A nurse is reinforcing teaching to the caregivers of a child who is to have an electroencephalogram (EEG). Which of the following statements by the caregivers indicates understanding of the teaching?
"I cannot wash my child's hair prior to the procedure."
"This procedure will be painful for my child."
"I should not give my child anything to eat prior to the procedure."
"My child should remain quiet and still during this procedure."
The Correct Answer is D
A. "I cannot wash my child's hair prior to the procedure.": Hair should be clean and free of oils or products to ensure proper electrode placement and signal conduction.
B. "This procedure will be painful for my child.": An EEG is a non-invasive and painless test.
C. "I should not give my child anything to eat prior to the procedure.": Eating is usually permitted before an EEG unless sedation is planned.
D. "My child should remain quiet and still during this procedure.": Movement can interfere with the test's accuracy, so the child needs to stay calm and still during the procedure.
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Correct Answer is B
Explanation
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.
Correct Answer is B
Explanation
A. Depressed anterior fontanel: A depressed fontanel is typically associated with dehydration, not meningitis.
B. High-pitched cry: A high-pitched cry is a classic symptom of meningitis in infants, often associated with increased ICP.
C. Constipation: Meningitis is more likely to cause irritability and feeding difficulties than constipation.
D. Presence of the rooting reflex: The rooting reflex is normal in a 4-month-old and does not specifically indicate meningitis.