A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?

Place the client in the prone position.

Place a towel under the client’s head.

Place a towel under the client’s head

Leave the client to get help.

Answer and Explanation

The Correct Answer is B

When someone is having a seizure, it is important to protect their head from injury. One way to do this is by placing something soft and ﬂat, like a folded jacket or towel, under their head1. It is also important to stay with the person until the seizure ends and they are fully awake, and to help them sit in a safe place after it ends1

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Correct Answer is A

Explanation

Pain can cause an increase in sympathetic nervous system activity, leading to vasoconstriction and increased heart rate, which can result in hypertension. Pain may also increase the release of stress hormones, such as cortisol and epinephrine, which can further contribute to increased blood pressure.

Bradycardia (slow heart rate) decreased respiratory rate, and hypoglycemia are not typical findings associated with acute pain.

A. The client’s systolic blood pressure decreases from 110 mm Hg to 105 mm Hg. B. The client reports nausea. C. The client’s heart rate increases from 100/min to 108/min. D. The client reports dizziness.

Correct Answer is A

Explanation

Postural hypotension, also known as orthostatic hypotension, is a form of low blood pressure that occurs when standing up from a sitting or lying down position 1. An eﬀective intervention for postural hypotension would be one that helps to prevent a significant drop in blood pressure when the client changes position. A small decrease in systolic blood pressure, such as from 110 mm Hg to 105 mm Hg, would indicate that the intervention is eﬀective in preventing a larger drop in blood pressure.

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A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is caring for a client who has postural hypotension. The nurse assists the client gradually from a lying down to standing position. The nurse should identify that which of the following findings indicates the intervention is eﬀective?

Correct Answer is A

Explanation

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