
  2. elevated red-blood-cell count.
  3. normal glucose.
  4. decreased white-blood-cell count.

[mirabriestensky]

Answer to Question 1

Answer:2
Rationale:During a seizure the nurse remains with the child,watching for complications. The child's respiratory rate should be monitored.Be sure nothing is placed in the child's mouth during a seizure.Suction equipment should already be set up at the bedside before a seizure begins. The child should not be restrained during a seizure.

Answer to Question 2

Answer:1
Rationale: The lumbar puncture is done to obtain cerebral spinal fluid (CSF). Elevated white-blood-cell count is seen with bacterial meningitis. The red-bloodcell count is not elevated and the glucose is decreased in meningitis.

[colton]

Excellent

[TheNamesImani]

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