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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. ECT does not typically affect a client’s voice.
B. This is the correct answer. A common side effect of ECT is short-term confusion and memory impairment, which can last for minutes to a few hours after the procedure.
C. Most clients wake up within a few minutes, not 30 minutes.
D. Clients do not typically feel pulsations in the neck during the procedure since they are under anesthesia and muscle relaxants are used.
Correct Answer is A
Explanation
A. Muscle twitching – Hypocalcemia (normal range: 8.5–10.5 mg/dL) causes neuromuscular excitability, leading to muscle twitching, tetany, and positive Chvostek's and Trousseau's signs.
B. Hypertension – Hypocalcemia does not cause hypertension; instead, it may lead to hypotension.
C. Bounding pulse – Hypocalcemia does not cause a bounding pulse; it may cause weak and irregular pulses.
D. Hypoactive bowel sounds – Hypocalcemia is more likely to cause hyperactive bowel sounds and diarrhea rather than hypoactive bowel sounds.
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