Á nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?
"Move objects away from the client."
"Place the client on his back."
"Insert a padded tongue blade into the client's mouth."
"Restrain the client."
The Correct Answer is A
A. Moving objects away prevents injury during the seizure and is a critical safety measure.
B. Placing the client on their side, rather than on their back, helps maintain an open airway and prevents aspiration.
C. Inserting anything into the client's mouth, including a padded tongue blade, is not recommended as it may cause injury.
D. Restraining the client could result in injury and is not advised.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Antibody-mediated immunity (AMI) is primarily the result of antibodies produced by B-lymphocytes in response to antigens. This immune response is essential for protecting the body against pathogens and is particularly important in transfusion reactions.
B. While AMI is crucial in defending against various infections, it is not limited to viral infections; it also plays a significant role in protecting against bacterial infections and other types of pathogens.
C. The humoral immune response is mediated by B-lymphocytes, while T-lymphocytes are primarily involved in cell-mediated immunity, which targets infected cells and regulates immune responses.
D. Phagocytic cells, such as macrophages and neutrophils, are involved in the innate immune response, not directly in antibody-mediated immunity. Natural killer (NK) cells are part of the innate immune system and target virus-infected cells and tumors, but they do not mediate AMI.
Correct Answer is B
Explanation
A. While the client's close contacts may be screened and tested for TB, they do not typically need preventive treatment unless they test positive.
B. Treatment for TB usually involves a 6 to 9-month regimen of multiple medications to effectively eradicate the bacteria and prevent drug resistance.
C. A negative Mantoux test would not indicate that TB is cured; it is used for screening, not for monitoring treatment effectiveness.
D. TB medications are not taken lifelong; they are taken for a specified period to cure the infection.
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