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. “I’ll keep the height of my walker adjusted so lean slightly forward,”- Leaning slightly forward can compromise balance and stability, increasing the risk of falls.
B. “I’ll slide the walker and move it about a foot in front of me.”- Sliding the walker too far ahead can lead to instability and loss of balance.
C. “I’ll move the walker and my stronger leg ahead at the same time- The walker should be moved one step ahead followed by the weaker leg, which should be placed in the middle of the walker.
D. “I’ll keep my elbows slightly bent when I grasp the walker"- Keeping the elbows slightly bent is a general instruction for using a walker which ensures proper posture and balance.

A. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin. B. Unlock and remove the inner cannula. C. Scrub the inside and outside of the inner cannula with a small brush. D. Cleanse the stoma site with 0.9% sodium chloride solution. E. Wipe the inside of the inner cannula with a folded pipe cleaner.

Correct Answer is A,B,C,E,D

Explanation

Correct Order of Steps: A. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin. This step ensures the nurse has a sterile solution ready for cleaning the cannula and stoma site. B. Unlock and remove the inner cannula. Removing the inner cannula is necessary to clean it and prevent the buildup of secretions. C. Scrub the inside and outside of the inner cannula with a small brush. Cleaning the cannula thoroughly removes debris and secretions. E. Wipe the inside of the inner cannula with a folded pipe cleaner. The pipe cleaner is used to dry and clear any residual moisture or secretions inside the cannula. D. Cleanse the stoma site with 0.9% sodium chloride solution. Cleansing the stoma site is essential to maintain skin integrity and prevent infection.

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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 reinforcing teaching with a client who is about to start using a standard walker. Which of the following statements by the client Indicates an understanding of the instructions?

Correct Answer is D

Explanation

13. A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is A,B,C,E,D

Explanation

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