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Author Question: A 2-year-old child starts to have a tonic-clonic seizure. The child's jaws are clamped. What is the ... (Read 188 times)

KWilfred

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on: Jun 28, 2018
A 2-year-old child starts to have a tonic-clonic seizure. The child's jaws are clamped. What is the most important nursing action at this time?
 
  a. Place a padded tongue blade between the child's jaws.
  b. Stay with the child and observe his respiratory status.
  c. Prepare the suction equipment.
  d. Restrain the child to prevent injury.

Question 2

What is the antiepileptic medication that requires monitoring of vitamin D and folic acid?
 
  a. Topiramate (Topamax)
  b. Valproic acid (Depakene)
  c. Gabapentin (Neurontin)
  d. Phenobarbital (Luminal)


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zogaridan

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
It is impossible to halt a seizure once it has begun, and no attempt should be made to do so. The nurse must remain calm, stay with the child, and prevent the child from sustaining any harm during the seizure. The nurse should not move or forcefully restrain the child during a tonic-clonic seizure and should not place a solid object between the teeth. Suctioning may be needed but not until the seizure has ended.

Answer to Question 2

ANS: D
Children taking phenobarbital or phenytoin should receive adequate vitamin D and folic acid because deficiencies of both have been associated with these drugs.


KWilfred

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Reply 2 on: Jun 28, 2018
Thanks for the timely response, appreciate it

scottmt

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Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

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