Author Question: A 2-year-old has a tonic-clonic seizure while in the hospital crib. The child's jaws are clamped. ... (Read 104 times)

burchfield96 · **on:** Jun 27, 2018

A 2-year-old has a tonic-clonic seizure while in the hospital crib. The child's jaws are clamped. Which is the most important nursing action at this time?

1. Place a padded tongue blade between the child's jaws.
2. Stay with the child and observe his respiratory status.
3. Prepare the suction equipment.
4. Restrain the child to prevent injury.

Question 2

In the United States the en face position is preferred immediately after birth. Nurses can facilitate this process by all of these actions except:

a. Washing both the infant's face and the mother's face.
b. Placing the infant on the mother's abdomen or breast with their heads on the same plane.
c. Dimming the lights.
d. Delaying the instillation of prophylactic antibiotic ointment in the infant's eyes.

EAN94 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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

Answer to Question 2

A

Feedback
A To facilitate the position in which the parent's and infant's faces are approx-imately 8 inches apart on the same plane, allowing them to make eye contact, the nurse can place the infant at the proper height on the mother's body, dim the light so that the infant's eyes open, and delay putting ointment in the infant's eyes.
B To facilitate the position in which the parent's and infant's faces are approx-imately 8 inches apart on the same plane, allowing them to make eye contact, the nurse can place the infant at the proper height on the mother's body, dim the light so that the infant's eyes open, and delay putting ointment in the infant's eyes.
C To facilitate the position in which the parent's and infant's faces are approx-imately 8 inches apart on the same plane, allowing them to make eye contact, the nurse can place the infant at the proper height on the mother's body, dim the light so that the infant's eyes open, and delay putting ointment in the infant's eyes.
D To facilitate the position in which the parent's and infant's faces are approx-imately 8 inches apart on the same plane, allowing them to make eye contact, the nurse can place the infant at the proper height on the mother's body, dim the light so that the infant's eyes open, and delay putting ointment in the infant's eyes.