A head-injured patient is presenting with a generalized seizure. An appropriate nursing intervention during the seizure would include which of the following?
Loosen the patient's restrictive clothing.
Open the patient's jaws to insert an oral airway.
Restrain the patient to prevent injury.
Place patient in high-Fowler's position.
The Correct Answer is A
A. Loosen the patient's restrictive clothing – This helps prevent airway obstruction and allows for better chest expansion during the seizure.
B. Open the patient’s jaws to insert an oral airway – Never attempt to force open the mouth during a seizure, as it can cause injury.
C. Restrain the patient to prevent injury – Restraining can cause further harm and should be avoided. Instead, clear the area around the patient to prevent injury.
D. Place patient in high-Fowler’s position – The patient should be placed in a side-lying position to prevent aspiration, not high-Fowler’s.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Regular insulin is the only insulin type that can be administered intravenously and is used in DKA treatment.
B. Lantus (glargine) is a long-acting insulin and is not used in acute situations.
C. Mixed insulins (intermediate and short-acting) are not appropriate for IV administration.
D. NPH is an intermediate-acting insulin and is not suitable for IV use.
Correct Answer is D
Explanation
A. Eat plenty of fresh fruits and vegetables. – Incorrect. Raw fruits and vegetables can harbor bacteria, increasing the risk of infection for a patient with neutropenia.
B. Take temperature weekly. – Incorrect. Patients with neutropenia should check their temperature daily, as fever may be the first sign of infection.
C. Perform mild exercise, such as gardening. – Incorrect. Gardening exposes the patient to soilborne fungi and bacteria, which can be harmful.
D. Avoid crowds. – Correct Answer. Neutropenic patients are highly susceptible to infections, so avoiding crowds helps reduce the risk of exposure to contagious illnesses.
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