A nurse is initiating seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse make sure is readily available at the client's bedside?

Vest restraint

Tongue blade

Oxygen setup

Neck brace

Answer and Explanation

The Correct Answer is C

A.   Vest restraints are not appropriate for seizure precautions. Restraints are generally not recommended as the primary intervention for seizure management.
B.   The use of tongue blades during a seizure is not recommended and could pose a risk of injury.
C.   Oxygen setup is crucial for managing a client during and after a seizure to ensure proper oxygenation.
D.   Neck brace is not necessary for seizure precautions and may pose a risk during a seizure episode.

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Correct Answer is A

Explanation

A) The client should hold the cane on the unaffected side to provide support for the affected side, which is weaker. Holding the cane on the affected side does not offer the necessary support and balance needed during ambulation, indicating a need for further teaching.
B) Keeping two points of support on the ground, such as one foot and the cane or both feet, is a safe practice that ensures stability while ambulating, so no further teaching is necessary for this action.
C) Advancing the cane before moving the unaffected leg is the correct technique. The cane should be moved first, followed by the affected leg, and then the unaffected leg, to maintain balance and support.
D) Supporting weight on both legs when moving the cane forward is appropriate as it provides a stable base and prevents the client from falling, indicating that the client understands the correct use of the cane.

A. Date of birth B. Diagnosis C. Identification number D. Name E. Room Number

Correct Answer is ["A","C","D"]

Explanation

A. Date of birth is a commonly used identifier to confirm the client's identity.

B. Diagnosis is not an appropriate identifiers for confirming a client's identity.

C. Identification number is a unique identifier assigned to each client, helping ensure accurate identification.
D. Name is a fundamental identifier and should be used in combination with other identifiers to verify the client's identity.
E. Room number is not an appropriate identifiers for confirming a client's identity.

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A nurse is initiating seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse make sure is readily available at the client's bedside?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing a client who has right-sided weakness ambulate using a cane. Which of the following actions by the client should alert the nurse that further teaching is necessary?

Correct Answer is A

Explanation

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Correct Answer is ["A","C","D"]

Explanation

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