A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure precautions. Which of the following materials should the AP place in the client's room?
Oral suction equipment
Tongue depressor
Tracheostomy tray
Wrist restraints
The Correct Answer is A
A. Oral suction equipment is correct. During a seizure, there is a risk of aspiration due to the loss of airway control. Oral suction equipment should be readily available in the room to clear the airway if needed, especially if the client experiences a seizure with oral secretions.
B. Tongue depressor is incorrect. A tongue depressor should never be used during a seizure. Inserting a tongue depressor into the mouth can result in injury to both the client and the caregiver and should be avoided.
C. Tracheostomy tray is incorrect. While a tracheostomy tray might be necessary for clients with tracheostomies, it is not a standard requirement for clients on seizure precautions unless the client has specific respiratory concerns or requires a tracheostomy for airway management.
D. Wrist restraints is incorrect. Wrist restraints are not recommended during a seizure, as they can cause injury and impede movement. Instead, the goal is to provide a safe environment to prevent injury during a seizure.
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Related Questions
Correct Answer is B
Explanation
A. Eating three large meals and two snacks per day is not advisable for GERD patients. Large meals can increase the pressure on the lower esophageal sphincter (LES), leading to acid reflux. It is better to recommend smaller, more frequent meals to reduce symptoms.
B. Elevating the head of the bed while sleeping is correct. Elevating the head of the bed (usually by 6 to 8 inches) helps prevent acid from refluxing into the esophagus during sleep, a key management strategy for GERD.
C. Laying down for 1 hour following a meal is incorrect. After eating, patients with GERD should avoid lying down for at least 2 to 3 hours to prevent acid reflux. Lying down too soon after eating increases the risk of reflux.
D. Drinking 2 cups of coffee per day is not ideal for people with GERD, as caffeine can relax the LES, leading to increased reflux. While the exact amount varies by individual tolerance, it is generally recommended to limit or avoid caffeine.
Correct Answer is B
Explanation
A. Instant coffee: Instant coffee generally contains more caffeine than brewed green tea or cola soft drinks. A typical 8 oz serving of instant coffee contains about 30–90 mg of caffeine.
B. Hot cocoa: This is correct. Hot cocoa contains the least amount of caffeine compared to the other options. An 8 oz serving typically contains around 5–10 mg of caffeine.
C. Brewed green tea: Brewed green tea typically contains more caffeine than hot cocoa, with an 8 oz serving containing around 30–50 mg of caffeine.
D. Cola soft drink: Cola soft drinks typically contain more caffeine than hot cocoa, with an 8 oz serving containing about 24–46 mg of caffeine.
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