The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately?(Select all that apply.).

Observe the progression of the seizure.

Loosen clothing around the neck.

Insert a tongue blade between the teeth.

Hold the extremities close to the body.

Pad the side rails with pillows.

Answer and Explanation

Correct Answer : A,B,E

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Correct Answer is B

Explanation

nswer: b. Encouraging the client to use the call bell for assistance. Explanation: Encouraging the client to use the call bell for assistance is the most important intervention for fall prevention. It promotes the client's involvement in their own safety and ensures that help is readily available when needed.

Incorrect choices: a. Placing a sign on the client's room door indicating fall risk is a helpful visual reminder, but it does not actively prevent falls. c. Providing a nonskid mat on the floor beside the client's bed can reduce the risk of slipping but does not address other factors that contribute to falls. d. Ensuring the client has adequate lighting in the room is important for preventing falls, but it is not the most critical intervention. The client's ability to seek assistance when needed is more crucial.

A. Review of systems B. Physical assessment C. Sexual history D. Height, Weight, BMI data E. Diet and nutritional intake F. Family medical history

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

No explanation

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The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately?(Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client at risk for falls. Which intervention is most important for fall prevention?

Correct Answer is B

Explanation

Which data would be included in a health history? (Select all that apply.)

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

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