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NCLEX-RN · Question #149

The nurse enters the playroom and finds an 8-year-old child having a grand mal seizure. Which one of the following actions should the nurse take?

The correct answer is D. Move furniture out of the way and place a blanket under his head. (A) The nurse should not put anything in the child's mouth during a seizure; this action could obstruct the airway. (B) Restraining the child's movements could cause constrictive injury. (C) Staying with the child during a seizure provides protection and allows the nurse to…

Safe and Effective Care Environment: Safety and Infection Control

Question

The nurse enters the playroom and finds an 8-year-old child having a grand mal seizure. Which one of the following actions should the nurse take?

Options

  • APlace a tongue blade in the child's mouth.
  • BRestrain the child so he will not injure himself.
  • CGo to the nurses station and call the physician.
  • DMove furniture out of the way and place a blanket under his head.

How the community answered

(33 responses)
  • A
    6% (2)
  • B
    3% (1)
  • C
    3% (1)
  • D
    88% (29)

Explanation

(A) The nurse should not put anything in the child's mouth during a seizure; this action could obstruct the airway. (B) Restraining the child's movements could cause constrictive injury. (C) Staying with the child during a seizure provides protection and allows the nurse to observe the seizure activity. (D) The nurse should provide safety for the child by moving objects and protecting the head.

Topics

#seizure management#grand mal seizure#pediatric safety#emergency nursing

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