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The nurse enters the playroom and finds an 8-year-old child having a grand mal seizure. Which one of the following actions should the nurse take?
A. Place a tongue blade in the child’s mouth.
B. Restrain the child so he will not injure himself.
C. Go to the nurses station and call the physician.
D. Move furniture out of the way and place a blanket under his head.
Correct Answer: D
Explanation/Reference:
Explanation:
(A) The nurse should not put anything in the child’s mouth during a seizure; this action could obstruct the airway. (B) Restraining the child’s movements could cause constrictive injury. (C) Staying with the child during a seizure provides protection and allows the nurse to observe the seizure activity. (D) The nurse should provide safety for the child by moving objects and protecting the head.
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