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?
Apply oxygen by nasal cannula.
Turn the client to a lateral position.
Administer an anticonvulsant medication.
Check the client's oxygen saturation.
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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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.
Correct Answer is B
Explanation
A. Hide the medication in apple slices: This is inappropriate as the child might distrust caregivers if they realize the medication was hidden.
B. Offer the child an ice pop prior to administering the medication: An ice pop numbs taste buds and can reduce the unpleasant taste of medication.
C. Tell the child the medicine tastes like candy: Providing false information undermines trust and is unethical.
D. Inform the child that if he does not take the medication he will need a shot: Threats increase anxiety and do not foster cooperation.