A four-year-old hospitalized child begins to have a seizure while playing with hard plastic toys in the hallway. The nurse should initially:
  1. Place the child in the bed
  2. Put a padded tongue depressor in the child’s mouth
  3. Administer the ordered Valium
  4. Remove the child’s toys from the immediate area
Explanation
Answer - D - The nurse should initially remove the child’s toys from the immediate area. Nursing care for a child having a seizure includes maintaining airway patency, ensuring safety, administering medications, and providing emotional support. Since the seizure has already started, nothing should be forced into the child’s mouth and they should not be moved. Of the choices given, first priority would be for safety.
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