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A nurse is implementing seizure precautions for a client who has a seizure disorder.

Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.).

Limb restraints.

Blood glucose monitor.

Oral airway.

Supplemental oxygen supplies.

Oral suction equipment.

Answer and Explanation

Correct Answer : C,D,E

An oral airway can help maintain an open airway during a seizure.

Supplemental oxygen supplies can be used to provide oxygen if the client’s breathing is compromised.

Oral suction equipment can be used to clear secretions from the client’s mouth and prevent aspiration.

Limb restraints: Restraints should not be used during a seizure as they can cause injury.

Blood glucose monitor: While it is important to monitor blood glucose levels in clients with seizures, it is not a priority during a seizure.

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Correct Answer is A

Explanation

“Potassium 5.8 mEq/L” should be reported to the provider because it is higher than the normal range for potassium levels in the blood.
Normal potassium levels range from.6 to 5.2 millimoles per liter (mmol/L)1.
Choices B, C, and D are incorrect because sodium levels of 140 mEq/L, and magnesium levels of.9 mEq/L and calcium levels of 9.6 mg/dL are all within normal ranges and do not need to be reported to the provider.

A. 620 mL. B. 460 mL. C. 520 mL. D. 440 mL.

Correct Answer is D

Explanation

Step 1: Calculate the total fluid intake. The client received 0.9% sodium chloride 600 mL IV infusion and cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus. So, the total fluid intake is 600 mL + 100 mL = 700 mL.

Step 2: Calculate the total fluid output. The client had 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. So, the total fluid output is 200 mL + 40 mL + 20 mL = 260 mL.

Step 3: Calculate the net fluid intake. The net fluid intake is the total fluid intake minus the total fluid output. So, the net fluid intake is 700 mL - 260 mL = 440 mL.

Therefore, the nurse should record the net fluid intake as 440 mL.

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A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a newly admitted client. Which of the following laboratory values should the nurse report to the provider?

Correct Answer is A

Explanation

How should the nurse record the net fluid intake for a client who received 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization?

Correct Answer is D

Explanation

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A nurse is implementing seizure precautions for a client who has a seizure disorder.

Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.).