A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy.
The client begins to experience a tonic-clonic seizure.
Identify the sequence of steps the nurse should follow.
(Move the steps into the box on the right, placing them in the selected order of performance.
Use all the steps.).

Reorient and reassure the client.

Remain with the client and call for help.

Check the client for injuries.

Place the client in the lateral position.

Answer and Explanation

The Correct Answer is B

Step 1 is B. Remain with the client and call for help. This ensures the client’s safety and gets additional assistance. Step 2 is D. Place the client in the lateral position. This prevents aspiration if the client vomits. Step 3 is C. Check the client for injuries. After the seizure has ended, the nurse should assess for any injuries that may have occurred during the seizure. Step 4 is A. Reorient and reassure the client. After a seizure, the client may be confused and scared. Reorienting and reassuring the client can help them recover. So, the correct sequence is B, D, C,

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Correct Answer is A

Explanation

Choice A rationale:

Baclofen is a muscle relaxant and antispastic agent. It can cause drowsiness and affect the ability to drive or operate machinery. Therefore, it’s advisable to avoid driving until the medication’s effects are evident.

Choice B rationale:

Headache is not a reason to stop taking baclofen. If a headache occurs, the client should consult with their healthcare provider for appropriate management.

Choice C rationale:

Diarrhea is not a common adverse effect of baclofen. More common side effects include drowsiness, dizziness, weakness, and fatigue.

Choice D rationale:

Baclofen can be taken with or without food. Taking it on an empty stomach is not necessary and may increase the risk of stomach upset.

So, the correct answer is A.

Correct Answer is ["1.5"]

Explanation

Step 1 is to determine the amount of citalopram that needs to be administered, which is 30 mg.

Step 2 is to calculate the number of tablets needed to deliver this dose. This is done using the formula:

Dose (mg) ÷ Strength per tablet (mg/tab)

Given that each tablet contains 20 mg, we calculate:

30 mg ÷ 20 mg/tab = 1.5 tablets

Therefore, the nurse should administer 1.5 tablets of citalopram.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen.Which of the following instructions should the nurse include?.

Correct Answer is A

Explanation

A nurse is preparing to administer citalopram 30 mg PO to a client who has major depression. Available in citalopram 20 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies.)

Correct Answer is ["1.5"]

Explanation

A nurse is preparing to administer lurasidone 120 mg PO for a client who has schizophrenia. Available is lurasidone 40 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer fluoxetine 30 mg PO for a client who has depression and cannot swallow capsules. Available is fluoxetine 20 mg/5 mL oral solution. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies.)

nurse is preparing to administer hydroxyzine HCL 50 mg PO. Available is hydroxyzine oral suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero

A nurse is caring for an 8-month-old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter.Which of the following statements by the client's mother indicates that the nurse should check the site for signs of infiltration?.

A nurse is monitoring a client's IV site.The nurse should report which of the following findings as manifestations of phlebitis? (Select all that apply.).

A nurse is collecting data from a client who has just begun therapy with alprazolam to treat anxiety.The nurse should observe the client for which of the following adverse effects of this medication?.