Exhibits

A nurse is caring for a client who has a seizure disorder. (Select all that apply.)

Administer supplemental oxygen to the client.

Restrain the client.

Time the duration of the seizure.

Place a tongue depressor in the client's mouth.

Turn the client to the side

Answer and Explanation

Correct Answer : A,C,E

A.   The client is experiencing apnea and has decreased oxygen saturation, indicating a need for supplemental oxygen.
B.   Restraining a client during a seizure is dangerous and can cause injury.
C.   This information is crucial for determining the type of seizure and guiding treatment.
D.   Placing a tongue depressor in the client's mouth can cause trauma to the teeth and mouth and should never be done.
E.   Turning the client to the side helps prevent aspiration of saliva or vomit, protecting the airway.

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

Explanation

A. Drooling
Drooling can be concerning due to impaired swallowing and risk of aspiration.
D. Hoarse voice
Hoarseness after swallowing can indicate aspiration, which is a serious complication for stroke patients due to difficulty swallowing.
E. Temperature at 1800
A temperature of 39.6°C (103.3°F) is significantly elevated and suggests a potential infection, which is a serious complication after a stroke

A. It raises cardiac output and MAP. B. It causes vasoconstriction and increased MAP. C. There is no direct correlation to MAP. D. Lower blood volume lowers MAP.

Correct Answer is D

Explanation

A. Severe blood loss actually decreases blood volume, which leads to decreased cardiac output and ultimately lower MAP.
B. While it's true that the body initially responds to blood loss by vasoconstricting to maintain blood pressure, this compensatory mechanism can only last for so long. As blood loss continues, MAP will decrease.
C. There is no direct correlation to MAP. MAP is directly influenced by cardiac output and systemic vascular resistance (SVR). Blood volume is a major determinant of both.
D. A decrease in blood volume leads to decreased preload, which reduces cardiac output. This, in turn, lowers MAP.

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Exhibits A nurse is caring for a client who has a seizure disorder. (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has had a stroke. Exhibits Select the 3 findings that require immediate follow-up.

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

Explanation

A nurse who is mentoring a graduate nurse explains the correlation between severe blood loss and the effect on the client's mean arterial pressure (MAI The graduate nurse demonstrates correct understanding when he states which of the following:

Correct Answer is D

Explanation

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to this client?

Exhibits A nurse is caring for a client who has a seizure disorder. (Select all that apply.)

A nurse is providing care for a group of clients in the emergency department. Which of the following clients is at risk for developing neurogenic shock?

A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?

A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse take?

A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?

Exhibits

A nurse is caring for a client who has a seizure disorder. (Select all that apply.)