A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to:
Select one:
Select one:
Suction the mouth to prevent bronchoaspiration.
Stay with the client and call for assistance.
Insert an oral airway.
Administer oxygen by face mask.
The Correct Answer is B
a. Suctioning the mouth during a seizure can increase the risk of injury and is not recommended.
b. The primary duty of the nurse during a seizure is to ensure the safety of the client by staying with them and calling for assistance.
c. Inserting an oral airway during a seizure is not appropriate and can increase the risk of injury.
d. Administering oxygen may be necessary after the seizure has ended, but the primary duty during the seizure is to ensure safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. This is not where fetal heart tones are typically auscultated.
b. This is not where fetal heart tones are typically auscultated.
c. The round, firm, moveable part in the fundus of the uterus is most likely the fetal head, and the long, smooth surface on the right side is most likely the fetal back. The fetal heart tones are best heard over the fetal back, which is closest to the maternal abdomen. Therefore, the nurse should expect to auscultate fetal heart tones in the right upper quadrant.
d. This is not where fetal heart tones are typically auscultated.
Correct Answer is C
Explanation
a. ROA means right occiput anterior, which would imply that the fetal back is on the mother's right side.
b. RSA means right sacrum anterior, which would imply that the fetal buttocks are in the pelvis inlet and the fetal head is in the fundus.
c. LOA, which means left occiput anterior means that the fetus is in a longitudinal lie, with its head as the presenting part, facing the right posterior quadrant of the mother's pelvis, and its back on the mother's left anterior side. This is one of the most common and favorable fetal positions for delivery.
d. LSP means left sacrum posterior, which would imply that the fetal buttocks are on the mother's left side and slightly rotated toward the back (posterior).
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