NCLEX-PN

Category - Reduction of Risk

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A nurse is assigned to care for a child who is admitted due to seizures. Which of the following actions is least effective in preventing injuries due to seizures?

Padding the side rails with soft blankets
Keeping the bed in the lowest position
Preparing a tongue blade at the bedside
Keeping the side rails up

Explanation

Answer: C - A tongue blade is not inserted during seizures because it can fracture the child’s jaws and stimulate the gag reflex, which increases the risk for aspiration. The other options minimize the client’s risk for injuries during seizures.

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