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. Older adults often present with atypical symptoms of UTI, such as confusion or altered mental status, rather than the classic symptoms seen in younger clients.
B. Incontinence can occur in older adults but is not specific to UTI and may result from other conditions.
C. Low back pain is a common symptom of UTI but is not specifically unique to older adults.
D. Urinary retention can occur in various conditions but is not uniquely associated with UTI in older adults.
Correct Answer is ["C","D","E"]
Explanation
A. Ecchymosis, or bruising, may be present but does not directly evaluate neurovascular status.
B. Skin integrity is important for general wound assessment but does not specifically indicate neurovascular function.
C. Sensation assessment helps evaluate nerve function, which is critical in identifying potential neurovascular compromise.
D. Color of the affected limb provides information on blood flow, with pale or cyanotic coloring suggesting potential compromise.
E. Temperature can indicate adequate blood flow; a cooler extremity may suggest poor circulation, indicating neurovascular compromise.
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