What are three (3) points the nurse should educate the parents of an
epileptic client on regarding seizure medications?
1. The most common side effect of seizure medications is feeling
sleepy. When first starting a medication or when the dose is
increased some children may feel a little drowsy for the first few
days. Most children adjust to the medication and are back to feeling
normal within a week.
2. Other side effects may include dizziness, upset stomach, and skin
rash.
3. A few medications can affect appetite. All seizure medications carry
some risk of change in mood and behavior, including a very small
risk of thoughts of suicide. Your doctor or nurse practitioner will
always discuss side effects of your child’s medication with you.
A child was sent home from school with head lice. The child's mother has
called the help line nurse for guidance. What are three (3) measures the
nurse will inform the mother about to address the infestation of
1. Over-the-counter medications for head lice are effective and
should be the first treatment you use. These include
pyrethrins (A200®, Pronto®, R&C®, RID®, Triple X®) and
permethrin lotion 1% (Nix®). Both medicines kill only live lice,
not the eggs, so they should be reapplied in 7–10 days to kill
newly hatched lice. These treatments are only minimally
absorbed through the skin, but they should not be used on
children aged younger than 2 years. Use these medicines
exactly as directed. These medicines are insecticides and
should not be applied in greater quantity or more frequently
than recommended.
2. Before applying the over-the-counter lotions, do not use
conditioner on the hair, as this will coat the hair and protect
the lice from the medicine. Also, do not wash the hair for 1–2
days after treatment.
3. After the treatment, wear clean clothes and wash other
clothes, bed linens, and towels in hot water (greater than
130°F [54.45°C]) and dry them using the hot cycle for at
least 20 minutes.
Identify three (3) points to discuss with new mothers who are
breastfeeding their newborn.
1. Common positions for breastfeeding are the cradle, the modified
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, NURSING NR-447: RNNursing of Children Remediation
cradle or across-the-lap, the football or clutch hold, and the side
lying position. Encourage your patient to use a position she finds
comfortable and easily achieves latch, that is, a seal between the
newborn’s mouth over the nipple, areola, and breast that creates
enough suction to remove breast milk.
2. Encourage the patient to express colostrum to spread over her
nipple. Then,
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