A nurse is reinforcing teaching about seizure management with the family of a client who has a seizure disorder. Which of the following statements by a family member indicates an understanding of the teaching?
"I will gently restrain him during seizures."
"I will loosen his clothing during seizures."
"I will insert a washcloth in his mouth during seizures."
"I will turn him on his back during seizures."
The Correct Answer is B
A. "I will gently restrain him during seizures."- Restraint during seizures can cause injury and is not recommended.
B. "I will loosen his clothing during seizures."- Loosening tight clothing helps prevent injury and ensures adequate ventilation during a seizure.
C. "I will insert a washcloth in his mouth during seizures."- Inserting objects into the mouth during a seizure can cause injury or obstruct the airway.
D. "I will turn him on his back during seizures."- Placing the client on their back during a seizure can increase the risk of aspiration. The recovery position is preferred
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) "I'm glad to have the opportunity to choose what kind of care I receive while I still can." - This statement reflects an understanding of the purpose of advance directives, which is to allow individuals to express their wishes for care while they are still able to do so.
B) "If I want life support, I'll need to sign a separate consent form first." - This statement does not accurately reflect the purpose or process of advance directives.
C) "I can't change my mind about the care I will receive once I sign my living will." - Advance directives can be updated or revoked at any time as long as the individual is of sound mind and able to make decisions.
D) "Once I fill out my living will, there will be a 1-month delay before it is legally binding." - Advance directives typically become legally effective as soon as they are completed and signed, without a waiting period.
Correct Answer is C
Explanation
A) "Do you go barefoot at home?" - This question does not directly assess the client's ability to provide foot self-hygiene.
B) "Have you noticed any problems with foot swelling?" - This question focuses on foot swelling, which is not directly related to foot self-hygiene.
C) "Do you have any problems taking care of your feet?" - This question directly addresses the client's ability to provide foot self-hygiene and assesses their awareness of any issues related to foot care.
D) "Have you had a problem with ingrown toenails?" - While ingrown toenails can be a concern for foot health, this question does not comprehensively assess the client's ability to provide foot self-hygiene.
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