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. Braxton Hicks contractions are normal and do not require admission to the labor and delivery unit.
b. Braxton Hicks contractions are normal and do not require bed rest.
c. This is the most appropriate action as Braxton Hicks contractions are normal and may occur throughout the pregnancy.
d. Braxton Hicks contractions are normal and do not require contact with the health care provider.
Correct Answer is B
Explanation
a. This is not the correct choice because the woman has signs of magnesium toxicity, such as low urine output, high blood pressure, and increased DTR. Continuing the infusion could worsen her condition and put her and the fetus at risk.
b. This is the correct choice because the woman needs to be treated for magnesium toxicity, which is a serious complication of preeclampsia. Stopping the infusion will prevent further accumulation of magnesium in her body and allow her to excrete the excess.
c. This is not the correct choice because it will delay the treatment of magnesium toxicity, which is a medical emergency. The woman's vital signs and symptoms are enough to indicate that she has a high level of magnesium and needs immediate intervention.
d. This is not the correct choice because it will not address the underlying cause of magnesium toxicity, which is the infusion. Oxygen may help with some symptoms, such as respiratory depression, but it will not reverse the effects of magnesium on the nervous system and blood vessels.
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