A nurse is implementing seizure precautions for a newly admitted client. Which of the following equipment should the nurse place in the client's room?
Suctioning device
Bite block
Vest restraint
Padded tongue blade
The Correct Answer is A
A. Suctioning device – Correct. A suctioning device is essential to clear the airway in case of excessive secretions during or after a seizure.
B. Bite block – Incorrect. Bite blocks are not used during seizures as they can cause injury. Nothing should be placed in the client’s mouth during a seizure.
C. Vest restraint – Incorrect. Restraints should not be used on clients with seizure disorders as they can cause injury.
D. Padded tongue blade – Incorrect. Tongue blades should never be inserted into the mouth of a seizing client due to the risk of airway obstruction and oral trauma.
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Related Questions
Correct Answer is A
Explanation
A. Respite care – This is the correct answer. Respite care provides temporary relief to caregivers by offering short-term professional care for the client, allowing the caregiver to rest and prevent burnout.
B. Skilled nursing facility – A skilled nursing facility is for long-term or intensive medical care needs, not temporary relief for a caregiver.
C. Rehabilitation services – Rehabilitation focuses on the client’s recovery, not the caregiver’s need for rest.
D. Assisted living – Assisted living is for clients needing ongoing assistance with daily activities, not temporary relief for a caregiver.
Correct Answer is C
Explanation
A. "Symptoms of Lyme disease appear 2 days after being bitten by an infected tick." – Incorrect. Symptoms of Lyme disease typically develop 3 to 30 days after a tick bite, not within 2 days.
B. "If bitten by a tick, testing for Lyme disease should occur within 2 weeks." – Incorrect. Testing immediately or within two weeks may yield a false-negative result because antibodies take time to develop. The CDC recommends waiting 4 to 6 weeks for accurate testing.
C. "Use a product with DEET on your skin and clothes when you are walking in a wooded area." – Correct. DEET is an effective tick repellent and should be applied to exposed skin and clothing to reduce the risk of tick bites, which can transmit Lyme disease.
D. "Remove embedded ticks by squeezing the body with tweezers." – Incorrect. The proper method for tick removal is to grasp it close to the skin with fine-tipped tweezers and pull straight out. Squeezing the tick’s body can cause it to release infectious fluids into the bite site, increasing the risk of disease transmission.
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