NCLEX-RN

Category - Reduction of Risk

A nurse is making a care plan for a newly admitted 12-year-old child with a history of seizures. Which of the following actions is least appropriate?
  1. Stay with the child during seizures and determine how long they last
  2. Put the bed in high position with all the side rails up
  3. Prepare suction equipment in the room
  4. Turn the child on his side
Explanation
Answer - B - The bed should be placed in the lowest position to reduce the risk of injuries if seizures occur. Turning the child on his or her side ensures airway patency. The suction equipment is used to clear oral secretions, maintaining the airway’s patency, if needed.
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