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A nurse enters a school age child's room to administer morning medications and finds the client sitting in a chair having a seizure. After lowering the client to the floor, which of the following actions should the nurse take first?

A.

Apply oxygen by nasal cannula.

B.

Turn the client to a lateral position.

C.

Administer an anticonvulsant medication.

D.

Check the client's oxygen saturation.

Answer and Explanation

The Correct Answer is B

A. Apply oxygen by nasal cannula: Applying oxygen can be beneficial but is not the immediate priority during an active seizure. Protecting the airway comes first.

 

B. Turn the client to a lateral position: This action prevents aspiration by keeping the airway clear if the client vomits or has excessive secretions.

 

C. Administer an anticonvulsant medication: Medications may be necessary later, but immediate safety and airway protection take precedence.

 

D. Check the client’s oxygen saturation: Monitoring oxygen saturation is important but should follow positioning to ensure airway protection.


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View Related questions

Correct Answer is C

Explanation

A. Integumentary: Meningitis affects the central nervous system (CNS), not the skin, though a rash can sometimes appear with meningococcal meningitis.

B. Digestive: Digestive symptoms like nausea and vomiting may occur, but the primary system affected is the CNS.

C. Central Nervous: Meningitis is an inflammation of the meninges, which are protective coverings of the brain and spinal cord in the CNS.

D. Cardiopulmonary: Cardiopulmonary symptoms are not primary features of meningitis, though severe cases may affect vital systems indirectly.

Correct Answer is B

Explanation

A. 20. Trisomy 20 is not associated with Down syndrome.

B. 21. Down syndrome results from an extra copy of chromosome 21, called Trisomy 21.

C. 22. Trisomy 22 leads to other syndromes but not Down syndrome.

D. 19. Trisomy 19 is incompatible with life and does not cause Down syndrome.

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