A nurse is providing teaching to a family of a patient who has a new diagnosis of epilepsy. Which of the following instructions should the nurse include in for the family to perform if the patient experiences a seizure?
"Move objects away from the patient."
"Place the patient on their back."
"Restrain the patient."
"Insert a padded tongue blade into the patient's mouth."
The Correct Answer is A
A. Correct. Moving objects prevents injury during a seizure.
B. Incorrect. The patient should be placed on their side to maintain airway patency.
C. Incorrect. Restraining the patient can cause injury.
D. Incorrect. Never insert anything into a seizing patient’s mouth, as it can obstruct the airway or break teeth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Neutropenic – Used for low WBC count, not platelets.
B. Contact – Used for infections like C. diff or MRSA.
C. Droplet – Used for respiratory illnesses like flu or meningitis.
D. Bleeding – Correct Answer. A low platelet count increases the risk of bleeding, so bleeding precautions are necessary (e.g., soft toothbrush, avoiding IM injections, fall precautions).
Correct Answer is D
Explanation
A. Improve venous circulation and prevent VTE formation. – Incorrect. While repositioning does help with circulation, it is primarily done to prevent pressure injuries.
B. Prevent flexion and contractures of the extremities. – Incorrect. Contracture prevention is important, but passive ROM exercises are more effective for this purpose.
C. Decrease the development of a paralytic ileus. – Incorrect. Paralytic ileus is managed through bowel programs and early mobility, not repositioning alone.
D. Prevent the development of pressure ulcers. – Correct Answer. Paralyzed patients are at high risk for pressure ulcers, especially over bony prominences like the sacrum. Repositioning reduces prolonged pressure, which can lead to skin breakdown.
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