A head-injured patient is presenting with a generalized seizure. An appropriate nursing intervention during the seizure would include which of the following?
Loosen the patient's restrictive clothing.
Open the patient's jaws to insert an oral airway.
Restrain the patient to prevent injury.
Place patient in high-Fowler's position.
The Correct Answer is A
A. Loosen the patient's restrictive clothing – This helps prevent airway obstruction and allows for better chest expansion during the seizure.
B. Open the patient’s jaws to insert an oral airway – Never attempt to force open the mouth during a seizure, as it can cause injury.
C. Restrain the patient to prevent injury – Restraining can cause further harm and should be avoided. Instead, clear the area around the patient to prevent injury.
D. Place patient in high-Fowler’s position – The patient should be placed in a side-lying position to prevent aspiration, not high-Fowler’s.
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Related Questions
Correct Answer is A
Explanation
A. A child with a sprained wrist is non-infectious and poses no risk to the immunocompromised leukemia patient.
B. Pneumonia is a contagious respiratory infection that poses a high risk.
C. Rheumatic fever can involve post-streptococcal infection risks.
D. A ruptured appendix increases the risk of infection due to peritonitis.
Correct Answer is C
Explanation
A. Milk and turkey slices. – Incorrect. Milk can inhibit iron absorption, and turkey is not a rich source of iron.
B. Fish and cottage cheese. – Incorrect. Cottage cheese is low in iron, and while some fish contain iron, they are not the best sources.
C. Spinach and beef. – Correct Answer. Both are excellent sources of iron, which helps improve hemoglobin levels in iron-deficiency anemia.
D. Yogurt and mozzarella. – Incorrect. Dairy products do not provide significant iron and may inhibit its absorption.
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