A client that the nurse is caring for experiences a seizure. What would be a priority nursing action?
Restrain the client during the seizure.
Protect the client from injury.
Suction the mouth during the convulsion.
Insert a tongue blade between the teeth.
The Correct Answer is B
During a seizure, the nurse's priority is to ensure the client's safety by protecting them from injury. The nurse should loosen any tight clothing and move furniture or objects that may harm the client. The client should be turned onto their side to prevent aspiration, and suctioning the mouth is not indicated during the seizure. Restraints are not appropriate during a seizure, and inserting a tongue blade between the teeth can cause injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Myocardial infarction. Gout is a form of arthritis that results from the deposition of uric acid crystals in joints and tissues. It occurs due to hyperuricemia, a condition characterized by an elevated level of uric acid in the blood. The most common cause of hyperuricemia is the overproduction or under-excretion of uric acid. Myocardial infarction is a condition that results from the blockage of blood flow to the heart, which can lead to tissue death. Gout is not caused by long-standing cardiopulmonary disease, fungal infection, or iron- deficiency anemia.
Choice A, Long-standing cardiopulmonary disease, is incorrect because it is not a cause of gout.
Choice B, Fungal infection, is incorrect because it is not a cause of gout. Choice C, Iron-deficiency anemia, is incorrect because it is not a cause of gout.
Correct Answer is B
Explanation
Anorexia nervosa is a nutritional disorder characterized by a distorted body image and fear of weight gain, leading to an abnormally low body weight. Clients with anorexia nervosa may also engage in binge eating and purging behaviors.
Choice A is incorrect because Kwashiorkor is a type of protein-energy malnutrition caused by a severe protein deficiency.
Choice C is incorrect because Crohn's disease is a chronic inflammatory bowel disease.
Choice D is incorrect because Bulimia nervosa is a nutritional disorder characterized by binge eating and purging behaviors.
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