NursingPlex
    Sign In
    Rn Hesi Pediatric And Women Health Proctored Exam
    Select All That Apply

    A child is being prepared for a computed tomography (CT) scan when the child begins to have a tonic clonic seizure. The mother is hysterical and is trying to hold the child down. Which action(s) should the nurse take? Select all that apply.

    Explanation & Rationale

    A. Administer an anticonvulsant medication: If prescribed, giving an anticonvulsant can help terminate the seizure and prevent further complications, making it a critical intervention during a tonic-clonic seizure. B. Place pillows inside the side rails: Pillows can obstruct airflow or worsen injury during a seizure. Safe seizure management involves removing hard objects rather than adding pillows around the child. C. Monitor the child's airway and tongue: Ensuring patency of the airway and preventing tongue obstruction is essential to prevent hypoxia and aspiration during a seizure. Continuous monitoring is a priority. D. Ask the mother to release the child: Restraining a child during a seizure can cause injury to both the child and caregiver. The nurse should intervene calmly and guide the mother to step back for safety. E. Close the blinds to darken the room: Darkening the room does not impact seizure management and is not a priority. Immediate safety and airway management are more important.

    🔒 Submit your answer to reveal