The practical nurse is caring for a child who was admitted for treatment of seizures. Which intervention should the nurse implement to help prevent injury from a seizure?

Correct Answer: B

Rationale: The correct intervention to help prevent injury during a seizure is to keep the side rails padded and in an upright position. This measure helps to ensure the child's safety by preventing falls or accidental injuries. Using a padded tongue depressor or restraining the child can potentially cause harm and are not recommended. Placing a padded helmet is not a standard intervention for seizure safety in this scenario.

Correct Answer: C

Rationale: Labored breathing is a critical sign of worsening respiratory distress in children with RSV. It indicates that the child's condition may be deteriorating, requiring prompt intervention to ensure adequate oxygenation and prevent respiratory failure. Monitoring for labored breathing allows healthcare providers to promptly assess and manage the child's respiratory status, potentially preventing further complications associated with RSV infection.

Correct Answer: B

Rationale: The priority intervention for a 5-year-old child with leukemia receiving chemotherapy and having a low white blood cell count is to place the child in protective isolation. This intervention helps reduce the risk of infection, which is crucial in this immunocompromised state. Protective isolation aims to limit the child's exposure to pathogens and promote their safety during a period of increased vulnerability to infections.

Correct Answer: B

Rationale: Rationale: The correct answer is option B) "Our child should avoid all sugary foods and drinks." This statement indicates a need for further teaching because in type 1 diabetes, it is not necessary to completely avoid sugary foods and drinks. Instead, the child should learn how to manage their blood sugar levels through insulin administration and monitoring. Option A) "We should rotate injection sites to prevent tissue damage" is a correct statement as it is essential to rotate injection sites to prevent lipohypertrophy and tissue damage. Option C) "We will monitor blood glucose levels regularly" is also a correct statement as regular monitoring is crucial in managing type 1 diabetes effectively. Option D) "Our child needs to wear a medical alert bracelet" is another correct statement as wearing a medical alert bracelet can inform others about the child's condition in case of emergencies. Educationally, it is important for parents of children with type 1 diabetes to understand the nuances of managing the condition, including the role of diet, insulin administration, monitoring blood glucose levels, and the importance of medical identification. Providing accurate information empowers parents to support their child in effectively managing their diabetes.

Correct Answer: A

Rationale: In this scenario, the most concerning assessment finding for a caregiver of a 2-month-old infant with bronchiolitis is option A) Nasal flaring and grunting. This is because nasal flaring and grunting are signs of increased respiratory distress in infants, indicating that the infant is having difficulty breathing. This can be a critical symptom in bronchiolitis, a condition that affects the lower respiratory tract and can lead to respiratory failure in severe cases. Option B) Coughing and wheezing are common symptoms of bronchiolitis and are expected in this condition. While they can cause discomfort to the infant, they are not as concerning as signs of respiratory distress like nasal flaring and grunting. Option C) Poor feeding and irritability can be seen in infants with bronchiolitis due to respiratory distress and general illness. While these symptoms are important to monitor, they are not as immediate and concerning as signs of respiratory distress. Option D) Increased respiratory rate is also a common finding in infants with bronchiolitis. While it is important to monitor and can indicate the severity of the illness, it is not as concerning as nasal flaring and grunting, which directly indicate increased effort in breathing and potential respiratory compromise. Educationally, it is crucial for caregivers and healthcare providers to recognize signs of respiratory distress in infants with bronchiolitis as early intervention can be life-saving. Understanding the significance of each symptom and its implication on the infant's condition is essential for providing appropriate care and seeking timely medical assistance.