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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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"D"},"E":{"answers":"A"}}

Explanation

Platelet count: Low platelets (135,000/mm³) increase bleeding risk as they are essential for clot formation.

Hemoglobin: A hemoglobin level within the low normal range could increase the risk of hypoxemia, particularly in the perioperative period when oxygen demand may be higher.

INR: Elevated INR (1.5) indicates increased bleeding risk due to prolonged clotting time.

Atrial fibrillation: Increases the risk of DVT due to irregular heart rhythms, which can lead to blood pooling and clot formation.

RBC count: A low RBC count contributes to the risk of hypoxemia as there are fewer red blood cells available to transport oxygen.

A. I will try not to gain weight B. I will sleep with the head of my bed elevated C. I will lie down for one half hour after meals D. I will consume less caffeine and fewer spicy foods E. I will drink less fluid

Correct Answer is ["A","B","D"]

Explanation

A. Maintaining a healthy weight can reduce abdominal pressure, which may alleviate symptoms.

B. Sleeping with the head of the bed elevated helps prevent acid reflux, a common symptom of hiatal hernia.

C. Lying down after meals can worsen reflux, so it should be avoided.

D. Reducing caffeine and spicy foods can help minimize irritation of the stomach lining and reduce reflux symptoms.

E. Reducing fluid intake is unnecessary; fluids do not contribute to hiatal hernia symptoms.

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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 in the preoperative holding area. Exhibits For each preoperative assessment finding, click to specify if the assessment finding places the client at risk for hypoxemia, bleeding, or a DVT in the intra- op or post-op phases.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"D"},"E":{"answers":"A"}}

Explanation

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Correct Answer is ["A","B","D"]

Explanation

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