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 D

Explanation

A.This is generally avoided after a total knee replacement. Specifically, placing a pillow under the knee (popliteal space) can cause a flexion contracture, where the knee becomes stuckin a bent position. The goal is to keep the knee extended as much as possible.

B. Applying cool compresses every 6 hours is not typically recommended postoperatively, as frequent, direct cooling could impede blood flow to the surgical area.

C. Promoting bed rest for 5-7 days is not advised; early mobility is encouraged to prevent complications such as deep vein thrombosis and improve joint function.

D.In the immediate postoperative period, increasing fluid intake helps maintain hydration, compensates for blood loss during surgery, and assists in the excretion of anesthetic agents. It also helps prevent complications like urinary tract infections and constipation, which can occur due to immobility and opioid pain medications.

A. Urge incontinence B. Weight gain C. Rectal distention D. Dribbling of urine

Correct Answer is D

Explanation

A. Urge incontinence may occur but is not necessarily an indicator for immediate catheterization in a paraplegic patient, as they may lack bladder control.

B. Weight gain is unrelated to the need for catheterization and may indicate other issues like fluid retention.

C. Rectal distention relates to bowel function, not bladder function, and does not indicate the need for catheterization.

D. Dribbling of urine can suggest bladder overfilling and is an indication that the bladder needs emptying through catheterization to prevent urinary retention complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client 8 hr postoperative following a total knee replacement. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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