A nurse is caring for a client who is having a seizure. Which of the following actions should the nurse take to prevent client injury?
Place the client in a prone position.
Insert a padded tongue blade into the client's mouth.
Loosen the client's restrictive clothing.
Restrict the movement of the client's extremities.
The Correct Answer is C
Choice A reason: Placing the client in a prone position is unsafe during a seizure. The prone position can obstruct the airway and increase the risk of aspiration. The client should be placed on their side to maintain airway patency.
Choice B reason: Inserting any object, including a padded tongue blade, into the client’s mouth during a seizure is contraindicated. This can cause oral trauma, broken teeth, or airway obstruction.
Choice C reason: Loosening restrictive clothing helps prevent injury and promotes adequate ventilation during a seizure. It reduces the risk of airway compromise and allows the client to move freely without restriction. This is the correct intervention.
Choice D reason: Restricting extremity movement during a seizure can cause musculoskeletal injury. The nurse should allow the seizure to occur naturally while ensuring the environment is safe and the client is protected from harm.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Electrical cords secured to the baseboards are safe because they reduce tripping hazards. Loose cords across walkways would be dangerous, but secured cords are appropriate.
Choice B reason: A computer chair with wheels that lock is safe. Locking wheels prevent the chair from rolling unexpectedly, reducing fall risk.
Choice C reason: A standard toilet seat can be a hazard for clients at risk of falls because it is low and requires significant effort to sit and stand. Raised toilet seats or grab bars are recommended to reduce strain and prevent falls. This is the correct hazard identified.
Choice D reason: Carpeted floors in the kitchen are not typically a fall hazard. In fact, carpeting can reduce slipping compared to smooth surfaces. The greater concern in kitchens is wet or greasy floors, not carpeting.
Correct Answer is A
Explanation
Choice A reason: Hospice care focuses on improving quality of life through palliative care, emphasizing comfort, dignity, and symptom management rather than curative treatment. This is the central philosophy of hospice.
Choice B reason: Hospice care does not guarantee 24-hour in-home care. Services are provided intermittently, with family and caregivers playing a major role.
Choice C reason: Hospice care is not intended to postpone death. It acknowledges the natural process of dying and provides support during this stage.
Choice D reason: Hospice care coordinates services through the hospice team, not solely through the family. Families are supported, but professional coordination is central.
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