A hospitalized child is having a seizure. Which action by the ...

[biggirl4568]

A hospitalized child is having a seizure. Which action by the nurse takes priority?
 
  A.
  Apply oxygen and oximeter.
  B.
  Give anti-seizure medications.
  C.
  Pad the side rails of the bed.
  D.
  Turn the child on his or her side.

Question 2

A nurse admits a 5-year-old child with bacterial meningitis to the pediatric intensive care unit. Which information obtained by the nurse during the intake history is most helpful for the nurse to document?
 
  A.
  Fell off swing hitting head 2 months ago
  B.
  History of recent sinus infection
  C.
  Mother with history of herpes simplex
  D.
  Sibling with upper respiratory infection

[jesse.fleming]

Answer to Question 1

ANS: D
All actions are appropriate when a patient has a seizure. The priority, however, is on maintaining the child's airway. Placing the child in a side-lying position decreases the risk of aspiration and airway obstruction.

Answer to Question 2

ANS: B
In a child this age, common causes of bacterial meningitis include septicemia, surgical procedures involving the CNS, penetrating wounds, otitis media, sinusitis, cellulitis of the scalp or face, dental cavities, pharyngitis, and orthopedic diseases. Blunt trauma from falling off a swing and a sibling with a URI are noncontributory. Herpes simplex is an important cause of neonatal viral meningitis.

[biggirl4568]

Excellent

[kusterl]

TYSM