A nurse is assisting with the care of a client who has a seizure disorder. Which of the following supplies should the nurse have at the client's bedside at all times?
Suction equipment
Backboard
Padded tongue blades
Wrist restraints
The Correct Answer is A
Choice A: This is correct because suction equipment is essential for clearing the airway of secretions or vomitus during or after a seizure. The nurse should have suction equipment ready and accessible at the client's bedside at all times.
Choice B: This is incorrect because backboard is not needed for a client who has a seizure disorder. Backboard is used for immobilizing the spine in case of a suspected spinal injury.
Choice C: This is incorrect because padded tongue blades are not recommended for a client who has a seizure disorder. Padded tongue blades can cause injury to the teeth, gums, or tongue if inserted during a seizure. The nurse should never force anything into the mouth of a client who is having a seizure.
Choice D: This is incorrect because wrist restraints are not indicated for a client who has a seizure disorder. Wrist restraints can cause injury or skin breakdown if applied during a seizure. The nurse should never restrain or restrict the movements of a client who is having a seizure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: This is incorrect. The client having difficulty reading large print indicates a need for an ophthalmology referral, not an occupational therapy referral. An ophthalmologist can assess and treat vision problems caused by stroke.
Choice B: This is incorrect. The client coughing while drinking from a straw indicates a need for a speech therapy referral, not an occupational therapy referral. A speech therapist can assess and treat swallowing problems caused by stroke.
Choice C: This is incorrect. The client being unable to bear her full weight while walking indicates a need for a physical therapy referral, not an occupational therapy referral. A physical therapist can assess and treat mobility problems caused by stroke.
Choice D: This is correct. The client becoming exhausted after performing activities of daily living indicates a need for an occupational therapy referral. An occupational therapist can assess and treat functional problems caused by stroke, such as fatigue, self-care, cognition, and leisure activities.
Correct Answer is C
Explanation
Choice A: This is incorrect because blood glucose 98 mg/dL is within the normal range of 70 to 110 mg/dL. The nurse does not need to notify the provider for this value.
Choice B: This is incorrect because BUN 18 mg/dL is within the normal range of 10 to 20 mg/dL. The nurse does not need to notify the provider for this value.
Choice C: This is correct because hemoglobin 8.6 g/dL is below the normal range of 12 to 18 g/dL. The nurse should notify the provider for this value as it indicates anemia, which can be caused by blood loss during surgery or impaired bone marrow function.
Choice D: This is incorrect because potassium 3.5 mEq/L is within the normal range of 3.5 to 5.0 mEq/L. The nurse does not need to notify the provider for this value.
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