A nurse finds a client on the floor of their room experiencing a seizure. Which of the following actions is the nurse's priority?

Place the client on their side with their head forward.

Administer an anticonvulsant medication.

Time the length of the client's seizure.

Loosen the client's gown and allow them to move freely.

Answer and Explanation

The Correct Answer is A

A. Place the client on their side with their head forward. This position helps maintain an open airway, prevents aspiration, and allows secretions to drain. It is the priority intervention during an active seizure.

B. Administer an anticonvulsant medication. Medications like benzodiazepines (e.g., lorazepam) are used to stop prolonged seizures but are not the immediate priority over airway protection.

C. Time the length of the client's seizure. While monitoring seizure duration is important, ensuring airway protection and safety comes first.

D. Loosen the client's gown and allow them to move freely. While restrictive clothing should be loosened, allowing unrestricted movement could lead to self-injury.

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Correct Answer is B

Explanation

A. Dryness – Infiltration leads to swelling and fluid accumulation, not dryness.

B. Edema – Infiltration occurs when IV fluids leak into surrounding tissue, causing swelling (edema).

C. Erythema – While redness (erythema) can indicate phlebitis, it is not a primary sign of infiltration.

D. A distended vein – A distended vein is more likely seen with fluid overload or thrombosis, not infiltration.

A. Smoking B. Alcohol consumption C. Inflammatory bowel disease D. High-fat diet E. Colorectal polyps

Correct Answer is ["A","B","D"]

Explanation

A. Smoking – Smoking increases the risk of colorectal cancer and can be changed.

B. Alcohol consumption – Alcohol use increases cancer risk and is modifiable.

C. Inflammatory bowel disease – This is a non-modifiable risk factor.

D. High-fat diet – Dietary habits can be changed to lower the risk.

E. Colorectal polyps – Polyps are a non-modifiable risk factor.

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A nurse finds a client on the floor of their room experiencing a seizure. Which of the following actions is the nurse's priority?

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