A 25-year-old patient with a history of epilepsy is brought to the emergency department after experiencing a generalized tonic-clonic seizure. Which of the following is the most appropriate initial action by the nurse?

Apply soft restraints to prevent injury during the seizure.

Administer intravenous lorazepam.

Obtain a detailed seizure history from the family.

Ensure the patient's airway is open and position them on their side.

Answer and Explanation

The Correct Answer is D

A.   Applying soft restraints during a seizure could increase the risk of injury and is not recommended.
B.   Administering lorazepam is often necessary in seizures, but the priority during a seizure is ensuring the airway is open and the patient is in a safe position.
C.   Obtaining a seizure history is important but should be done after managing the acute situation.
D.   The priority during a seizure is to ensure the patient's airway is open and to position them on their side to prevent aspiration and facilitate breathing.

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Correct Answer is A

Explanation

A. Erosion of the gastric mucosa on endoscopy is the hallmark of acute gastritis. Chronic alcohol use can irritate and inflame the stomach lining, leading to mucosal erosion, which is commonly seen during endoscopy in patients with this condition.
B. Decreased serum amylase levels are not typically associated with acute gastritis. Amylase levels are more commonly elevated in cases of pancreatitis, not gastritis.
C. The presence of Helicobacter pylori antibodies in serum is more indicative of chronic gastritis or peptic ulcer disease rather than acute gastritis. H. pylori is a long-term cause of gastric inflammation.
D. Hypersecretion of hydrochloric acid is more commonly associated with conditions such as Zollinger- Ellison syndrome and is not a typical finding in acute gastritis caused by alcohol use.

A. Almond milk B. Low-fat milk C. Whole milk D. Soy milk

Correct Answer is B

Explanation

A. Almond milk can be a good source of calcium, but it is often lower in calcium compared to dairy products unless fortified.
B. Low-fat milk is an excellent source of calcium and is also easy for most people to digest.
C. Whole milk contains calcium, but it is higher in fat, which is not ideal for individuals at risk for osteoporosis.
D. Soy milk can be a good source of calcium if fortified, but it does not always contain as much calcium as low-fat milk.

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A 25-year-old patient with a history of epilepsy is brought to the emergency department after experiencing a generalized tonic-clonic seizure. Which of the following is the most appropriate initial action by the nurse?

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