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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Necrosis. Necrosis is the death of cells or tissue due to disease, injury, or lack of blood supply. In the process of tissue injury, necrosis occurs in the deepest and most severe area of injury.

Choice A, Hyperemia is an increase in blood flow to an area, causing redness and warmth.

Choice B, Coagulation is the process of blood clotting.

Choice C, Stasis is a reduction in blood flow to an area, causing blood to pool and resulting in tissue hypoxia.

A. "What do you do to prevent sexually transmitted infections?". B. "The chance of acquiring a sexually transmitted infection increases with multiple sex partners.". C. "It is hard to find a good partner these days.". D. "You are putting yourself at risk when you have multiple sex partners.".

Correct Answer is B

Explanation

"The chance of acquiring a sexually transmitted infection increases with multiple sex partners." This response is appropriate and accurate because having multiple sex partners increases the risk of acquiring sexually transmitted infections. The nurse's response can help educate the client and encourage safer sexual practices.

Choice A is incorrect because it assumes the client already practices safe sex.

choice C is not relevant to the conversation.

Choice D is not necessarily incorrect, but it does not provide as much information or education to the client as choice B does.

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A client that the nurse is caring for experiences a seizure. What would be a priority nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which zone consists of the area where the injury is most severe and deepest?

Correct Answer is D

Explanation

During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?

Correct Answer is B

Explanation

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