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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Nonpalpable area of redness, less than 5 mm (0.2 in) in diameter is a negative result for the tuberculin skin test, which means that the client does not have tuberculosis infection or exposure.
Choice B reason: Palpable area of induration, greater than 10 mm (0.4 in) in diameter is a positive result for the tuberculin skin test, which means that the client has tuberculosis infection or exposure and needs further testing, such as chest x-ray or sputum culture, to confirm the diagnosis and rule out active disease.
Choice C reason: Area of ecchymosis, greater than 12 mm (0.5 in) in diameter is not a relevant finding for the tuberculin skin test, as it indicates bruising or bleeding under the skin that may be caused by trauma or coagulation disorder.
Choice D reason: Tenderness at the injection site is not a relevant finding for the tuberculin skin test, as it indicates inflammation or irritation of the skin that may be caused by needle insertion or allergic reaction.
Correct Answer is B
Explanation
Choice A: This is incorrect because feeling bloated after the procedure is not a reason to call the doctor. Feeling bloated after a colonoscopy is normal due to air being introduced into the colon during the procedure. The client can relieve bloating by passing gas or walking.
Choice B: This is correct because making arrangements for a ride home indicates an understanding of the procedure. The client will receive sedation during a colonoscopy, which can impair their judgment and coordination. The client should not drive or operate machinery until fully recovered from sedation.
Choice C: This is incorrect because eating a light breakfast the morning of the procedure indicates a lack of understanding of the procedure. The client should have nothing by mouth after midnight before a colonoscopy, unless instructed otherwise by the provider. The client should follow a clear liquid diet and take bowel preparation agents as prescribed before the procedure.
Choice D: This is incorrect because having a sore throat from the breathing tube indicates a lack of understanding of the procedure. The client will not have a breathing tube during a colonoscopy, as it does not involve intubation or ventilation. The client may have a mouth guard or bite block to protect their teeth and prevent biting on the endoscope.
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