Difficulty: Medium
Average Score: 68%
Simulated
Passage / Scenario
A nurse is caring for a school-age child who is having a tonic-clonic seizure.Which of the following actions should the nurse take?
Correct answer
D
Rationale
The correct action for the nurse to take is to time the episode (Choice D). Timing the episode is essential in assessing the duration and severity of the situation, providing crucial information for further intervention. Administering chlorothiazide (Choice A) without proper assessment can be harmful. Holding the child down (Choice B) can escalate the situation and cause distress. Placing the child in a prone position (Choice C) may compromise airway and breathing. Therefore, timing the episode (Choice D) is the most appropriate initial action for the nurse to take.