ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM
1. A nurse is caring for a child who has absence seizures. Which of the following findings should
... [Show More] the nurse expect? (Select all that apply.) A. Loss of consciousness
B. Appearance of daydreaming C. Dropping held objects
D. Falling to the floor
E. E. Having a piercing cry
1. A. CORRECT: Loss of consciousness for 5 to 10 seconds is a manifestation of an absence seizure.
B. CORRECT: Behavior that resembles daydreaming is a manifestation of an absence seizure.
C. CORRECT: A child who is having absence seizures might drop a held object.
D. Falling to the floor is a manifestation of a tonic-clonicseizure.
E. A piercing cry is a manifestation of a tonic-clonicseizure.
2. A nurse is caring for a child who just experienced a generalized seizure. Which of the following is the priority action for the nurse to take?
A. Maintain the child in a side-lying position.
B. Loosen the child's restrictive clothing.
C. Reorient the child to the environment.
D. Note the time and characteristics of the
child's seizure. 56a
2. A. CORRECT: Following a seizure, children often experience vomiting. Using the airway, breathing, circulation priority-setting framework, the first action the nurse should take is to place the child in a side-lying position to maintain a patent airway and prevent aspiration of secretions. B. Loosening the child's restrictive clothing is an appropriate action. However, it is not the priority action.
C. R eorienting the child to the environment following a generalized seizure is an appropriate action. However, it is not the priority action. D. Noting the time and characteristics of the child's seizure is an appropriate action. However, it is not the priority action.
55a
55b
3. A nurse is providing teaching to the parent of a child who is to have an electroencephalogram (EEG). Which of the following responses should the nurse include in the teaching?
A. "Decaffeinated beverages should be offered on the morning of the procedure. [Show Less]