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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. MRI of the wrist can help rule out other conditions, but it is not the most specific test for diagnosing carpal tunnel syndrome.
B. Electromyography (EMG) and nerve conduction studies are the gold standard for diagnosing carpal tunnel syndrome. These tests measure the electrical activity of the muscles and the speed of nerve impulses to confirm nerve compression.
C. Ultrasound of the wrist may be helpful in visualizing the median nerve but is not as definitive as EMG and nerve conduction studies.
D. X-ray of the wrist would not be useful in diagnosing carpal tunnel syndrome as it does not show soft tissue or nerve involvement.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.