A nurse is in a client’s room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?
Check the client’s motor strength.
Turn the client’s head to the side.
Document the time the seizure began.
Loosen the clothing around the client’s waist.
The Correct Answer is B
A: Checking the client’s motor strength is not the first priority during a seizure. Ensuring the client’s safety and airway patency is more important.
B: Turning the client’s head to the side is the first action. This helps maintain an open airway and prevents aspiration of saliva or vomit.
C: Documenting the time the seizure began is important for medical records but is not the immediate priority during the seizure.
D: Loosening the clothing around the client’s waist can help with comfort but is not the first action to take during a seizure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.0"]
Explanation
Step 1: Determine the dosage required. 20 mEq
Step 2: Determine the concentration of the suspension. 10 mEq per mL
Step 3: Calculate the volume needed. 20 mEq ÷ 10 mEq per mL = 2 mL
The nurse should administer 2.0 mL per dose.
Correct Answer is C
Explanation
A: A simple face mask provides a moderate concentration of oxygen but does not have a one-way valve to deliver the highest concentration of oxygen.
B: A Venturi mask delivers a precise concentration of oxygen but is not designed to provide the highest concentration of oxygen with a one-way valve.
C: A non-rebreather mask is the correct choice. It has a one-way valve that prevents exhaled air from re-entering the bag, allowing the delivery of the highest concentration of oxygen to the client.
D: A partial rebreather mask provides a high concentration of oxygen but does not have a one-way valve, making it less effective than a non-rebreather mask for delivering the highest oxygen concentration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.