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 B

Explanation

Choice A rationale:

Pseudoparkinsonism mimics the symptoms of Parkinson’s disease but is not typically characterized by choreiform movements, lip smacking, and spastic facial distortions.

Choice B rationale:

Tardive dyskinesia, a potential side effect of long-term use of chlorpromazine, is characterized by involuntary movements such as lip smacking and facial distortions.

Choice C rationale:

Akathisia is characterized by a sense of restlessness and a compulsion to move, not typically by the symptoms described.

Choice D rationale:

Dystonia involves involuntary muscle contractions and distortions but not typically the specific symptoms described.

So, the correct answer is B.

Correct Answer is ["2"]

Explanation

Step 1 is to determine the amount of lorazepam needed, which is 2 mg as prescribed.

Step 2 is to calculate the number of tablets required. Since each tablet contains 1 mg, we divide the prescribed dose by the strength per tablet:

2 mg ÷ 1 mg per tablet = 2 tablets

Therefore, the correct answer is 2 tablets.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has schizophrenia and recently stopped taking chlorpromazine after 8 years.The nurse notes choreiform movements, lip smacking, and spastic facial distortions.The nurse should document these findings as indicating which of the following conditions?.

Correct Answer is B

Explanation

A nurse is preparing to administer lorazepam 2 mg PO. Available is lorazepam 1 mg tablets. How many tablets 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.)

Correct Answer is ["2"]

Explanation

A nurse in the emergency department is assisting with the care of a client who has myasthenia gravis and is in crisis. The nurse should identify that which of the following factors can cause a myasthenic crisis?.

The amount available is potassium chloride liquid 40 mEq/15 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer olanzapine 7.5 mg PO to a client who has schizophrenia. Available is olanzapine 2.5 mg tablets. How many tablets should the nurse plan to administer? (Round to the nearest whole number. Use a leading zero if it applies.)

A nurse is reinforcing teaching with a client who takes lithium carbonate for bipolar disorder.For which of the following findings should the nurse monitor as an adverse effect of lithium carbonate?.

A nurse is caring for a client who has Alzheimer's disease and is confused.Which of the following actions should the nurse take?.

A nurse is preparing to administer risperidone 5 mg PO. Available is risperidone 2 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)