Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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A nurse is alerted when she finds a 10-year-old child having seizures. Which of the following nursing actions is most appropriate?
  1. Insert a padded tongue blade into the child’s mouth and depress the tongue.
  2. Restrain the child’s legs and arms.
  3. Pad the side rails of the bed with soft blankets.
  4. Ask assistance from the nursing assistant to hold the child still.
Explanation
Answer: C - Padding the side rails can protect the child from injuries. A tongue blade should not be inserted during the seizure, as it can chip the child’s teeth, fracture his jaws, stimulate the gag reflex, or cause aspiration. Restraining the child or holding him down is not attempted because tactile stimulation can exacerbate the seizure activity.
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