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 A
Explanation
A. Move the child into a side-lying position: This is the priority action to maintain an open airway, promote drainage of vomit, and reduce the risk of aspiration.
B. Remove the child's eyeglasses: While helpful to prevent injury, it is not the priority action during an active seizure.
C. Time the seizure: Timing is important to assess the duration and severity of the seizure, but it does not address immediate safety concerns like aspiration.
D. Place a pillow under the child's head: While this may prevent head injury, repositioning to a side-lying position to prevent aspiration is more critical.
Correct Answer is ["A","B","D"]
Explanation
A. Dropping held object: Loss of motor activity during absence seizures may result in dropping objects.
B. Loss of consciousness: Absence seizures involve brief, sudden loss of consciousness without convulsions.
C. Falling to the floor: This is associated with atonic or tonic-clonic seizures, not absence seizures.
D. Appearance of daydreaming: A hallmark of absence seizures is the "staring spell" or daydream-like appearance.