ATI NS122 Pediatrics Monroe College NY PN | Nurselytic

Questions 44

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ATI NS122 Pediatrics Monroe College NY PN Questions

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Question 1 of 5

A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Monitor the client's hemoglobin level: Monitoring the client's hemoglobin level is not relevant during a seizure. Seizures typically do not directly affect hemoglobin levels, so this action is not appropriate. Restrain the client's extremities: Restraint is generally not recommended during a seizure unless absolutely necessary for the safety of the client or others. Restraint can potentially cause injury to the client and increase agitation during the seizure. Place the client in a prone position: Placing the client in a prone (face-down) position during a seizure is not recommended. This position may increase the risk of airway obstruction and compromise the client's ability to breathe effectively. Record the time and length of the seizure: This is the correct answer. During a seizure, the nurse should prioritize ensuring the safety of the client and others. After ensuring safety, the nurse should document important details about the seizure, including the time it began and ended, as well as any observed symptoms or behaviors. This documentation can provide valuable information for the client's healthcare team and help guide future treatment decisions.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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