A nurse is caring for a patient who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?

Place a pillow under the patient's head.

Loosen restrictive clothing.

Clear the area of hazards.

Position the patient in a side-lying position.

Answer and Explanation

The Correct Answer is D

A. Placing a pillow under the patient's head is inappropriate because it may obstruct the airway and does not prevent aspiration.

B. Loosening restrictive clothing can be helpful but is not the priority over airway protection.

C. Clearing the area of hazards is important to prevent injury, but airway protection takes precedence.

D. Positioning the patient in a side-lying position is the priority to maintain airway patency and reduce the risk of aspiration in case of vomiting.

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Correct Answer is A

Explanation

A. Regular insulin is the only insulin type that can be administered intravenously and is used in DKA treatment.

B. Lantus (glargine) is a long-acting insulin and is not used in acute situations.

C. Mixed insulins (intermediate and short-acting) are not appropriate for IV administration.

D. NPH is an intermediate-acting insulin and is not suitable for IV use.

A. Hct 45% B. Hgb 14.7 g/dL C. WBC 1,700/mm3 D. Platelets 160,000/mm3

Correct Answer is C

Explanation

A. Hct 45%. – Normal range for hematocrit (Hct) is 38-50%. No need to report.

B. Hgb 14.7 g/dL. – Normal range for hemoglobin (Hgb) is 13-17 g/dL. No need to report.

C. WBC 1,700/mm³. – Correct Answer. Normal WBC count is 4,000-11,000/mm³. A WBC count of 1,700/mm³ (neutropenia) places the patient at high risk for infection, requiring immediate intervention.

D. Platelets 160,000/mm³. – Normal range for platelets is 150,000-450,000/mm³. No need to report.

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A nurse is caring for a patient who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?

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