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."

Answer and Explanation

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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Correct Answer is D

Explanation

A. Return the medication to the medication cabinet- Returning the medication without addressing the client's concerns does not promote understanding or collaboration.
B. Notify the provider of the client's refusal- Notifying the provider is important but should come after attempting to address the client's concerns.
C. Document the refusal in the client's medical record- Documentation is necessary but should follow a discussion with the client.
D. Inform the client of the potential consequences of their refusal- The nurse should first educate the client about the risks associated with not taking their antihypertensive medication to ensure they are making an informed decision.

A. Soak the hearing aid in warm water. B. Decrease the volume on the hearing aid. C. Clean the hearing aid with isopropyl alcohol. D. Turn the hearing aid off for 5 min.

Correct Answer is B

Explanation

A. Soak the hearing aid in warm water Soaking the hearing aid in warm water can damage the device and is not an appropriate solution for a whistling sound.
B. Decrease the volume on the hearing aid- Whistling sounds from a hearing aid often indicate feedback, which can be reduced by lowering the volume.
C. Clean the hearing aid with isopropyl alcohol- Cleaning the hearing aid with isopropyl alcohol may be part of routine maintenance but is not directly related to addressing a whistling sound.
D. Turn the hearing aid off for 5 min- Turning the hearing aid off temporarily may not address the underlying cause of the whistling sound and may disrupt the client's ability to hear when the device is turned back on.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, "I'm not going to take this medication because it makes me sick and dizzy." Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

Correct Answer is B

Explanation

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