A nurse is assisting with the care of a client who has a seizure disorder.Which of the following supplies should the nurse have at the client's bedside at all times?
Padded tongue blades.
Backboard.
Wrist restraints.
Suction equipment.
The Correct Answer is D
Choice A rationale
Padded tongue blades are not recommended as they can cause injury or block the airway during a seizure.
Choice B rationale
A backboard is not necessary for a client with a seizure disorder. The focus should be on airway management and safety.
Choice C rationale
Wrist restraints are not appropriate and can cause harm during a seizure. The client should be kept safe and comfortable.
Choice D rationale
Suction equipment is essential to clear the client's airway of secretions or vomit during a seizure, helping to maintain a patent airway. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Peritonitis usually leads to increased respiratory rate rather than decreased respirations due to abdominal pain and possible sepsis. Rapid breathing is a common symptom as the body tries to compensate for the infection and discomfort.
Choice B rationale
Absent bowel sounds are a hallmark sign of peritonitis, indicating a lack of intestinal activity due to severe inflammation of the peritoneum. This condition can lead to ileus, where the intestines stop functioning properly.
Choice C rationale
Peripheral edema is not typically associated with peritonitis. Peritonitis primarily affects the abdomen and does not commonly cause fluid accumulation in the extremities. Edema is more related to conditions affecting the heart, liver, or kidneys.
Choice D rationale
Polyuria, or excessive urination, is not a symptom of peritonitis. Peritonitis primarily affects the abdominal cavity and symptoms include severe abdominal pain, fever, and a rigid abdomen. Polyuria is often associated with conditions like diabetes.
Correct Answer is A
Explanation
Choice A rationale
Kussmaul respirations are deep, labored breathing patterns associated with metabolic acidosis, commonly seen in severe hyperglycemia and diabetic ketoacidosis.
Choice B rationale
Diaphoresis, or sweating, is typically associated with hypoglycemia rather than hyperglycemia. Hyperglycemia often leads to dehydration and dry skin.
Choice C rationale
Urinary ketones are typically present in cases of severe hyperglycemia and diabetic ketoacidosis. Absence of urinary ketones does not indicate hyperglycemia.
Choice D rationale
Chvostek's sign, a twitching of facial muscles, is indicative of hypocalcemia rather than hyperglycemia. It is not a reliable indicator of high blood sugar levels.
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.