A nurse is caring for a client experiencing a tonic-clonic seizure. What is the nursing priority in caring for this client?
Educating the client on anticonvulsant medications
Monitor vital signs
Restraining the client
Prevention of occlusion of airway or aspiration
The Correct Answer is D
A. Educating the client on anticonvulsant medications is important, but it is not the priority during an active seizure. Education should be provided after the seizure has ended.
B. Monitoring vital signs is important but should not be the immediate priority during a seizure. The nurse should focus on airway management first.
C. Restraining the client is contraindicated during a seizure. Restraining can cause injury to both the client and the nurse. The focus should be on protecting the client from harm.
D. The prevention of occlusion of the airway or aspiration is the priority. During a tonic-clonic seizure, there is a risk of the client choking, biting their tongue, or having difficulty breathing. The nurse should ensure the airway is open, prevent aspiration, and protect the client from injury during the seizure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Educating the client on anticonvulsant medications is important, but it is not the priority during an active seizure. Education should be provided after the seizure has ended.
B. Monitoring vital signs is important but should not be the immediate priority during a seizure. The nurse should focus on airway management first.
C. Restraining the client is contraindicated during a seizure. Restraining can cause injury to both the client and the nurse. The focus should be on protecting the client from harm.
D. The prevention of occlusion of the airway or aspiration is the priority. During a tonic-clonic seizure, there is a risk of the client choking, biting their tongue, or having difficulty breathing. The nurse should ensure the airway is open, prevent aspiration, and protect the client from injury during the seizure.
Correct Answer is ["2"]
Explanation
Set up the equation:
Desired dose / Available dose per tablet = Number of tablets
Plug in the values:
275 mcg / 137 mcg/tablet = Number of tablets
Calculate:
275 / 137 = 2.007
Round to the nearest whole number:
2.007 rounds to 2
Answer = 2 tablets
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