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

Answer and Explanation

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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Correct Answer is D

Explanation

A. This describes guided imagery, not progressive muscle relaxation.

B. Writing about emotions is a therapeutic strategy but not progressive relaxation.

C. Thinking about positive outcomes is a cognitive technique, not a physical relaxation method.

D. This is the correct answer. Progressive relaxation involves systematically tightening and relaxing muscle groups, which helps reduce stress and anxiety.

A. Check the client's vital signs every 15 min. B. Give the naloxone slowly for 15 seconds. C. Expect the onset of naloxone to occur in 15 min. D. Anticipate the effects of naloxone to last for 24 hr.

Correct Answer is A

Explanation

A. Vital signs should be monitored every 15 minutes because naloxone has a short duration and the client may experience opioid re-sedation as the antagonist wears off.

B. Naloxone should be administered over 2 minutes, not 15 seconds, to reduce abrupt opioid withdrawal symptoms.

C. Naloxone has a rapid onset (1-2 minutes IV, 2-5 minutes IM).

D. The effects of naloxone last only 30-90 minutes, requiring repeated doses if opioids are still in the system.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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