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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Night sweats are a common symptom in clients with AIDS, often related to opportunistic infections like tuberculosis or certain types of cancers.

B. In HIV/AIDS, WBC counts are often decreased due to immune suppression, so an increased WBC count is not typical.

C. Decreased, rather than increased, hemoglobin levels are often seen in AIDS due to anemia of chronic disease.

D. Weight loss, rather than gain, is more commonly associated with AIDS due to malnutrition and wasting syndrome.

A. Widening pulse pressure B. Increased deep tendon reflexes C. Increased heart rate D. Pulse oximetry 96%

Correct Answer is C

Explanation

A. Widening pulse pressure is more indicative of increased intracranial pressure or septic shock, not hypovolemic shock.

B. Deep tendon reflexes are typically not increased in hypovolemic shock.

C. Increased heart rate is a compensatory response to hypovolemic shock as the body attempts to maintain cardiac output.

D. A pulse oximetry reading of 96% would not typically indicate hypovolemic shock; decreased oxygen saturation is more consistent with hypoxia.

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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?

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Å nurse is caring for a client who has HIV infection dementia and has progressed to AIDS. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his lips are cyanotic. The nurse should anticipate which of the findings as an indication of hypovolemic shock?

Correct Answer is C

Explanation

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